DEE & TEE Precious Angels Academy

10A NCAC 09 .0510 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 0526-105L Visit Date: 5/15/2026 Number Present: 19 Completed Date: 5/15/2026 Age: From 0 To 7 Total Minutes: 180 Time In: 08:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that children a staff member is rough handling children. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor/outdoor environments were monitored. The license and emergency care plan were posted. Fire drills, and storage of hazardous products were also monitored. Staff records were reviewed to verify that documentation was maintained on file for each staff member showing receipt and review of the center's Shaken Baby Syndrome /Abusive Head trauma policy and Supervision policy. Additionally, I observed teachers interacting with the children in circle time, completing toileting and hand washing routines engaged in free choice play, interacting with caregivers and eating breakfast Teachers also assisted with toileting throughout the visit except for one instance when two children were observed in the bathroom unattended. Infants were observed in cribs, car seats, and lying on the floor next to a caregiver. Two infants and one preschool child arrived during the visit. Today’s menu consisted of cream of wheat, raspberries and unflavored milk. Children received cereal and unflavored milk. The raspberries were not provided. Based on information provided, a staff member was rough handling children specifically, picking toddler’s up underneath their arms and slamming them down on the ground and babies/infants being hit in the face with diapers. I interviewed you and two caregivers. You and the caregivers stated that at no time has a child/children been rough handled at the facility. Additionally, no concerns regarding inappropriate handling of children in care have been presented. You and staff stated that you had no knowledge of the allegation, nor had such behavior ever been observed. You reported that the facility does not have cameras; therefore, video footage was not available for review. You and staff further reported that staff/child interactions are monitored daily by administrative staff. According to you, administrative staff floats throughout the classroom spaces approximately four times a day which includes in the morning upon arrival, during lunch times and when children are napping. It was reported that staff have received training on appropriate handling of children, the center's supervision policy, and behavior management techniques. You and staff stated that children enrolled have shown no signs of fear, hesitation, or distress around caregivers and there have been no known stressors that would encourage inappropriate handling of children in care. Additionally, when asked, it was reported that you nor staff have observed any bruises or unusual behaviors in children that would suggest inappropriate or rough handling. You verified that the program has policies/procedures in place regarding the handling of children and discipline management practices. You and the staff also reported that these topics are reviewed during staff meetings conducted by the administrator twice a year. Based on my review of staff files during today’s visit, it was verified that all staff have reviewed and signed the center’s shaken baby syndrome and abusive head trauma and supervision policy developed as part of the administrative action issued in 2023. I contacted the administrator during the visit; however, she was unable to speak with me about the allegations. The administrator stated she would contact me later today to discuss the report. One caregiver could not be interviewed because she was not present today. I informed you that I would attempt to contact the caregiver and administrator later to conduct their interviews. I further explained that the investigation would remain open until the interviews are completed and investigation finalized. You will be notified of the outcome at the completion of the investigation. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Two children were observed unattended in the bathroom outside of the classroom area. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. Three children under the age of one (1) were grouped with children between the ages three (3) and four (4) years old in Space #2. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between the ages of twelve (12) to twenty-four (24) months old were grouped with children between the ages three (3) and four (4) years old. 10A NCAC 09 .0713(a)(6) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Three children were kept in cribs for twenty five minutes while awake. .0510(e)(6) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping inside of a car seat placed on the floor in Space #2. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Twelve (12) children between the ages of two (2) to seven (7) years old were being cared for by one (1) caregiver in Space four (4). 10A NCAC 09 .2818 9995 A violation was found for which there is no item number. A violation was found for which there is no item number. The corrective action plan was not followed. The facility was notified on December 1, 2025, that the written policies and procedures met requirements for stipulation #2 and were approved. The facilities written policies and procedures indicated if a staff member cannot report to work within the specified time to ensure staff/child ratio is met, Ms. Gaynor or Ms. Taylor would report to the center until the staff member arrives. This did not occur today. Additionally, the written plan indicated if there is a need to group children due to low attendance, children would be grouped based on their age: The children were not grouped based on their age when older children were permitted to visit infants in Space #2. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 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. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 STAFF/CHILD RATIO: Upon arrival, I observed one caregiver at the front of the building with two children. I identified myself and informed the caregiver that I was there to conduct a visit. The caregiver stated she was going to the back to notify another staff member, and I informed her that I would accompany her. While walking to the back area, I observed two children in a bathroom located outside of the classroom unattended. As we entered the area where care was being provided, I observed three infants in space 2 with no caregiver present. Two infants were lying in cribs, and one infant was asleep in a car seat placed on the floor. In space 4, I observed 10 children ranging in age from 2 to 7 years old with one caregiver present. The two children from the bathroom then entered and joined the group in space 4, increasing the total number of children to 12. While waiting for caregivers to get the children settled, staff-child interaction was observed. At that time, three preschool children were observed floating back and forth from their assigned space into the infant space interacting with the babies. Two additional infant children arrived and were taken to the infant space. The co-owner/floater, T. Gaynor arrived shortly after the visit began and assisted with getting the children settled into their assigned spaces and completing handwashing prior to breakfast. One preschool child departed and when asked, Ms. Gaynor stated the child left on the bus to Head Start. I informed you that, based on my observations, both spaces were out of compliance with staff-child ratio requirements. I explained that space 2 was out of compliance because there was no caregiver present with the infants and older children were observed entering and interacting with children within the infant space. I further explained that space 4 was out of compliance because one caregiver was supervising too many children based on the age of the youngest child present. Additionally, I explained that your program is required to maintain enhanced staff-child ratio requirements; therefore, two caregivers were required in the preschool space. You stated that one caregiver called out of work this morning and Ms. Gaynor, co-owner, was scheduled to provide coverage; however, she was running behind. Additional staff arrived during the visit and assisted with providing care to the children. I shared that children could only be grouped together during the first and last operation hour for the program. Ms. Gaynor reported the program operates from 6:30am to 6:30pm. SUPERVISION: During the visit, we discussed the two children observed unattended in the bathroom located outside of the classroom area. Based on the location of Caregiver 1 at the front of the building, the children could neither be seen nor heard. Additionally, based on the location of Caregiver 2 in the classroom at the back of the building, where other children were actively engaged and noise levels were present, the caregiver could not adequately hear or see the children in the bathroom. I informed you that because the children were not within sight or hearing distance of a caregiver, a supervision violation was warranted and would be documented. We discussed the importance of ensuring children are attended to and actively supervised at all times to prevent injuries and other potential harm. We also talked about the possible injuries or incidents that could have occurred while the children were alone in the bathroom without caregiver supervision. For supervision to be effective, staff should maintain a watchful oversight which includes actively monitoring children's activities and requires the appropriate number of caregiving staff to be present in the area with children. Supervision requires focused attention and intentional observation of children. WRITTEN POLICIES/PROCEDURES: Your program was issued a written warning administrative action on October 25, 2023, related to adequate supervision. The written policies and procedures submitted in response to the administrative action were approved on December 1, 2023. During the visit, when asked, you were unable to retrieve the approved written policies and procedures for review. I informed you that the approved written policies and procedures became part of the program’s operational policies and should be maintained on site and available for review during visits. Based on my review of the written policies and procedures maintained in the working file, the program was not complying with the adequate supervision requirements outlined within the approved plan. I requested that you revise the written policies and procedures to include updated steps the program will implement to ensure adequate supervision is maintained at all times. I also asked that you revisit the staffing schedule included in the approved policies and procedures and make adjustments to reflect current staffing patterns and remove staff who are no longer employed at the facility. Once the revisions and modifications have been completed, please resubmit within one week (22, 2026) the updated policies and procedures for review. Additionally, I shared that based on my review of staff records, all staff had signed the supervision policy and copies were maintained in their files. We discussed the importance of revisiting the supervision policy with staff and reviewing the expectations to ensure all staff understand the requirements related to providing adequate supervision of children at all times. SAFE SLEEP PRACTICES: The safe sleep policy posted in the area where infants are cared for indicated that infants are not to be placed in or left sleeping in car seats, strollers, swings, or infant carriers. Upon entering in the back space, I observed one infant sleeping in a car seat that was placed on the floor. Once Ms. Gaynor arrived at the facility, the infant was removed from the car seat, and the car seat was taken away. We discussed the importance of ensuring the program consistently follows its safe sleep policy. Additionally, because the policy is reviewed with parents and signed by them acknowledging that the safe sleep practices listed will be implemented within the program, the policy should always be followed. It is vital for infant safety to ensure they are not permitted to sleep in car seats due to the potential risk of injury or other harm that could occur. Allowing an infant to sleep in a car seat is highly discouraged due to the risk of positional asphyxia. Because infants lack neck control, an inclined sitting position can cause their head to slump forward, compressing their airway and making it difficult or impossible for them to breathe. Be reminded you are responsible for ensuring infants are placed in their cribs appropriately once they fall asleep. AGE APPROPRIATE ACTIVITIES (INFANTS) Three infants were observed in cribs for approximately 25 minutes while awake with no interaction from the caregiver. Based on my observation, the caregiver was providing assistance to one other child and did not engage with the three infants during that time. I informed you that child care rules require infants to be given opportunities for play and interaction while in care. We also discussed the importance of providing additional assistance in the infant area due to the number of infants present to help ensure individualized attention is provided to all children. Additionally, we talked about the importance of ensuring infants are stimulated and provided opportunities for play and engagement throughout the day while in care. Allow space and time for active exploration and vigorous exercise everyday. With close supervision, infants should be placed on their tummies to play. Only use cribs for sleeping or preparing to go to sleep, not to keep children contained and confined. Children need opportunities for active physical play inside as well as outside, and this should be a normal part of everyday activities, included in the daily schedule. This gives young children the chance to strengthen muscles and practice skills for healthy development. Refer to child care rule 10A NCAC 09 .0510 (6) for more information regarding appropriate activities and tummy time. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor compliance with applicable child care requirements including staff/child ratio and supervision. Due to internet connectivity issues, at the completion of the visit a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. 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: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 0526-105L Visit Date: 5/15/2026 Number Present: 19 Completed Date: 5/15/2026 Age: From 0 To 7 Total Minutes: 180 Time In: 08:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that children a staff member is rough handling children. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor/outdoor environments were monitored. The license and emergency care plan were posted. Fire drills, and storage of hazardous products were also monitored. Staff records were reviewed to verify that documentation was maintained on file for each staff member showing receipt and review of the center's Shaken Baby Syndrome /Abusive Head trauma policy and Supervision policy. Additionally, I observed teachers interacting with the children in circle time, completing toileting and hand washing routines engaged in free choice play, interacting with caregivers and eating breakfast Teachers also assisted with toileting throughout the visit except for one instance when two children were observed in the bathroom unattended. Infants were observed in cribs, car seats, and lying on the floor next to a caregiver. Two infants and one preschool child arrived during the visit. Today’s menu consisted of cream of wheat, raspberries and unflavored milk. Children received cereal and unflavored milk. The raspberries were not provided. Based on information provided, a staff member was rough handling children specifically, picking toddler’s up underneath their arms and slamming them down on the ground and babies/infants being hit in the face with diapers. I interviewed you and two caregivers. You and the caregivers stated that at no time has a child/children been rough handled at the facility. Additionally, no concerns regarding inappropriate handling of children in care have been presented. You and staff stated that you had no knowledge of the allegation, nor had such behavior ever been observed. You reported that the facility does not have cameras; therefore, video footage was not available for review. You and staff further reported that staff/child interactions are monitored daily by administrative staff. According to you, administrative staff floats throughout the classroom spaces approximately four times a day which includes in the morning upon arrival, during lunch times and when children are napping. It was reported that staff have received training on appropriate handling of children, the center's supervision policy, and behavior management techniques. You and staff stated that children enrolled have shown no signs of fear, hesitation, or distress around caregivers and there have been no known stressors that would encourage inappropriate handling of children in care. Additionally, when asked, it was reported that you nor staff have observed any bruises or unusual behaviors in children that would suggest inappropriate or rough handling. You verified that the program has policies/procedures in place regarding the handling of children and discipline management practices. You and the staff also reported that these topics are reviewed during staff meetings conducted by the administrator twice a year. Based on my review of staff files during today’s visit, it was verified that all staff have reviewed and signed the center’s shaken baby syndrome and abusive head trauma and supervision policy developed as part of the administrative action issued in 2023. I contacted the administrator during the visit; however, she was unable to speak with me about the allegations. The administrator stated she would contact me later today to discuss the report. One caregiver could not be interviewed because she was not present today. I informed you that I would attempt to contact the caregiver and administrator later to conduct their interviews. I further explained that the investigation would remain open until the interviews are completed and investigation finalized. You will be notified of the outcome at the completion of the investigation. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Two children were observed unattended in the bathroom outside of the classroom area. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. Three children under the age of one (1) were grouped with children between the ages three (3) and four (4) years old in Space #2. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between the ages of twelve (12) to twenty-four (24) months old were grouped with children between the ages three (3) and four (4) years old. 10A NCAC 09 .0713(a)(6) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Three children were kept in cribs for twenty five minutes while awake. .0510(e)(6) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping inside of a car seat placed on the floor in Space #2. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Twelve (12) children between the ages of two (2) to seven (7) years old were being cared for by one (1) caregiver in Space four (4). 10A NCAC 09 .2818 9995 A violation was found for which there is no item number. A violation was found for which there is no item number. The corrective action plan was not followed. The facility was notified on December 1, 2025, that the written policies and procedures met requirements for stipulation #2 and were approved. The facilities written policies and procedures indicated if a staff member cannot report to work within the specified time to ensure staff/child ratio is met, Ms. Gaynor or Ms. Taylor would report to the center until the staff member arrives. This did not occur today. Additionally, the written plan indicated if there is a need to group children due to low attendance, children would be grouped based on their age: The children were not grouped based on their age when older children were permitted to visit infants in Space #2. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 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. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 STAFF/CHILD RATIO: Upon arrival, I observed one caregiver at the front of the building with two children. I identified myself and informed the caregiver that I was there to conduct a visit. The caregiver stated she was going to the back to notify another staff member, and I informed her that I would accompany her. While walking to the back area, I observed two children in a bathroom located outside of the classroom unattended. As we entered the area where care was being provided, I observed three infants in space 2 with no caregiver present. Two infants were lying in cribs, and one infant was asleep in a car seat placed on the floor. In space 4, I observed 10 children ranging in age from 2 to 7 years old with one caregiver present. The two children from the bathroom then entered and joined the group in space 4, increasing the total number of children to 12. While waiting for caregivers to get the children settled, staff-child interaction was observed. At that time, three preschool children were observed floating back and forth from their assigned space into the infant space interacting with the babies. Two additional infant children arrived and were taken to the infant space. The co-owner/floater, T. Gaynor arrived shortly after the visit began and assisted with getting the children settled into their assigned spaces and completing handwashing prior to breakfast. One preschool child departed and when asked, Ms. Gaynor stated the child left on the bus to Head Start. I informed you that, based on my observations, both spaces were out of compliance with staff-child ratio requirements. I explained that space 2 was out of compliance because there was no caregiver present with the infants and older children were observed entering and interacting with children within the infant space. I further explained that space 4 was out of compliance because one caregiver was supervising too many children based on the age of the youngest child present. Additionally, I explained that your program is required to maintain enhanced staff-child ratio requirements; therefore, two caregivers were required in the preschool space. You stated that one caregiver called out of work this morning and Ms. Gaynor, co-owner, was scheduled to provide coverage; however, she was running behind. Additional staff arrived during the visit and assisted with providing care to the children. I shared that children could only be grouped together during the first and last operation hour for the program. Ms. Gaynor reported the program operates from 6:30am to 6:30pm. SUPERVISION: During the visit, we discussed the two children observed unattended in the bathroom located outside of the classroom area. Based on the location of Caregiver 1 at the front of the building, the children could neither be seen nor heard. Additionally, based on the location of Caregiver 2 in the classroom at the back of the building, where other children were actively engaged and noise levels were present, the caregiver could not adequately hear or see the children in the bathroom. I informed you that because the children were not within sight or hearing distance of a caregiver, a supervision violation was warranted and would be documented. We discussed the importance of ensuring children are attended to and actively supervised at all times to prevent injuries and other potential harm. We also talked about the possible injuries or incidents that could have occurred while the children were alone in the bathroom without caregiver supervision. For supervision to be effective, staff should maintain a watchful oversight which includes actively monitoring children's activities and requires the appropriate number of caregiving staff to be present in the area with children. Supervision requires focused attention and intentional observation of children. WRITTEN POLICIES/PROCEDURES: Your program was issued a written warning administrative action on October 25, 2023, related to adequate supervision. The written policies and procedures submitted in response to the administrative action were approved on December 1, 2023. During the visit, when asked, you were unable to retrieve the approved written policies and procedures for review. I informed you that the approved written policies and procedures became part of the program’s operational policies and should be maintained on site and available for review during visits. Based on my review of the written policies and procedures maintained in the working file, the program was not complying with the adequate supervision requirements outlined within the approved plan. I requested that you revise the written policies and procedures to include updated steps the program will implement to ensure adequate supervision is maintained at all times. I also asked that you revisit the staffing schedule included in the approved policies and procedures and make adjustments to reflect current staffing patterns and remove staff who are no longer employed at the facility. Once the revisions and modifications have been completed, please resubmit within one week (22, 2026) the updated policies and procedures for review. Additionally, I shared that based on my review of staff records, all staff had signed the supervision policy and copies were maintained in their files. We discussed the importance of revisiting the supervision policy with staff and reviewing the expectations to ensure all staff understand the requirements related to providing adequate supervision of children at all times. SAFE SLEEP PRACTICES: The safe sleep policy posted in the area where infants are cared for indicated that infants are not to be placed in or left sleeping in car seats, strollers, swings, or infant carriers. Upon entering in the back space, I observed one infant sleeping in a car seat that was placed on the floor. Once Ms. Gaynor arrived at the facility, the infant was removed from the car seat, and the car seat was taken away. We discussed the importance of ensuring the program consistently follows its safe sleep policy. Additionally, because the policy is reviewed with parents and signed by them acknowledging that the safe sleep practices listed will be implemented within the program, the policy should always be followed. It is vital for infant safety to ensure they are not permitted to sleep in car seats due to the potential risk of injury or other harm that could occur. Allowing an infant to sleep in a car seat is highly discouraged due to the risk of positional asphyxia. Because infants lack neck control, an inclined sitting position can cause their head to slump forward, compressing their airway and making it difficult or impossible for them to breathe. Be reminded you are responsible for ensuring infants are placed in their cribs appropriately once they fall asleep. AGE APPROPRIATE ACTIVITIES (INFANTS) Three infants were observed in cribs for approximately 25 minutes while awake with no interaction from the caregiver. Based on my observation, the caregiver was providing assistance to one other child and did not engage with the three infants during that time. I informed you that child care rules require infants to be given opportunities for play and interaction while in care. We also discussed the importance of providing additional assistance in the infant area due to the number of infants present to help ensure individualized attention is provided to all children. Additionally, we talked about the importance of ensuring infants are stimulated and provided opportunities for play and engagement throughout the day while in care. Allow space and time for active exploration and vigorous exercise everyday. With close supervision, infants should be placed on their tummies to play. Only use cribs for sleeping or preparing to go to sleep, not to keep children contained and confined. Children need opportunities for active physical play inside as well as outside, and this should be a normal part of everyday activities, included in the daily schedule. This gives young children the chance to strengthen muscles and practice skills for healthy development. Refer to child care rule 10A NCAC 09 .0510 (6) for more information regarding appropriate activities and tummy time. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor compliance with applicable child care requirements including staff/child ratio and supervision. Due to internet connectivity issues, at the completion of the visit a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. 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 .0713 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 0526-105L Visit Date: 5/15/2026 Number Present: 19 Completed Date: 5/15/2026 Age: From 0 To 7 Total Minutes: 180 Time In: 08:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that children a staff member is rough handling children. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor/outdoor environments were monitored. The license and emergency care plan were posted. Fire drills, and storage of hazardous products were also monitored. Staff records were reviewed to verify that documentation was maintained on file for each staff member showing receipt and review of the center's Shaken Baby Syndrome /Abusive Head trauma policy and Supervision policy. Additionally, I observed teachers interacting with the children in circle time, completing toileting and hand washing routines engaged in free choice play, interacting with caregivers and eating breakfast Teachers also assisted with toileting throughout the visit except for one instance when two children were observed in the bathroom unattended. Infants were observed in cribs, car seats, and lying on the floor next to a caregiver. Two infants and one preschool child arrived during the visit. Today’s menu consisted of cream of wheat, raspberries and unflavored milk. Children received cereal and unflavored milk. The raspberries were not provided. Based on information provided, a staff member was rough handling children specifically, picking toddler’s up underneath their arms and slamming them down on the ground and babies/infants being hit in the face with diapers. I interviewed you and two caregivers. You and the caregivers stated that at no time has a child/children been rough handled at the facility. Additionally, no concerns regarding inappropriate handling of children in care have been presented. You and staff stated that you had no knowledge of the allegation, nor had such behavior ever been observed. You reported that the facility does not have cameras; therefore, video footage was not available for review. You and staff further reported that staff/child interactions are monitored daily by administrative staff. According to you, administrative staff floats throughout the classroom spaces approximately four times a day which includes in the morning upon arrival, during lunch times and when children are napping. It was reported that staff have received training on appropriate handling of children, the center's supervision policy, and behavior management techniques. You and staff stated that children enrolled have shown no signs of fear, hesitation, or distress around caregivers and there have been no known stressors that would encourage inappropriate handling of children in care. Additionally, when asked, it was reported that you nor staff have observed any bruises or unusual behaviors in children that would suggest inappropriate or rough handling. You verified that the program has policies/procedures in place regarding the handling of children and discipline management practices. You and the staff also reported that these topics are reviewed during staff meetings conducted by the administrator twice a year. Based on my review of staff files during today’s visit, it was verified that all staff have reviewed and signed the center’s shaken baby syndrome and abusive head trauma and supervision policy developed as part of the administrative action issued in 2023. I contacted the administrator during the visit; however, she was unable to speak with me about the allegations. The administrator stated she would contact me later today to discuss the report. One caregiver could not be interviewed because she was not present today. I informed you that I would attempt to contact the caregiver and administrator later to conduct their interviews. I further explained that the investigation would remain open until the interviews are completed and investigation finalized. You will be notified of the outcome at the completion of the investigation. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Two children were observed unattended in the bathroom outside of the classroom area. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. Three children under the age of one (1) were grouped with children between the ages three (3) and four (4) years old in Space #2. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between the ages of twelve (12) to twenty-four (24) months old were grouped with children between the ages three (3) and four (4) years old. 10A NCAC 09 .0713(a)(6) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Three children were kept in cribs for twenty five minutes while awake. .0510(e)(6) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping inside of a car seat placed on the floor in Space #2. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Twelve (12) children between the ages of two (2) to seven (7) years old were being cared for by one (1) caregiver in Space four (4). 10A NCAC 09 .2818 9995 A violation was found for which there is no item number. A violation was found for which there is no item number. The corrective action plan was not followed. The facility was notified on December 1, 2025, that the written policies and procedures met requirements for stipulation #2 and were approved. The facilities written policies and procedures indicated if a staff member cannot report to work within the specified time to ensure staff/child ratio is met, Ms. Gaynor or Ms. Taylor would report to the center until the staff member arrives. This did not occur today. Additionally, the written plan indicated if there is a need to group children due to low attendance, children would be grouped based on their age: The children were not grouped based on their age when older children were permitted to visit infants in Space #2. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 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. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 STAFF/CHILD RATIO: Upon arrival, I observed one caregiver at the front of the building with two children. I identified myself and informed the caregiver that I was there to conduct a visit. The caregiver stated she was going to the back to notify another staff member, and I informed her that I would accompany her. While walking to the back area, I observed two children in a bathroom located outside of the classroom unattended. As we entered the area where care was being provided, I observed three infants in space 2 with no caregiver present. Two infants were lying in cribs, and one infant was asleep in a car seat placed on the floor. In space 4, I observed 10 children ranging in age from 2 to 7 years old with one caregiver present. The two children from the bathroom then entered and joined the group in space 4, increasing the total number of children to 12. While waiting for caregivers to get the children settled, staff-child interaction was observed. At that time, three preschool children were observed floating back and forth from their assigned space into the infant space interacting with the babies. Two additional infant children arrived and were taken to the infant space. The co-owner/floater, T. Gaynor arrived shortly after the visit began and assisted with getting the children settled into their assigned spaces and completing handwashing prior to breakfast. One preschool child departed and when asked, Ms. Gaynor stated the child left on the bus to Head Start. I informed you that, based on my observations, both spaces were out of compliance with staff-child ratio requirements. I explained that space 2 was out of compliance because there was no caregiver present with the infants and older children were observed entering and interacting with children within the infant space. I further explained that space 4 was out of compliance because one caregiver was supervising too many children based on the age of the youngest child present. Additionally, I explained that your program is required to maintain enhanced staff-child ratio requirements; therefore, two caregivers were required in the preschool space. You stated that one caregiver called out of work this morning and Ms. Gaynor, co-owner, was scheduled to provide coverage; however, she was running behind. Additional staff arrived during the visit and assisted with providing care to the children. I shared that children could only be grouped together during the first and last operation hour for the program. Ms. Gaynor reported the program operates from 6:30am to 6:30pm. SUPERVISION: During the visit, we discussed the two children observed unattended in the bathroom located outside of the classroom area. Based on the location of Caregiver 1 at the front of the building, the children could neither be seen nor heard. Additionally, based on the location of Caregiver 2 in the classroom at the back of the building, where other children were actively engaged and noise levels were present, the caregiver could not adequately hear or see the children in the bathroom. I informed you that because the children were not within sight or hearing distance of a caregiver, a supervision violation was warranted and would be documented. We discussed the importance of ensuring children are attended to and actively supervised at all times to prevent injuries and other potential harm. We also talked about the possible injuries or incidents that could have occurred while the children were alone in the bathroom without caregiver supervision. For supervision to be effective, staff should maintain a watchful oversight which includes actively monitoring children's activities and requires the appropriate number of caregiving staff to be present in the area with children. Supervision requires focused attention and intentional observation of children. WRITTEN POLICIES/PROCEDURES: Your program was issued a written warning administrative action on October 25, 2023, related to adequate supervision. The written policies and procedures submitted in response to the administrative action were approved on December 1, 2023. During the visit, when asked, you were unable to retrieve the approved written policies and procedures for review. I informed you that the approved written policies and procedures became part of the program’s operational policies and should be maintained on site and available for review during visits. Based on my review of the written policies and procedures maintained in the working file, the program was not complying with the adequate supervision requirements outlined within the approved plan. I requested that you revise the written policies and procedures to include updated steps the program will implement to ensure adequate supervision is maintained at all times. I also asked that you revisit the staffing schedule included in the approved policies and procedures and make adjustments to reflect current staffing patterns and remove staff who are no longer employed at the facility. Once the revisions and modifications have been completed, please resubmit within one week (22, 2026) the updated policies and procedures for review. Additionally, I shared that based on my review of staff records, all staff had signed the supervision policy and copies were maintained in their files. We discussed the importance of revisiting the supervision policy with staff and reviewing the expectations to ensure all staff understand the requirements related to providing adequate supervision of children at all times. SAFE SLEEP PRACTICES: The safe sleep policy posted in the area where infants are cared for indicated that infants are not to be placed in or left sleeping in car seats, strollers, swings, or infant carriers. Upon entering in the back space, I observed one infant sleeping in a car seat that was placed on the floor. Once Ms. Gaynor arrived at the facility, the infant was removed from the car seat, and the car seat was taken away. We discussed the importance of ensuring the program consistently follows its safe sleep policy. Additionally, because the policy is reviewed with parents and signed by them acknowledging that the safe sleep practices listed will be implemented within the program, the policy should always be followed. It is vital for infant safety to ensure they are not permitted to sleep in car seats due to the potential risk of injury or other harm that could occur. Allowing an infant to sleep in a car seat is highly discouraged due to the risk of positional asphyxia. Because infants lack neck control, an inclined sitting position can cause their head to slump forward, compressing their airway and making it difficult or impossible for them to breathe. Be reminded you are responsible for ensuring infants are placed in their cribs appropriately once they fall asleep. AGE APPROPRIATE ACTIVITIES (INFANTS) Three infants were observed in cribs for approximately 25 minutes while awake with no interaction from the caregiver. Based on my observation, the caregiver was providing assistance to one other child and did not engage with the three infants during that time. I informed you that child care rules require infants to be given opportunities for play and interaction while in care. We also discussed the importance of providing additional assistance in the infant area due to the number of infants present to help ensure individualized attention is provided to all children. Additionally, we talked about the importance of ensuring infants are stimulated and provided opportunities for play and engagement throughout the day while in care. Allow space and time for active exploration and vigorous exercise everyday. With close supervision, infants should be placed on their tummies to play. Only use cribs for sleeping or preparing to go to sleep, not to keep children contained and confined. Children need opportunities for active physical play inside as well as outside, and this should be a normal part of everyday activities, included in the daily schedule. This gives young children the chance to strengthen muscles and practice skills for healthy development. Refer to child care rule 10A NCAC 09 .0510 (6) for more information regarding appropriate activities and tummy time. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor compliance with applicable child care requirements including staff/child ratio and supervision. Due to internet connectivity issues, at the completion of the visit a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. 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 .2818 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 0526-105L Visit Date: 5/15/2026 Number Present: 19 Completed Date: 5/15/2026 Age: From 0 To 7 Total Minutes: 180 Time In: 08:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that children a staff member is rough handling children. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor/outdoor environments were monitored. The license and emergency care plan were posted. Fire drills, and storage of hazardous products were also monitored. Staff records were reviewed to verify that documentation was maintained on file for each staff member showing receipt and review of the center's Shaken Baby Syndrome /Abusive Head trauma policy and Supervision policy. Additionally, I observed teachers interacting with the children in circle time, completing toileting and hand washing routines engaged in free choice play, interacting with caregivers and eating breakfast Teachers also assisted with toileting throughout the visit except for one instance when two children were observed in the bathroom unattended. Infants were observed in cribs, car seats, and lying on the floor next to a caregiver. Two infants and one preschool child arrived during the visit. Today’s menu consisted of cream of wheat, raspberries and unflavored milk. Children received cereal and unflavored milk. The raspberries were not provided. Based on information provided, a staff member was rough handling children specifically, picking toddler’s up underneath their arms and slamming them down on the ground and babies/infants being hit in the face with diapers. I interviewed you and two caregivers. You and the caregivers stated that at no time has a child/children been rough handled at the facility. Additionally, no concerns regarding inappropriate handling of children in care have been presented. You and staff stated that you had no knowledge of the allegation, nor had such behavior ever been observed. You reported that the facility does not have cameras; therefore, video footage was not available for review. You and staff further reported that staff/child interactions are monitored daily by administrative staff. According to you, administrative staff floats throughout the classroom spaces approximately four times a day which includes in the morning upon arrival, during lunch times and when children are napping. It was reported that staff have received training on appropriate handling of children, the center's supervision policy, and behavior management techniques. You and staff stated that children enrolled have shown no signs of fear, hesitation, or distress around caregivers and there have been no known stressors that would encourage inappropriate handling of children in care. Additionally, when asked, it was reported that you nor staff have observed any bruises or unusual behaviors in children that would suggest inappropriate or rough handling. You verified that the program has policies/procedures in place regarding the handling of children and discipline management practices. You and the staff also reported that these topics are reviewed during staff meetings conducted by the administrator twice a year. Based on my review of staff files during today’s visit, it was verified that all staff have reviewed and signed the center’s shaken baby syndrome and abusive head trauma and supervision policy developed as part of the administrative action issued in 2023. I contacted the administrator during the visit; however, she was unable to speak with me about the allegations. The administrator stated she would contact me later today to discuss the report. One caregiver could not be interviewed because she was not present today. I informed you that I would attempt to contact the caregiver and administrator later to conduct their interviews. I further explained that the investigation would remain open until the interviews are completed and investigation finalized. You will be notified of the outcome at the completion of the investigation. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Two children were observed unattended in the bathroom outside of the classroom area. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. Three children under the age of one (1) were grouped with children between the ages three (3) and four (4) years old in Space #2. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between the ages of twelve (12) to twenty-four (24) months old were grouped with children between the ages three (3) and four (4) years old. 10A NCAC 09 .0713(a)(6) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Three children were kept in cribs for twenty five minutes while awake. .0510(e)(6) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping inside of a car seat placed on the floor in Space #2. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Twelve (12) children between the ages of two (2) to seven (7) years old were being cared for by one (1) caregiver in Space four (4). 10A NCAC 09 .2818 9995 A violation was found for which there is no item number. A violation was found for which there is no item number. The corrective action plan was not followed. The facility was notified on December 1, 2025, that the written policies and procedures met requirements for stipulation #2 and were approved. The facilities written policies and procedures indicated if a staff member cannot report to work within the specified time to ensure staff/child ratio is met, Ms. Gaynor or Ms. Taylor would report to the center until the staff member arrives. This did not occur today. Additionally, the written plan indicated if there is a need to group children due to low attendance, children would be grouped based on their age: The children were not grouped based on their age when older children were permitted to visit infants in Space #2. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 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. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 STAFF/CHILD RATIO: Upon arrival, I observed one caregiver at the front of the building with two children. I identified myself and informed the caregiver that I was there to conduct a visit. The caregiver stated she was going to the back to notify another staff member, and I informed her that I would accompany her. While walking to the back area, I observed two children in a bathroom located outside of the classroom unattended. As we entered the area where care was being provided, I observed three infants in space 2 with no caregiver present. Two infants were lying in cribs, and one infant was asleep in a car seat placed on the floor. In space 4, I observed 10 children ranging in age from 2 to 7 years old with one caregiver present. The two children from the bathroom then entered and joined the group in space 4, increasing the total number of children to 12. While waiting for caregivers to get the children settled, staff-child interaction was observed. At that time, three preschool children were observed floating back and forth from their assigned space into the infant space interacting with the babies. Two additional infant children arrived and were taken to the infant space. The co-owner/floater, T. Gaynor arrived shortly after the visit began and assisted with getting the children settled into their assigned spaces and completing handwashing prior to breakfast. One preschool child departed and when asked, Ms. Gaynor stated the child left on the bus to Head Start. I informed you that, based on my observations, both spaces were out of compliance with staff-child ratio requirements. I explained that space 2 was out of compliance because there was no caregiver present with the infants and older children were observed entering and interacting with children within the infant space. I further explained that space 4 was out of compliance because one caregiver was supervising too many children based on the age of the youngest child present. Additionally, I explained that your program is required to maintain enhanced staff-child ratio requirements; therefore, two caregivers were required in the preschool space. You stated that one caregiver called out of work this morning and Ms. Gaynor, co-owner, was scheduled to provide coverage; however, she was running behind. Additional staff arrived during the visit and assisted with providing care to the children. I shared that children could only be grouped together during the first and last operation hour for the program. Ms. Gaynor reported the program operates from 6:30am to 6:30pm. SUPERVISION: During the visit, we discussed the two children observed unattended in the bathroom located outside of the classroom area. Based on the location of Caregiver 1 at the front of the building, the children could neither be seen nor heard. Additionally, based on the location of Caregiver 2 in the classroom at the back of the building, where other children were actively engaged and noise levels were present, the caregiver could not adequately hear or see the children in the bathroom. I informed you that because the children were not within sight or hearing distance of a caregiver, a supervision violation was warranted and would be documented. We discussed the importance of ensuring children are attended to and actively supervised at all times to prevent injuries and other potential harm. We also talked about the possible injuries or incidents that could have occurred while the children were alone in the bathroom without caregiver supervision. For supervision to be effective, staff should maintain a watchful oversight which includes actively monitoring children's activities and requires the appropriate number of caregiving staff to be present in the area with children. Supervision requires focused attention and intentional observation of children. WRITTEN POLICIES/PROCEDURES: Your program was issued a written warning administrative action on October 25, 2023, related to adequate supervision. The written policies and procedures submitted in response to the administrative action were approved on December 1, 2023. During the visit, when asked, you were unable to retrieve the approved written policies and procedures for review. I informed you that the approved written policies and procedures became part of the program’s operational policies and should be maintained on site and available for review during visits. Based on my review of the written policies and procedures maintained in the working file, the program was not complying with the adequate supervision requirements outlined within the approved plan. I requested that you revise the written policies and procedures to include updated steps the program will implement to ensure adequate supervision is maintained at all times. I also asked that you revisit the staffing schedule included in the approved policies and procedures and make adjustments to reflect current staffing patterns and remove staff who are no longer employed at the facility. Once the revisions and modifications have been completed, please resubmit within one week (22, 2026) the updated policies and procedures for review. Additionally, I shared that based on my review of staff records, all staff had signed the supervision policy and copies were maintained in their files. We discussed the importance of revisiting the supervision policy with staff and reviewing the expectations to ensure all staff understand the requirements related to providing adequate supervision of children at all times. SAFE SLEEP PRACTICES: The safe sleep policy posted in the area where infants are cared for indicated that infants are not to be placed in or left sleeping in car seats, strollers, swings, or infant carriers. Upon entering in the back space, I observed one infant sleeping in a car seat that was placed on the floor. Once Ms. Gaynor arrived at the facility, the infant was removed from the car seat, and the car seat was taken away. We discussed the importance of ensuring the program consistently follows its safe sleep policy. Additionally, because the policy is reviewed with parents and signed by them acknowledging that the safe sleep practices listed will be implemented within the program, the policy should always be followed. It is vital for infant safety to ensure they are not permitted to sleep in car seats due to the potential risk of injury or other harm that could occur. Allowing an infant to sleep in a car seat is highly discouraged due to the risk of positional asphyxia. Because infants lack neck control, an inclined sitting position can cause their head to slump forward, compressing their airway and making it difficult or impossible for them to breathe. Be reminded you are responsible for ensuring infants are placed in their cribs appropriately once they fall asleep. AGE APPROPRIATE ACTIVITIES (INFANTS) Three infants were observed in cribs for approximately 25 minutes while awake with no interaction from the caregiver. Based on my observation, the caregiver was providing assistance to one other child and did not engage with the three infants during that time. I informed you that child care rules require infants to be given opportunities for play and interaction while in care. We also discussed the importance of providing additional assistance in the infant area due to the number of infants present to help ensure individualized attention is provided to all children. Additionally, we talked about the importance of ensuring infants are stimulated and provided opportunities for play and engagement throughout the day while in care. Allow space and time for active exploration and vigorous exercise everyday. With close supervision, infants should be placed on their tummies to play. Only use cribs for sleeping or preparing to go to sleep, not to keep children contained and confined. Children need opportunities for active physical play inside as well as outside, and this should be a normal part of everyday activities, included in the daily schedule. This gives young children the chance to strengthen muscles and practice skills for healthy development. Refer to child care rule 10A NCAC 09 .0510 (6) for more information regarding appropriate activities and tummy time. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor compliance with applicable child care requirements including staff/child ratio and supervision. Due to internet connectivity issues, at the completion of the visit a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. 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: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 0526-105L Visit Date: 5/15/2026 Number Present: 19 Completed Date: 5/15/2026 Age: From 0 To 7 Total Minutes: 180 Time In: 08:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that children a staff member is rough handling children. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor/outdoor environments were monitored. The license and emergency care plan were posted. Fire drills, and storage of hazardous products were also monitored. Staff records were reviewed to verify that documentation was maintained on file for each staff member showing receipt and review of the center's Shaken Baby Syndrome /Abusive Head trauma policy and Supervision policy. Additionally, I observed teachers interacting with the children in circle time, completing toileting and hand washing routines engaged in free choice play, interacting with caregivers and eating breakfast Teachers also assisted with toileting throughout the visit except for one instance when two children were observed in the bathroom unattended. Infants were observed in cribs, car seats, and lying on the floor next to a caregiver. Two infants and one preschool child arrived during the visit. Today’s menu consisted of cream of wheat, raspberries and unflavored milk. Children received cereal and unflavored milk. The raspberries were not provided. Based on information provided, a staff member was rough handling children specifically, picking toddler’s up underneath their arms and slamming them down on the ground and babies/infants being hit in the face with diapers. I interviewed you and two caregivers. You and the caregivers stated that at no time has a child/children been rough handled at the facility. Additionally, no concerns regarding inappropriate handling of children in care have been presented. You and staff stated that you had no knowledge of the allegation, nor had such behavior ever been observed. You reported that the facility does not have cameras; therefore, video footage was not available for review. You and staff further reported that staff/child interactions are monitored daily by administrative staff. According to you, administrative staff floats throughout the classroom spaces approximately four times a day which includes in the morning upon arrival, during lunch times and when children are napping. It was reported that staff have received training on appropriate handling of children, the center's supervision policy, and behavior management techniques. You and staff stated that children enrolled have shown no signs of fear, hesitation, or distress around caregivers and there have been no known stressors that would encourage inappropriate handling of children in care. Additionally, when asked, it was reported that you nor staff have observed any bruises or unusual behaviors in children that would suggest inappropriate or rough handling. You verified that the program has policies/procedures in place regarding the handling of children and discipline management practices. You and the staff also reported that these topics are reviewed during staff meetings conducted by the administrator twice a year. Based on my review of staff files during today’s visit, it was verified that all staff have reviewed and signed the center’s shaken baby syndrome and abusive head trauma and supervision policy developed as part of the administrative action issued in 2023. I contacted the administrator during the visit; however, she was unable to speak with me about the allegations. The administrator stated she would contact me later today to discuss the report. One caregiver could not be interviewed because she was not present today. I informed you that I would attempt to contact the caregiver and administrator later to conduct their interviews. I further explained that the investigation would remain open until the interviews are completed and investigation finalized. You will be notified of the outcome at the completion of the investigation. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Two children were observed unattended in the bathroom outside of the classroom area. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. Three children under the age of one (1) were grouped with children between the ages three (3) and four (4) years old in Space #2. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between the ages of twelve (12) to twenty-four (24) months old were grouped with children between the ages three (3) and four (4) years old. 10A NCAC 09 .0713(a)(6) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Three children were kept in cribs for twenty five minutes while awake. .0510(e)(6) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping inside of a car seat placed on the floor in Space #2. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Twelve (12) children between the ages of two (2) to seven (7) years old were being cared for by one (1) caregiver in Space four (4). 10A NCAC 09 .2818 9995 A violation was found for which there is no item number. A violation was found for which there is no item number. The corrective action plan was not followed. The facility was notified on December 1, 2025, that the written policies and procedures met requirements for stipulation #2 and were approved. The facilities written policies and procedures indicated if a staff member cannot report to work within the specified time to ensure staff/child ratio is met, Ms. Gaynor or Ms. Taylor would report to the center until the staff member arrives. This did not occur today. Additionally, the written plan indicated if there is a need to group children due to low attendance, children would be grouped based on their age: The children were not grouped based on their age when older children were permitted to visit infants in Space #2. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 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. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 STAFF/CHILD RATIO: Upon arrival, I observed one caregiver at the front of the building with two children. I identified myself and informed the caregiver that I was there to conduct a visit. The caregiver stated she was going to the back to notify another staff member, and I informed her that I would accompany her. While walking to the back area, I observed two children in a bathroom located outside of the classroom unattended. As we entered the area where care was being provided, I observed three infants in space 2 with no caregiver present. Two infants were lying in cribs, and one infant was asleep in a car seat placed on the floor. In space 4, I observed 10 children ranging in age from 2 to 7 years old with one caregiver present. The two children from the bathroom then entered and joined the group in space 4, increasing the total number of children to 12. While waiting for caregivers to get the children settled, staff-child interaction was observed. At that time, three preschool children were observed floating back and forth from their assigned space into the infant space interacting with the babies. Two additional infant children arrived and were taken to the infant space. The co-owner/floater, T. Gaynor arrived shortly after the visit began and assisted with getting the children settled into their assigned spaces and completing handwashing prior to breakfast. One preschool child departed and when asked, Ms. Gaynor stated the child left on the bus to Head Start. I informed you that, based on my observations, both spaces were out of compliance with staff-child ratio requirements. I explained that space 2 was out of compliance because there was no caregiver present with the infants and older children were observed entering and interacting with children within the infant space. I further explained that space 4 was out of compliance because one caregiver was supervising too many children based on the age of the youngest child present. Additionally, I explained that your program is required to maintain enhanced staff-child ratio requirements; therefore, two caregivers were required in the preschool space. You stated that one caregiver called out of work this morning and Ms. Gaynor, co-owner, was scheduled to provide coverage; however, she was running behind. Additional staff arrived during the visit and assisted with providing care to the children. I shared that children could only be grouped together during the first and last operation hour for the program. Ms. Gaynor reported the program operates from 6:30am to 6:30pm. SUPERVISION: During the visit, we discussed the two children observed unattended in the bathroom located outside of the classroom area. Based on the location of Caregiver 1 at the front of the building, the children could neither be seen nor heard. Additionally, based on the location of Caregiver 2 in the classroom at the back of the building, where other children were actively engaged and noise levels were present, the caregiver could not adequately hear or see the children in the bathroom. I informed you that because the children were not within sight or hearing distance of a caregiver, a supervision violation was warranted and would be documented. We discussed the importance of ensuring children are attended to and actively supervised at all times to prevent injuries and other potential harm. We also talked about the possible injuries or incidents that could have occurred while the children were alone in the bathroom without caregiver supervision. For supervision to be effective, staff should maintain a watchful oversight which includes actively monitoring children's activities and requires the appropriate number of caregiving staff to be present in the area with children. Supervision requires focused attention and intentional observation of children. WRITTEN POLICIES/PROCEDURES: Your program was issued a written warning administrative action on October 25, 2023, related to adequate supervision. The written policies and procedures submitted in response to the administrative action were approved on December 1, 2023. During the visit, when asked, you were unable to retrieve the approved written policies and procedures for review. I informed you that the approved written policies and procedures became part of the program’s operational policies and should be maintained on site and available for review during visits. Based on my review of the written policies and procedures maintained in the working file, the program was not complying with the adequate supervision requirements outlined within the approved plan. I requested that you revise the written policies and procedures to include updated steps the program will implement to ensure adequate supervision is maintained at all times. I also asked that you revisit the staffing schedule included in the approved policies and procedures and make adjustments to reflect current staffing patterns and remove staff who are no longer employed at the facility. Once the revisions and modifications have been completed, please resubmit within one week (22, 2026) the updated policies and procedures for review. Additionally, I shared that based on my review of staff records, all staff had signed the supervision policy and copies were maintained in their files. We discussed the importance of revisiting the supervision policy with staff and reviewing the expectations to ensure all staff understand the requirements related to providing adequate supervision of children at all times. SAFE SLEEP PRACTICES: The safe sleep policy posted in the area where infants are cared for indicated that infants are not to be placed in or left sleeping in car seats, strollers, swings, or infant carriers. Upon entering in the back space, I observed one infant sleeping in a car seat that was placed on the floor. Once Ms. Gaynor arrived at the facility, the infant was removed from the car seat, and the car seat was taken away. We discussed the importance of ensuring the program consistently follows its safe sleep policy. Additionally, because the policy is reviewed with parents and signed by them acknowledging that the safe sleep practices listed will be implemented within the program, the policy should always be followed. It is vital for infant safety to ensure they are not permitted to sleep in car seats due to the potential risk of injury or other harm that could occur. Allowing an infant to sleep in a car seat is highly discouraged due to the risk of positional asphyxia. Because infants lack neck control, an inclined sitting position can cause their head to slump forward, compressing their airway and making it difficult or impossible for them to breathe. Be reminded you are responsible for ensuring infants are placed in their cribs appropriately once they fall asleep. AGE APPROPRIATE ACTIVITIES (INFANTS) Three infants were observed in cribs for approximately 25 minutes while awake with no interaction from the caregiver. Based on my observation, the caregiver was providing assistance to one other child and did not engage with the three infants during that time. I informed you that child care rules require infants to be given opportunities for play and interaction while in care. We also discussed the importance of providing additional assistance in the infant area due to the number of infants present to help ensure individualized attention is provided to all children. Additionally, we talked about the importance of ensuring infants are stimulated and provided opportunities for play and engagement throughout the day while in care. Allow space and time for active exploration and vigorous exercise everyday. With close supervision, infants should be placed on their tummies to play. Only use cribs for sleeping or preparing to go to sleep, not to keep children contained and confined. Children need opportunities for active physical play inside as well as outside, and this should be a normal part of everyday activities, included in the daily schedule. This gives young children the chance to strengthen muscles and practice skills for healthy development. Refer to child care rule 10A NCAC 09 .0510 (6) for more information regarding appropriate activities and tummy time. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor compliance with applicable child care requirements including staff/child ratio and supervision. Due to internet connectivity issues, at the completion of the visit a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: 0526-105L Visit Date: 5/15/2026 Number Present: 19 Completed Date: 5/15/2026 Age: From 0 To 7 Total Minutes: 180 Time In: 08:00 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There are concerns that children a staff member is rough handling children. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the indoor/outdoor environments were monitored. The license and emergency care plan were posted. Fire drills, and storage of hazardous products were also monitored. Staff records were reviewed to verify that documentation was maintained on file for each staff member showing receipt and review of the center's Shaken Baby Syndrome /Abusive Head trauma policy and Supervision policy. Additionally, I observed teachers interacting with the children in circle time, completing toileting and hand washing routines engaged in free choice play, interacting with caregivers and eating breakfast Teachers also assisted with toileting throughout the visit except for one instance when two children were observed in the bathroom unattended. Infants were observed in cribs, car seats, and lying on the floor next to a caregiver. Two infants and one preschool child arrived during the visit. Today’s menu consisted of cream of wheat, raspberries and unflavored milk. Children received cereal and unflavored milk. The raspberries were not provided. Based on information provided, a staff member was rough handling children specifically, picking toddler’s up underneath their arms and slamming them down on the ground and babies/infants being hit in the face with diapers. I interviewed you and two caregivers. You and the caregivers stated that at no time has a child/children been rough handled at the facility. Additionally, no concerns regarding inappropriate handling of children in care have been presented. You and staff stated that you had no knowledge of the allegation, nor had such behavior ever been observed. You reported that the facility does not have cameras; therefore, video footage was not available for review. You and staff further reported that staff/child interactions are monitored daily by administrative staff. According to you, administrative staff floats throughout the classroom spaces approximately four times a day which includes in the morning upon arrival, during lunch times and when children are napping. It was reported that staff have received training on appropriate handling of children, the center's supervision policy, and behavior management techniques. You and staff stated that children enrolled have shown no signs of fear, hesitation, or distress around caregivers and there have been no known stressors that would encourage inappropriate handling of children in care. Additionally, when asked, it was reported that you nor staff have observed any bruises or unusual behaviors in children that would suggest inappropriate or rough handling. You verified that the program has policies/procedures in place regarding the handling of children and discipline management practices. You and the staff also reported that these topics are reviewed during staff meetings conducted by the administrator twice a year. Based on my review of staff files during today’s visit, it was verified that all staff have reviewed and signed the center’s shaken baby syndrome and abusive head trauma and supervision policy developed as part of the administrative action issued in 2023. I contacted the administrator during the visit; however, she was unable to speak with me about the allegations. The administrator stated she would contact me later today to discuss the report. One caregiver could not be interviewed because she was not present today. I informed you that I would attempt to contact the caregiver and administrator later to conduct their interviews. I further explained that the investigation would remain open until the interviews are completed and investigation finalized. You will be notified of the outcome at the completion of the investigation. The following violations were documented: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Two children were observed unattended in the bathroom outside of the classroom area. GS 110-91(7);.0713(a-d) 316 Children under one year of age were not kept separate from children two years and older. Three children under the age of one (1) were grouped with children between the ages three (3) and four (4) years old in Space #2. 10A NCAC 09 .0713(a)(5) 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Children between the ages of twelve (12) to twenty-four (24) months old were grouped with children between the ages three (3) and four (4) years old. 10A NCAC 09 .0713(a)(6) 496 Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Three children were kept in cribs for twenty five minutes while awake. .0510(e)(6) 871 Center staff did not comply with the safe sleep policy. One infant was observed sleeping inside of a car seat placed on the floor in Space #2. 10A NCAC 09 .0606(a) 1756 Enhanced staff/child ratios and group sizes were not met. Twelve (12) children between the ages of two (2) to seven (7) years old were being cared for by one (1) caregiver in Space four (4). 10A NCAC 09 .2818 9995 A violation was found for which there is no item number. A violation was found for which there is no item number. The corrective action plan was not followed. The facility was notified on December 1, 2025, that the written policies and procedures met requirements for stipulation #2 and were approved. The facilities written policies and procedures indicated if a staff member cannot report to work within the specified time to ensure staff/child ratio is met, Ms. Gaynor or Ms. Taylor would report to the center until the staff member arrives. This did not occur today. Additionally, the written plan indicated if there is a need to group children due to low attendance, children would be grouped based on their age: The children were not grouped based on their age when older children were permitted to visit infants in Space #2. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations documented must be corrected immediately. On or before May 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. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 STAFF/CHILD RATIO: Upon arrival, I observed one caregiver at the front of the building with two children. I identified myself and informed the caregiver that I was there to conduct a visit. The caregiver stated she was going to the back to notify another staff member, and I informed her that I would accompany her. While walking to the back area, I observed two children in a bathroom located outside of the classroom unattended. As we entered the area where care was being provided, I observed three infants in space 2 with no caregiver present. Two infants were lying in cribs, and one infant was asleep in a car seat placed on the floor. In space 4, I observed 10 children ranging in age from 2 to 7 years old with one caregiver present. The two children from the bathroom then entered and joined the group in space 4, increasing the total number of children to 12. While waiting for caregivers to get the children settled, staff-child interaction was observed. At that time, three preschool children were observed floating back and forth from their assigned space into the infant space interacting with the babies. Two additional infant children arrived and were taken to the infant space. The co-owner/floater, T. Gaynor arrived shortly after the visit began and assisted with getting the children settled into their assigned spaces and completing handwashing prior to breakfast. One preschool child departed and when asked, Ms. Gaynor stated the child left on the bus to Head Start. I informed you that, based on my observations, both spaces were out of compliance with staff-child ratio requirements. I explained that space 2 was out of compliance because there was no caregiver present with the infants and older children were observed entering and interacting with children within the infant space. I further explained that space 4 was out of compliance because one caregiver was supervising too many children based on the age of the youngest child present. Additionally, I explained that your program is required to maintain enhanced staff-child ratio requirements; therefore, two caregivers were required in the preschool space. You stated that one caregiver called out of work this morning and Ms. Gaynor, co-owner, was scheduled to provide coverage; however, she was running behind. Additional staff arrived during the visit and assisted with providing care to the children. I shared that children could only be grouped together during the first and last operation hour for the program. Ms. Gaynor reported the program operates from 6:30am to 6:30pm. SUPERVISION: During the visit, we discussed the two children observed unattended in the bathroom located outside of the classroom area. Based on the location of Caregiver 1 at the front of the building, the children could neither be seen nor heard. Additionally, based on the location of Caregiver 2 in the classroom at the back of the building, where other children were actively engaged and noise levels were present, the caregiver could not adequately hear or see the children in the bathroom. I informed you that because the children were not within sight or hearing distance of a caregiver, a supervision violation was warranted and would be documented. We discussed the importance of ensuring children are attended to and actively supervised at all times to prevent injuries and other potential harm. We also talked about the possible injuries or incidents that could have occurred while the children were alone in the bathroom without caregiver supervision. For supervision to be effective, staff should maintain a watchful oversight which includes actively monitoring children's activities and requires the appropriate number of caregiving staff to be present in the area with children. Supervision requires focused attention and intentional observation of children. WRITTEN POLICIES/PROCEDURES: Your program was issued a written warning administrative action on October 25, 2023, related to adequate supervision. The written policies and procedures submitted in response to the administrative action were approved on December 1, 2023. During the visit, when asked, you were unable to retrieve the approved written policies and procedures for review. I informed you that the approved written policies and procedures became part of the program’s operational policies and should be maintained on site and available for review during visits. Based on my review of the written policies and procedures maintained in the working file, the program was not complying with the adequate supervision requirements outlined within the approved plan. I requested that you revise the written policies and procedures to include updated steps the program will implement to ensure adequate supervision is maintained at all times. I also asked that you revisit the staffing schedule included in the approved policies and procedures and make adjustments to reflect current staffing patterns and remove staff who are no longer employed at the facility. Once the revisions and modifications have been completed, please resubmit within one week (22, 2026) the updated policies and procedures for review. Additionally, I shared that based on my review of staff records, all staff had signed the supervision policy and copies were maintained in their files. We discussed the importance of revisiting the supervision policy with staff and reviewing the expectations to ensure all staff understand the requirements related to providing adequate supervision of children at all times. SAFE SLEEP PRACTICES: The safe sleep policy posted in the area where infants are cared for indicated that infants are not to be placed in or left sleeping in car seats, strollers, swings, or infant carriers. Upon entering in the back space, I observed one infant sleeping in a car seat that was placed on the floor. Once Ms. Gaynor arrived at the facility, the infant was removed from the car seat, and the car seat was taken away. We discussed the importance of ensuring the program consistently follows its safe sleep policy. Additionally, because the policy is reviewed with parents and signed by them acknowledging that the safe sleep practices listed will be implemented within the program, the policy should always be followed. It is vital for infant safety to ensure they are not permitted to sleep in car seats due to the potential risk of injury or other harm that could occur. Allowing an infant to sleep in a car seat is highly discouraged due to the risk of positional asphyxia. Because infants lack neck control, an inclined sitting position can cause their head to slump forward, compressing their airway and making it difficult or impossible for them to breathe. Be reminded you are responsible for ensuring infants are placed in their cribs appropriately once they fall asleep. AGE APPROPRIATE ACTIVITIES (INFANTS) Three infants were observed in cribs for approximately 25 minutes while awake with no interaction from the caregiver. Based on my observation, the caregiver was providing assistance to one other child and did not engage with the three infants during that time. I informed you that child care rules require infants to be given opportunities for play and interaction while in care. We also discussed the importance of providing additional assistance in the infant area due to the number of infants present to help ensure individualized attention is provided to all children. Additionally, we talked about the importance of ensuring infants are stimulated and provided opportunities for play and engagement throughout the day while in care. Allow space and time for active exploration and vigorous exercise everyday. With close supervision, infants should be placed on their tummies to play. Only use cribs for sleeping or preparing to go to sleep, not to keep children contained and confined. Children need opportunities for active physical play inside as well as outside, and this should be a normal part of everyday activities, included in the daily schedule. This gives young children the chance to strengthen muscles and practice skills for healthy development. Refer to child care rule 10A NCAC 09 .0510 (6) for more information regarding appropriate activities and tummy time. FOLLOW-UP VISIT: An unannounced follow-up visit will be conducted to monitor compliance with applicable child care requirements including staff/child ratio and supervision. Due to internet connectivity issues, at the completion of the visit a one-page visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 3/18/2026 Number Present: 10 Completed Date: 3/18/2026 Age: From 0 To 3 Total Minutes: 190 Time In: 09:05 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Upon arrival, L. Artis, Lead teacher, assisted with the visit. You (T. Gaynor), Legal Designee, arrived shortly after and assisted me with the visit. Your program operates with a five-star license, issued September 18, 2018, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and enhanced space) and 1 quality point for 75% of lead teachers and teachers having 10 years of early childhood work experience. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. You stated the program uses the creative curriculum third edition. I observed the creative curriculum booklet and lesson plans. Materials/toys were available to complete activities listed on the lesson plan. The last annual compliance visit was conducted on April 24, 2025. The sanitation inspection was completed May 29, 2025, with a “Superior” classification. The last fire inspection was conducted on November 18, 2025, and your facility was approved for day and nighttime care. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent as of March 18, 2026. Doris Taylor is listed as the sole owner of this program. Prior to making any changes in the ownership status, contact me to discuss changes in ownership procedures. I visited all indoor and outdoor spaces used by children. Children enrolled in space #2 were engaged in floor play, completing hand washing routines and interacting with the children. Children in Space #4 were completing an activity sheet at the table, engaged in morning review of colors and alphabets, completing toileting and hand-washing routines and participating in outdoor play. Lunch was also observed. Lunch consisted of fish sticks, French fries, peaches, bread and milk The following violation was documented: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Hand washing did not occur for two infant upon arrival in Space #2. 15A NCAC 18A .2803(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violations documented must be corrected immediately. On or before April 1, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 FACILITY PROFILE INFORMATION: You verified the phone number, email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. QRIS CONVERSTATION: During the visit, we talked about the QRIS status for your program. I explained the date established for submission of the application during the QRIS conversation completed was for April 2026. You stated the process for completing components required has started. According to you staff have already been given their continuous quality improvement plans for completion. I suggested starting to collect documentation to verify requirements of the family community engagement practices. We discussed in detail the expectation for implementation of an approved curriculum and formative assessment for ages of all children served. Additionally, lead teachers and the administrator must complete training on the curriculum and formative assessment implemented at the program. I advised you to start researching trainings offered on the curriculum utilized to ensure the training is completed as required. The education information worksheet has been submitted to me for evaluation. I will reach out to you in April 2026 regarding submission of the QRIS application and required documentation. If you have questions or need additional guidance prior to that time, contact me for assistance. HAND-WASHING PRACTICES: Hand-washing in child care settings is a critical infection-control practice that directly reduces the spread of illness among children and staff. Because young children frequently engage in close contact, share materials, and are still developing hygiene habits, proper hand hygiene is one of the most effective ways to prevent outbreaks of communicable diseases. Children hands should be washed upon arrival, before and after handling foods, and completing toileting/diapering routines, after contact with bodily fluids, after handling animals, and before and after water play. Consistent handwashing is not just a routine task; it is a foundational health and safety measure that protects the entire child care environment. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain at 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the completion of the visit, a visit summary report was completed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, or email jennifer.linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 13 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 11:55 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit, including the Corrective Action Plan included in the written warning administrative action issued by the DCDEE to this facility on October 31, 2025. Upon arrival you were not present. J. Gaynor, teacher assistant, was present and assisted. You arrive shortly after and assisted with the visit. Thirteen children ranging from ages zero (0) to five (5) years old were in care in two separate spaces. Children were observed eating lunch, interacting with caregivers and napping. The license and emergency preparedness and response plan were posted. Sanitation and fire inspections posted were current. Lunch consisted of potato rounds, grilled cheese sandwiches, mixed fruit and milk. Limited monitoring of the child care requirements were completed today. The following child care requirements were monitored. Staff/child ratio/group sizes, supervision, discipline, nurturing, license capacity, permit restrictions, and general safety. All items in section .2201(j) were monitored. The administrative action was observed in a notebook on the shelf in front of the office. I reminded you that the administrative action must be posted. At that time, you posted the action on the parent bulletin board near the entrance door. You were contacted on November 19, 2025, and notified that the written plan submitted on November 16, 2025, met stipulation #2 of the corrective action plan included in the administrative action. An email was also sent with the notification. During the visit you provided documentation verifying the new employee hired on November 17, 2025, had been included in the ABCMS portal. We discuss printing off the document to keep in record for verification since it was included in the written plan. Documentation verifying orientation was completed with the new employee using the checklist was on file and available for review. The acknowledgement form was also available. You stated the written plan, and orientation would be completed with all staff and documentation would be completed for the file. I suggested documenting the information on the tracking log created and updating it as stated in the written plan. You should keep all documentation on file for review during future visits. The following violation was documented. Violation Number Comment Rule 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. The caregiver working in Space #2 with infants did not have IT’S SIDS certification training. .01102 (f) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation documented was corrected during the visit. The center's compliance history score was reviewed with the operator. The compliance history score was eighty-six percent as of November 19, 2025. ITS SIDS REQUIREMENTS: The caregiver working alone with infants upon arrival had not completed the IT’S SIDS training. I informed you the individual could not work and provide care for infants alone without the certification. You stated it was your understanding that new staff had two months to complete the IT’S SIDS training. I explained that at least one child care provider, who has completed ITS-SIDS training, must be present in the infant room, while children were in care. During the visit, you shifted switched the two caregivers working. The caregiver working in Space #4 with preschool children had a current IT’S SIDS training certificate on file. Although you corrected the violation during the visit, I requested that you submit a written statement to me by December 1, 2025, describing what was done to correct the violation and include your plans for ensuring someone who has completed the IT’S SIDS certification is always working in the infant classroom. The plan can be sent via email or postal mail. The correction plan must be sent from the email address on file for your program to: Keshia Hayward, Child Care Consultant PO Box 13 Ahoskie, NC 27910 keshia.hayward@dhhs.nc.gov At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Keshia Hayward, Child Care Consultant, 252-214-2709, or email keshia.hayward@dhhs.nc.gov or Jennifer Lindhart, Licensing Consultant, 252-214-2709, or email jennifer.lindhart@dhhs.nc.gov if you have questions. 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: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/9/2025 Number Present: 13 Completed Date: 10/9/2025 Age: From 0 To 4 Total Minutes: 300 Time In: 08:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival, L. Artis, Lead teacher, assisted with the visit. T. Gaynor, Co-Owner, arrived shortly after and assisted with the visit. A walk-through of the facility was completed today, and all indoor and outdoor areas used by children were monitored. Your program currently operates with a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratio requirements) and 1 quality point for 75% of lead teachers and teachers having at least 10 years of Early Childhood work experience The last annual compliance visit was conducted on April 24, 2025. The sanitation inspection was completed May 29, 2025, with a “Superior” classification. The last fire inspection was conducted November 18, 2024, and your facility was approved for day and nighttime care. Thirteen (13) children ranging from ages zero (0) to three (3) years old were observed in care today. Children were observed interacting with caregivers, completing toileting and hand washing routines, engaged in free-choice and outdoor play, and eating breakfast and lunch. Breakfast consisted of bagels, bologna and milk. Lunch consisted of chicken nuggets, corn, peaches, bread and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival, two children ranging from ages five months to two years old were unsupervised in Space 2. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. A five-month-old infant was grouped with a two-year-old child in Space #2. 10A NCAC 09 .0713(a)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of plastic grocery bags was stored under an unlocked sink in the bathroom used by children. .0604(q) 871 Center staff did not comply with the safe sleep policy. The center’s safe sleep policy was not followed when an infant was left in a car seat placed on the floor. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check for one employee was not renewed on or before the expiration date of October 1, 2025. Additionally, the criminal background check for a second employee was not renewed on or before the expiration date of October 6, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file or available for review for two staff members. G.S. 110-90.2(b) & (d) & .2703(e) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 24, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 93% percent as of October 8, 2025. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. OWNERSHIP STATUS: Doris Taylor is listed as the current owner of this center. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. STAFF/CHILD RATIO/SUPERVISION: As I entered the building and proceeded to the back area where care was being provided for children, I observed one caregiver approaching from the opposite side of the building. We both arrived and entered the area together. When I entered the classroom, I observed two children in Space 2 without a caregiver present. Upon verifying the ages, it was reported that one child was five (5) months old and the other child 2 years of age. The caregiver who entered the area with me immediately proceeded to Space 2 with the children. The infant was observed in a car seat placed on the floor, and the two-year-old child was lying in a crib. The caregiver then removed the infant from the car seat and placed the child in a crib. The two- year- old child was taken out of the crib and transitioned to Space 4 with the other preschool children. The caregiver explained that the two-year-old was asleep upon arrival to care; therefore, she placed the child in a crib to allow him to continue resting. She further stated that once the child wakes up, she typically transitions the child to the classroom with other preschool children. I informed you that infants shall be kept separate from children two years old and older. I explained that the two-year-old child could have been placed in a designated space in the assigned classroom on a cot to continue resting while being adequately supervised. We also discussed the importance of ensuring children are never left unattended at any time, both for their safety and to prevent potential injuries. We talked about coaching staff in implementing strategies within the child care requirements for adjusting children as needed to ensure they are closely monitored, supervised and staff/child ratio requirements can be maintained. An unannounced follow-up visit will be conducted in the future to monitor staff/child ratio requirements. CRIMINAL BACKGROUN CHECK RENEWALS: The criminal background checks for two employees expired, one on October 1, 2025, and the other on October 6, 2025. You stated the renewal process has been completed; however, the qualification has not been determined. You called the Division’s criminal records unit during the visit and were told the completion was pending receipt of fingerprints. I informed you the criminal background check renewal process could be started up to six months earlier. I suggest tracking the dates for each staff member’s renewal date and scheduling to have the background check process completed timely enough to ensure it can be done and the qualification letter is received on or before the expiration date of the current qualification letter on file. QRIS DISCUSSION: Today we reviewed the pathways your program was eligible to select. We reviewed the components of each pathway and what is required to meet the 5-star level you plan to obtain. Staff were identified and education discussed for each staff member. You selected to follow pathway 2 for your chosen pathway. Your program is currently meeting enhanced ratios. The Creative Curriculum is utilized to plan and implement strategies for the four- and five-year-old children enrolled. You stated the program would continue to use the creative curriculum and the formative assessment included to meet those requirements. I reviewed the Continuous Quality Improvement plan for the program and the individual. I placed emphasized that a plan must be completed for the facility and each individual staff member. DCDEE WORKS will be reviewed to determine education status for all staff. As we proceed through the process, you will determine which staff will be utilized to meet education levels for the pathway. We talked about the family and community engagement practices required. You stated you will review the list to determine which practices your program already meets and what additional practices will be added at the five star level.. I encouraged you to visit the Division’s website to review the QRIS modernization page and review any additional documents needed. I also advise you to have staff and administration to begin working on the continuous quality improvement plans. I provided you with the following forms during the visit: -Education Standards -Family Community Engagement Standards -Staff/Child Ratio Requirements -CQI - Information about the requirements for each pathway -Self-study I recommend that you visit the Division’s website to review the QRIS modernization page, and NCRLAP to review the webinars and content regarding the E-3’s, for the environment rating scale assessment. If you have any questions or need additional clarification about any information reviewed/shared today contact me to discuss. ADMINISTRATIVE ACTION: I informed you an administrative action may be recommended against your program for violations regarding criminal background checks requirements being documented on two consecutive visits. REMINDERS: -Fire Inspection is due for renewal on or before November 18, 2025, and -one employee’s (L. Artis) CPR/FA is due for renewal on or before October 9, 2025. ANNUAL IMMUNIZATION REPORT: The annual immunization report will be due soon. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c). The North Carolina Immunization Program (NCIP) will host a webinar on October 16, 2025, at 1:00pm ET to provide instructions on completing the report, information on immunization requirements, and a forum to answer any questions regarding immunization reporting. Register here in advance to attend. If you are unable to join the webinar on a computer, you can dial in at +1 669 254 5252. Meeting ID: 160 647 2412, Passcode: 022566 NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. TECHNICAL ASSISTANCE AND RESOURCES: Your local Partnership for Children Smart Start (Albemarle Alliance for Children and Families) can provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 333-1233. You can also check their website at https://www.aacfnc.org/. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhard@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 .0713 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/9/2025 Number Present: 13 Completed Date: 10/9/2025 Age: From 0 To 4 Total Minutes: 300 Time In: 08:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival, L. Artis, Lead teacher, assisted with the visit. T. Gaynor, Co-Owner, arrived shortly after and assisted with the visit. A walk-through of the facility was completed today, and all indoor and outdoor areas used by children were monitored. Your program currently operates with a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratio requirements) and 1 quality point for 75% of lead teachers and teachers having at least 10 years of Early Childhood work experience The last annual compliance visit was conducted on April 24, 2025. The sanitation inspection was completed May 29, 2025, with a “Superior” classification. The last fire inspection was conducted November 18, 2024, and your facility was approved for day and nighttime care. Thirteen (13) children ranging from ages zero (0) to three (3) years old were observed in care today. Children were observed interacting with caregivers, completing toileting and hand washing routines, engaged in free-choice and outdoor play, and eating breakfast and lunch. Breakfast consisted of bagels, bologna and milk. Lunch consisted of chicken nuggets, corn, peaches, bread and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival, two children ranging from ages five months to two years old were unsupervised in Space 2. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. A five-month-old infant was grouped with a two-year-old child in Space #2. 10A NCAC 09 .0713(a)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of plastic grocery bags was stored under an unlocked sink in the bathroom used by children. .0604(q) 871 Center staff did not comply with the safe sleep policy. The center’s safe sleep policy was not followed when an infant was left in a car seat placed on the floor. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check for one employee was not renewed on or before the expiration date of October 1, 2025. Additionally, the criminal background check for a second employee was not renewed on or before the expiration date of October 6, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file or available for review for two staff members. G.S. 110-90.2(b) & (d) & .2703(e) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 24, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 93% percent as of October 8, 2025. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. OWNERSHIP STATUS: Doris Taylor is listed as the current owner of this center. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. STAFF/CHILD RATIO/SUPERVISION: As I entered the building and proceeded to the back area where care was being provided for children, I observed one caregiver approaching from the opposite side of the building. We both arrived and entered the area together. When I entered the classroom, I observed two children in Space 2 without a caregiver present. Upon verifying the ages, it was reported that one child was five (5) months old and the other child 2 years of age. The caregiver who entered the area with me immediately proceeded to Space 2 with the children. The infant was observed in a car seat placed on the floor, and the two-year-old child was lying in a crib. The caregiver then removed the infant from the car seat and placed the child in a crib. The two- year- old child was taken out of the crib and transitioned to Space 4 with the other preschool children. The caregiver explained that the two-year-old was asleep upon arrival to care; therefore, she placed the child in a crib to allow him to continue resting. She further stated that once the child wakes up, she typically transitions the child to the classroom with other preschool children. I informed you that infants shall be kept separate from children two years old and older. I explained that the two-year-old child could have been placed in a designated space in the assigned classroom on a cot to continue resting while being adequately supervised. We also discussed the importance of ensuring children are never left unattended at any time, both for their safety and to prevent potential injuries. We talked about coaching staff in implementing strategies within the child care requirements for adjusting children as needed to ensure they are closely monitored, supervised and staff/child ratio requirements can be maintained. An unannounced follow-up visit will be conducted in the future to monitor staff/child ratio requirements. CRIMINAL BACKGROUN CHECK RENEWALS: The criminal background checks for two employees expired, one on October 1, 2025, and the other on October 6, 2025. You stated the renewal process has been completed; however, the qualification has not been determined. You called the Division’s criminal records unit during the visit and were told the completion was pending receipt of fingerprints. I informed you the criminal background check renewal process could be started up to six months earlier. I suggest tracking the dates for each staff member’s renewal date and scheduling to have the background check process completed timely enough to ensure it can be done and the qualification letter is received on or before the expiration date of the current qualification letter on file. QRIS DISCUSSION: Today we reviewed the pathways your program was eligible to select. We reviewed the components of each pathway and what is required to meet the 5-star level you plan to obtain. Staff were identified and education discussed for each staff member. You selected to follow pathway 2 for your chosen pathway. Your program is currently meeting enhanced ratios. The Creative Curriculum is utilized to plan and implement strategies for the four- and five-year-old children enrolled. You stated the program would continue to use the creative curriculum and the formative assessment included to meet those requirements. I reviewed the Continuous Quality Improvement plan for the program and the individual. I placed emphasized that a plan must be completed for the facility and each individual staff member. DCDEE WORKS will be reviewed to determine education status for all staff. As we proceed through the process, you will determine which staff will be utilized to meet education levels for the pathway. We talked about the family and community engagement practices required. You stated you will review the list to determine which practices your program already meets and what additional practices will be added at the five star level.. I encouraged you to visit the Division’s website to review the QRIS modernization page and review any additional documents needed. I also advise you to have staff and administration to begin working on the continuous quality improvement plans. I provided you with the following forms during the visit: -Education Standards -Family Community Engagement Standards -Staff/Child Ratio Requirements -CQI - Information about the requirements for each pathway -Self-study I recommend that you visit the Division’s website to review the QRIS modernization page, and NCRLAP to review the webinars and content regarding the E-3’s, for the environment rating scale assessment. If you have any questions or need additional clarification about any information reviewed/shared today contact me to discuss. ADMINISTRATIVE ACTION: I informed you an administrative action may be recommended against your program for violations regarding criminal background checks requirements being documented on two consecutive visits. REMINDERS: -Fire Inspection is due for renewal on or before November 18, 2025, and -one employee’s (L. Artis) CPR/FA is due for renewal on or before October 9, 2025. ANNUAL IMMUNIZATION REPORT: The annual immunization report will be due soon. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c). The North Carolina Immunization Program (NCIP) will host a webinar on October 16, 2025, at 1:00pm ET to provide instructions on completing the report, information on immunization requirements, and a forum to answer any questions regarding immunization reporting. Register here in advance to attend. If you are unable to join the webinar on a computer, you can dial in at +1 669 254 5252. Meeting ID: 160 647 2412, Passcode: 022566 NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. TECHNICAL ASSISTANCE AND RESOURCES: Your local Partnership for Children Smart Start (Albemarle Alliance for Children and Families) can provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 333-1233. You can also check their website at https://www.aacfnc.org/. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhard@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. 110-86 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/9/2025 Number Present: 13 Completed Date: 10/9/2025 Age: From 0 To 4 Total Minutes: 300 Time In: 08:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival, L. Artis, Lead teacher, assisted with the visit. T. Gaynor, Co-Owner, arrived shortly after and assisted with the visit. A walk-through of the facility was completed today, and all indoor and outdoor areas used by children were monitored. Your program currently operates with a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratio requirements) and 1 quality point for 75% of lead teachers and teachers having at least 10 years of Early Childhood work experience The last annual compliance visit was conducted on April 24, 2025. The sanitation inspection was completed May 29, 2025, with a “Superior” classification. The last fire inspection was conducted November 18, 2024, and your facility was approved for day and nighttime care. Thirteen (13) children ranging from ages zero (0) to three (3) years old were observed in care today. Children were observed interacting with caregivers, completing toileting and hand washing routines, engaged in free-choice and outdoor play, and eating breakfast and lunch. Breakfast consisted of bagels, bologna and milk. Lunch consisted of chicken nuggets, corn, peaches, bread and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival, two children ranging from ages five months to two years old were unsupervised in Space 2. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. A five-month-old infant was grouped with a two-year-old child in Space #2. 10A NCAC 09 .0713(a)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of plastic grocery bags was stored under an unlocked sink in the bathroom used by children. .0604(q) 871 Center staff did not comply with the safe sleep policy. The center’s safe sleep policy was not followed when an infant was left in a car seat placed on the floor. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check for one employee was not renewed on or before the expiration date of October 1, 2025. Additionally, the criminal background check for a second employee was not renewed on or before the expiration date of October 6, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file or available for review for two staff members. G.S. 110-90.2(b) & (d) & .2703(e) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 24, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 93% percent as of October 8, 2025. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. OWNERSHIP STATUS: Doris Taylor is listed as the current owner of this center. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. STAFF/CHILD RATIO/SUPERVISION: As I entered the building and proceeded to the back area where care was being provided for children, I observed one caregiver approaching from the opposite side of the building. We both arrived and entered the area together. When I entered the classroom, I observed two children in Space 2 without a caregiver present. Upon verifying the ages, it was reported that one child was five (5) months old and the other child 2 years of age. The caregiver who entered the area with me immediately proceeded to Space 2 with the children. The infant was observed in a car seat placed on the floor, and the two-year-old child was lying in a crib. The caregiver then removed the infant from the car seat and placed the child in a crib. The two- year- old child was taken out of the crib and transitioned to Space 4 with the other preschool children. The caregiver explained that the two-year-old was asleep upon arrival to care; therefore, she placed the child in a crib to allow him to continue resting. She further stated that once the child wakes up, she typically transitions the child to the classroom with other preschool children. I informed you that infants shall be kept separate from children two years old and older. I explained that the two-year-old child could have been placed in a designated space in the assigned classroom on a cot to continue resting while being adequately supervised. We also discussed the importance of ensuring children are never left unattended at any time, both for their safety and to prevent potential injuries. We talked about coaching staff in implementing strategies within the child care requirements for adjusting children as needed to ensure they are closely monitored, supervised and staff/child ratio requirements can be maintained. An unannounced follow-up visit will be conducted in the future to monitor staff/child ratio requirements. CRIMINAL BACKGROUN CHECK RENEWALS: The criminal background checks for two employees expired, one on October 1, 2025, and the other on October 6, 2025. You stated the renewal process has been completed; however, the qualification has not been determined. You called the Division’s criminal records unit during the visit and were told the completion was pending receipt of fingerprints. I informed you the criminal background check renewal process could be started up to six months earlier. I suggest tracking the dates for each staff member’s renewal date and scheduling to have the background check process completed timely enough to ensure it can be done and the qualification letter is received on or before the expiration date of the current qualification letter on file. QRIS DISCUSSION: Today we reviewed the pathways your program was eligible to select. We reviewed the components of each pathway and what is required to meet the 5-star level you plan to obtain. Staff were identified and education discussed for each staff member. You selected to follow pathway 2 for your chosen pathway. Your program is currently meeting enhanced ratios. The Creative Curriculum is utilized to plan and implement strategies for the four- and five-year-old children enrolled. You stated the program would continue to use the creative curriculum and the formative assessment included to meet those requirements. I reviewed the Continuous Quality Improvement plan for the program and the individual. I placed emphasized that a plan must be completed for the facility and each individual staff member. DCDEE WORKS will be reviewed to determine education status for all staff. As we proceed through the process, you will determine which staff will be utilized to meet education levels for the pathway. We talked about the family and community engagement practices required. You stated you will review the list to determine which practices your program already meets and what additional practices will be added at the five star level.. I encouraged you to visit the Division’s website to review the QRIS modernization page and review any additional documents needed. I also advise you to have staff and administration to begin working on the continuous quality improvement plans. I provided you with the following forms during the visit: -Education Standards -Family Community Engagement Standards -Staff/Child Ratio Requirements -CQI - Information about the requirements for each pathway -Self-study I recommend that you visit the Division’s website to review the QRIS modernization page, and NCRLAP to review the webinars and content regarding the E-3’s, for the environment rating scale assessment. If you have any questions or need additional clarification about any information reviewed/shared today contact me to discuss. ADMINISTRATIVE ACTION: I informed you an administrative action may be recommended against your program for violations regarding criminal background checks requirements being documented on two consecutive visits. REMINDERS: -Fire Inspection is due for renewal on or before November 18, 2025, and -one employee’s (L. Artis) CPR/FA is due for renewal on or before October 9, 2025. ANNUAL IMMUNIZATION REPORT: The annual immunization report will be due soon. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c). The North Carolina Immunization Program (NCIP) will host a webinar on October 16, 2025, at 1:00pm ET to provide instructions on completing the report, information on immunization requirements, and a forum to answer any questions regarding immunization reporting. Register here in advance to attend. If you are unable to join the webinar on a computer, you can dial in at +1 669 254 5252. Meeting ID: 160 647 2412, Passcode: 022566 NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. TECHNICAL ASSISTANCE AND RESOURCES: Your local Partnership for Children Smart Start (Albemarle Alliance for Children and Families) can provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 333-1233. You can also check their website at https://www.aacfnc.org/. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhard@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: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/9/2025 Number Present: 13 Completed Date: 10/9/2025 Age: From 0 To 4 Total Minutes: 300 Time In: 08:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival, L. Artis, Lead teacher, assisted with the visit. T. Gaynor, Co-Owner, arrived shortly after and assisted with the visit. A walk-through of the facility was completed today, and all indoor and outdoor areas used by children were monitored. Your program currently operates with a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratio requirements) and 1 quality point for 75% of lead teachers and teachers having at least 10 years of Early Childhood work experience The last annual compliance visit was conducted on April 24, 2025. The sanitation inspection was completed May 29, 2025, with a “Superior” classification. The last fire inspection was conducted November 18, 2024, and your facility was approved for day and nighttime care. Thirteen (13) children ranging from ages zero (0) to three (3) years old were observed in care today. Children were observed interacting with caregivers, completing toileting and hand washing routines, engaged in free-choice and outdoor play, and eating breakfast and lunch. Breakfast consisted of bagels, bologna and milk. Lunch consisted of chicken nuggets, corn, peaches, bread and milk. The following violations were documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival, two children ranging from ages five months to two years old were unsupervised in Space 2. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. A five-month-old infant was grouped with a two-year-old child in Space #2. 10A NCAC 09 .0713(a)(5) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of plastic grocery bags was stored under an unlocked sink in the bathroom used by children. .0604(q) 871 Center staff did not comply with the safe sleep policy. The center’s safe sleep policy was not followed when an infant was left in a car seat placed on the floor. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check for one employee was not renewed on or before the expiration date of October 1, 2025. Additionally, the criminal background check for a second employee was not renewed on or before the expiration date of October 6, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. A valid qualification letter was not on file or available for review for two staff members. G.S. 110-90.2(b) & (d) & .2703(e) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 13 Ahoskie NC 27910, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 24, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 93% percent as of October 8, 2025. FACILITY PROFILE INFORMATION: You stated the mailing address, phone number and email address listed for your program are correct. If changes in your facility information occurs, please contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure the information is updated in the system. OWNERSHIP STATUS: Doris Taylor is listed as the current owner of this center. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. STAFF/CHILD RATIO/SUPERVISION: As I entered the building and proceeded to the back area where care was being provided for children, I observed one caregiver approaching from the opposite side of the building. We both arrived and entered the area together. When I entered the classroom, I observed two children in Space 2 without a caregiver present. Upon verifying the ages, it was reported that one child was five (5) months old and the other child 2 years of age. The caregiver who entered the area with me immediately proceeded to Space 2 with the children. The infant was observed in a car seat placed on the floor, and the two-year-old child was lying in a crib. The caregiver then removed the infant from the car seat and placed the child in a crib. The two- year- old child was taken out of the crib and transitioned to Space 4 with the other preschool children. The caregiver explained that the two-year-old was asleep upon arrival to care; therefore, she placed the child in a crib to allow him to continue resting. She further stated that once the child wakes up, she typically transitions the child to the classroom with other preschool children. I informed you that infants shall be kept separate from children two years old and older. I explained that the two-year-old child could have been placed in a designated space in the assigned classroom on a cot to continue resting while being adequately supervised. We also discussed the importance of ensuring children are never left unattended at any time, both for their safety and to prevent potential injuries. We talked about coaching staff in implementing strategies within the child care requirements for adjusting children as needed to ensure they are closely monitored, supervised and staff/child ratio requirements can be maintained. An unannounced follow-up visit will be conducted in the future to monitor staff/child ratio requirements. CRIMINAL BACKGROUN CHECK RENEWALS: The criminal background checks for two employees expired, one on October 1, 2025, and the other on October 6, 2025. You stated the renewal process has been completed; however, the qualification has not been determined. You called the Division’s criminal records unit during the visit and were told the completion was pending receipt of fingerprints. I informed you the criminal background check renewal process could be started up to six months earlier. I suggest tracking the dates for each staff member’s renewal date and scheduling to have the background check process completed timely enough to ensure it can be done and the qualification letter is received on or before the expiration date of the current qualification letter on file. QRIS DISCUSSION: Today we reviewed the pathways your program was eligible to select. We reviewed the components of each pathway and what is required to meet the 5-star level you plan to obtain. Staff were identified and education discussed for each staff member. You selected to follow pathway 2 for your chosen pathway. Your program is currently meeting enhanced ratios. The Creative Curriculum is utilized to plan and implement strategies for the four- and five-year-old children enrolled. You stated the program would continue to use the creative curriculum and the formative assessment included to meet those requirements. I reviewed the Continuous Quality Improvement plan for the program and the individual. I placed emphasized that a plan must be completed for the facility and each individual staff member. DCDEE WORKS will be reviewed to determine education status for all staff. As we proceed through the process, you will determine which staff will be utilized to meet education levels for the pathway. We talked about the family and community engagement practices required. You stated you will review the list to determine which practices your program already meets and what additional practices will be added at the five star level.. I encouraged you to visit the Division’s website to review the QRIS modernization page and review any additional documents needed. I also advise you to have staff and administration to begin working on the continuous quality improvement plans. I provided you with the following forms during the visit: -Education Standards -Family Community Engagement Standards -Staff/Child Ratio Requirements -CQI - Information about the requirements for each pathway -Self-study I recommend that you visit the Division’s website to review the QRIS modernization page, and NCRLAP to review the webinars and content regarding the E-3’s, for the environment rating scale assessment. If you have any questions or need additional clarification about any information reviewed/shared today contact me to discuss. ADMINISTRATIVE ACTION: I informed you an administrative action may be recommended against your program for violations regarding criminal background checks requirements being documented on two consecutive visits. REMINDERS: -Fire Inspection is due for renewal on or before November 18, 2025, and -one employee’s (L. Artis) CPR/FA is due for renewal on or before October 9, 2025. ANNUAL IMMUNIZATION REPORT: The annual immunization report will be due soon. North Carolina immunization law requires all schools providing Pre-K and all licensed childcare facilities (as defined in G.S. 110-86(3) to file an annual immunization report on children aged newborn through preschool (G.S. 130A155(c). The North Carolina Immunization Program (NCIP) will host a webinar on October 16, 2025, at 1:00pm ET to provide instructions on completing the report, information on immunization requirements, and a forum to answer any questions regarding immunization reporting. Register here in advance to attend. If you are unable to join the webinar on a computer, you can dial in at +1 669 254 5252. Meeting ID: 160 647 2412, Passcode: 022566 NEW OFFICE LOCATION: The North Carolina Department of Health & Human Services, including the Division of Child Development and Early Education, has moved to a new location. The DCDEE mailing address will remain 2201 Mail Service Center, Raleigh, NC 27699-2200. If you are visiting the new building, the paid parking deck for our headquarters is immediately beside the building at 1910 Human Services Lane. All guests will check in at the front desk and be escorted by a DHHS staff member to the appropriate floor for their meeting. Getting Here: For GPS and map apps, use 3905 Reedy Creek Rd, Raleigh NC 27607 to get directions. SEX OFFENDER REGISTRY: North Carolina General Statute 14-208 requires sex offenders to register with the North Carolina Department of Justice. The law states that a sex offender shall not knowingly reside within 1,000 feet of the property on which any public or nonpublic school or child care center is located. This does not apply to child care centers that are located on or within 1,000 feet of property of an institution of higher education where the registrant is a student or is employed. All licensed child care centers must register to receive e-mail notification when a registered sex offender moves within a one-mile radius of the center. (§14-208.19) To register for the e-mail notification, go to http://sexoffender.ncsbi.gov. If you have any questions, please contact your local sheriff's department. NCID CREDENTIALS: Please remember to use your NCID credential periodically to prevent your user ID and password from becoming inactive. If your NCID credentials are not used within a twelve (12) to fifteen (15) month period, access to your account may be restricted. due to inactivity. To avoid disruption, it is strongly recommended that you schedule regular logins to ensure your credentials remain active and valid. RAISE NC NEWSLETTER: The Raise NC Newsletter, sent directly to providers via email, contains valuable and up-to-date information about important updates and changes within the child care sector in North Carolina. I encourage you to set aside time to read each issue upon receipt to ensure you remain informed and updated on the latest developments, resources and guidance impacting child care programs. Staying connected helps support quality child care and compliance across the state. TECHNICAL ASSISTANCE AND RESOURCES: Your local Partnership for Children Smart Start (Albemarle Alliance for Children and Families) can provide you with resources, training, technical assistance, and information on child care issues and trends. Their phone number is (252) 333-1233. You can also check their website at https://www.aacfnc.org/. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, contact me using the information listed above. You may also contact Licensing Supervisor, Jennifer Lindhart at 252-373-4199 or email jennifer.linhard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 9 Completed Date: 4/24/2025 Age: From 1 To 5 Total Minutes: 233 Time In: 09:07 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Taylor, owner, T. Gaynor, and A. Smallwood assisted me with the visit. Your program currently operates with a five-star license, issued 9/19/2018, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for 75% of lead teachers and teachers have at least 10 years of early childhood work experience. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 5/8/24. The sanitation inspection was completed 12/3/24 with an “Superior” classification. The last fire inspection was completed on 11/18/24 and your facility was approved for day and night time care. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine percent as of 4/21/25. The NC Secretary of State website was reviewed on 4/21/25 and your facility is not owned by a corporation. I visited all indoor and outdoor spaces. Children were observed during free play with age-appropriate materials. Materials were stored on low open shelves and accessible to the children. The outdoor space included an open area, cover carport area with picnic tables, and a variety of gross motor equipment. Today’s lunch included spaghetti, salad, green beans, and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In classroom space #3 there was a bottle of hand sanitizer on top of a shelf below five feet. Stored in a cabinet in the kitchen was a bottle of Zarbee's Children's cough syrup, and bottles of Vitamin C. On the playground there were three active ant hills. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip loc bags holding children's clothing was stored in cubbies below five feet. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff L. Artis qualification letter expired on 1/24/25, a new letter was on file dated 4/22/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. Staff A. Smallwood and G. Rascoe did not have a current first aid training on file. .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. Staff A. Smallwood and G. Rascoe did not have a valid CPR training on file. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility administrator did not complete the ABCMS training or facility roster. G.S. 110-90.2 & .2703(r) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The facilities evacuation diagram was not included in the EPR plan. .0607(d)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 8, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: ABCMS: 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. You stated that the administrator had taken the training, but you were unable to locate the certificate. 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. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate and Powerform along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. CPR/First Aid - Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Staff A. Smallwood had a certificate on file for basic life support. A current CPR and FA training certificate was not on file for staff G. Rascoe. It is so important that all staff working directly with children have current CPR and First Aid Certification. Criminal Qualifying Letter: Qualification letters expire five years from the date on the letter and paperwork can be sent in up to six months in advance of the expiration date in order to obtain a new letter. Staff L. Arti’s criminal qualifying letter expired on 1/24/25, a current qualification letter was on file dated 4/22/25. Create a tracking system to help you remind staff to submit paperwork before a qualification letter expires. A safe indoor and outdoor environment was not provided for the children. On the playground there were active ant hills. In classroom space #3 there was a bottle of hand sanitizer on a shelf below five feet. Stored in a kitchen cabinet there was Zarbee’s children’s cough syrup and vitamins, you removed the items. Assign a staff member to regularly complete safety checks of the building. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. The facilities floor plan and evacuation map were not included in the EPR plan. We discussed uploading your facilities evacuation and floor plan. Additional Comments: NCID TIPS: As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. Also did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Reminders: I encourage you to contact Cindy Smith, Child Care Health Consultant, Bertie County at 252-794-8190 and cindy@aacfnc.org, if additional assistance regarding applicable health and safety practices. Albemarle Smart Start Partnership (252) 333-3205, www.aacfnc.org is able to provide you with resources and information, training opportunities, and technical assistance on child care issues. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 9 Completed Date: 4/24/2025 Age: From 1 To 5 Total Minutes: 233 Time In: 09:07 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Taylor, owner, T. Gaynor, and A. Smallwood assisted me with the visit. Your program currently operates with a five-star license, issued 9/19/2018, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for 75% of lead teachers and teachers have at least 10 years of early childhood work experience. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 5/8/24. The sanitation inspection was completed 12/3/24 with an “Superior” classification. The last fire inspection was completed on 11/18/24 and your facility was approved for day and night time care. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine percent as of 4/21/25. The NC Secretary of State website was reviewed on 4/21/25 and your facility is not owned by a corporation. I visited all indoor and outdoor spaces. Children were observed during free play with age-appropriate materials. Materials were stored on low open shelves and accessible to the children. The outdoor space included an open area, cover carport area with picnic tables, and a variety of gross motor equipment. Today’s lunch included spaghetti, salad, green beans, and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In classroom space #3 there was a bottle of hand sanitizer on top of a shelf below five feet. Stored in a cabinet in the kitchen was a bottle of Zarbee's Children's cough syrup, and bottles of Vitamin C. On the playground there were three active ant hills. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip loc bags holding children's clothing was stored in cubbies below five feet. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff L. Artis qualification letter expired on 1/24/25, a new letter was on file dated 4/22/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. Staff A. Smallwood and G. Rascoe did not have a current first aid training on file. .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. Staff A. Smallwood and G. Rascoe did not have a valid CPR training on file. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility administrator did not complete the ABCMS training or facility roster. G.S. 110-90.2 & .2703(r) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The facilities evacuation diagram was not included in the EPR plan. .0607(d)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 8, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: ABCMS: 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. You stated that the administrator had taken the training, but you were unable to locate the certificate. 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. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate and Powerform along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. CPR/First Aid - Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Staff A. Smallwood had a certificate on file for basic life support. A current CPR and FA training certificate was not on file for staff G. Rascoe. It is so important that all staff working directly with children have current CPR and First Aid Certification. Criminal Qualifying Letter: Qualification letters expire five years from the date on the letter and paperwork can be sent in up to six months in advance of the expiration date in order to obtain a new letter. Staff L. Arti’s criminal qualifying letter expired on 1/24/25, a current qualification letter was on file dated 4/22/25. Create a tracking system to help you remind staff to submit paperwork before a qualification letter expires. A safe indoor and outdoor environment was not provided for the children. On the playground there were active ant hills. In classroom space #3 there was a bottle of hand sanitizer on a shelf below five feet. Stored in a kitchen cabinet there was Zarbee’s children’s cough syrup and vitamins, you removed the items. Assign a staff member to regularly complete safety checks of the building. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. The facilities floor plan and evacuation map were not included in the EPR plan. We discussed uploading your facilities evacuation and floor plan. Additional Comments: NCID TIPS: As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. Also did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Reminders: I encourage you to contact Cindy Smith, Child Care Health Consultant, Bertie County at 252-794-8190 and cindy@aacfnc.org, if additional assistance regarding applicable health and safety practices. Albemarle Smart Start Partnership (252) 333-3205, www.aacfnc.org is able to provide you with resources and information, training opportunities, and technical assistance on child care issues. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: MEGAN BROWN Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 9 Completed Date: 4/24/2025 Age: From 1 To 5 Total Minutes: 233 Time In: 09:07 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. D. Taylor, owner, T. Gaynor, and A. Smallwood assisted me with the visit. Your program currently operates with a five-star license, issued 9/19/2018, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced ratios and space) and 1 quality point for 75% of lead teachers and teachers have at least 10 years of early childhood work experience. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted 5/8/24. The sanitation inspection was completed 12/3/24 with an “Superior” classification. The last fire inspection was completed on 11/18/24 and your facility was approved for day and night time care. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine percent as of 4/21/25. The NC Secretary of State website was reviewed on 4/21/25 and your facility is not owned by a corporation. I visited all indoor and outdoor spaces. Children were observed during free play with age-appropriate materials. Materials were stored on low open shelves and accessible to the children. The outdoor space included an open area, cover carport area with picnic tables, and a variety of gross motor equipment. Today’s lunch included spaghetti, salad, green beans, and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In classroom space #3 there was a bottle of hand sanitizer on top of a shelf below five feet. Stored in a cabinet in the kitchen was a bottle of Zarbee's Children's cough syrup, and bottles of Vitamin C. On the playground there were three active ant hills. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic zip loc bags holding children's clothing was stored in cubbies below five feet. .0604(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff L. Artis qualification letter expired on 1/24/25, a new letter was on file dated 4/22/25. G.S. 110-90.2(b) & .2703(n)&(o) 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. Staff A. Smallwood and G. Rascoe did not have a current first aid training on file. .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. Staff A. Smallwood and G. Rascoe did not have a valid CPR training on file. .1102(d) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility administrator did not complete the ABCMS training or facility roster. G.S. 110-90.2 & .2703(r) 1820 The EPR Plan did not include evacuation diagrams showing how the staff, children, and any other individuals who may be present will evacuate during an emergency. The facilities evacuation diagram was not included in the EPR plan. .0607(d)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 8, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Megan Brown, Child Care Consultant PO BOX 3187 Greenville, NC 27836 Megan.Brown@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance was provided on the following: ABCMS: 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. You stated that the administrator had taken the training, but you were unable to locate the certificate. 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. To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. A certificate will be issued upon successful completion of the test. Email the certificate and Powerform along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. CPR/First Aid - Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Staff A. Smallwood had a certificate on file for basic life support. A current CPR and FA training certificate was not on file for staff G. Rascoe. It is so important that all staff working directly with children have current CPR and First Aid Certification. Criminal Qualifying Letter: Qualification letters expire five years from the date on the letter and paperwork can be sent in up to six months in advance of the expiration date in order to obtain a new letter. Staff L. Arti’s criminal qualifying letter expired on 1/24/25, a current qualification letter was on file dated 4/22/25. Create a tracking system to help you remind staff to submit paperwork before a qualification letter expires. A safe indoor and outdoor environment was not provided for the children. On the playground there were active ant hills. In classroom space #3 there was a bottle of hand sanitizer on a shelf below five feet. Stored in a kitchen cabinet there was Zarbee’s children’s cough syrup and vitamins, you removed the items. Assign a staff member to regularly complete safety checks of the building. EPR Plan: Your programs Emergency Preparedness and Response plan was created to assist you with following a plan in the event of an emergency. The facilities floor plan and evacuation map were not included in the EPR plan. We discussed uploading your facilities evacuation and floor plan. Additional Comments: NCID TIPS: As part of ongoing efforts to protect state systems and data, the N.C. Department of Information Technology will be changing the minimum length of NCID passwords from eight to 14 characters. Also did you know that if you do not login on any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Reminders: I encourage you to contact Cindy Smith, Child Care Health Consultant, Bertie County at 252-794-8190 and cindy@aacfnc.org, if additional assistance regarding applicable health and safety practices. Albemarle Smart Start Partnership (252) 333-3205, www.aacfnc.org is able to provide you with resources and information, training opportunities, and technical assistance on child care issues. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Megan Brown, Child Care Consultant, 252-414-4903, Megan.Brown@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252- 373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 12/2/2024 Number Present: 15 Completed Date: 12/2/2024 Age: From 0 To 3 Total Minutes: 150 Time In: 11:15 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, Ms. Taylor and Ms. Gaynor, co-owners, were present on this visit. Ms. Gaynor was providing care for children. Ms. Gilliam, Administrator, was not present. Currently this center operates with a Five-Star license issued on September 19, 2018, earning seven (7) points in education, six (6) points in program standards and one (1) quality point. The last Annual Compliance visit was completed on May 8, 2024. The last sanitation inspection was completed May 20, 2024, with a “Superior” classification. The last fire inspection was completed November 18, 2024 and approved for day-time and night care. Your compliance history is ninety-two percent as of 11/25/2024. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. The information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. Upon arrival three groups of children were observed in care today. Children were engaged in singing songs, tummy-time routines, free-choice play, and naptime. Lunch was served and consisted of chicken nuggets, mashed potatoes, orange slices, blueberries, rolls, and milk. The following violations were documented. Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash her hands after wiping a child's nose. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The door to the unoccupied kitchen was left open. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/16/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Tamaria Williams P.O. Box 1002 Williamston, NC 27892 Tamaria.Williams@dhhs.nc.gov Technical Assistance: Safe Indoor Environment - Hazardous products and equipment must be made inaccessible to children. The door to the unoccupied kitchen was locked but the door was not closed. To make the kitchen inaccessible, the door should be closed and locked. Hazardous items such as cleaning products, stoves, sharp objects, and aerosol cans must be kept locked at all times. This was corrected during the visit. Handwashing– In order to prevent the spread of germs from one child to other children in a room, children and staff must wash their hands after handling bodily fluids to keep themselves and the children healthy. Today a staff person wiped a child’s nose and did not wash her hands after. Handwashing is the best way to prevent the spread of germs. You will need to review handwashing procedures with your staff. ADDITIONAL COMMENTS: I encourage you to contact Cindy Smith, Child Care Health Consultant, Bertie County at 252-794-8190 and cindy@aacfnc.org, if additional assistance regarding applicable health and safety practices. Albemarle Smart Start Partnership (252) 333-3205, www.aacfnc.org is able to provide you with resources and information, training opportunities, and technical assistance on child care issues. 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. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 12/2/2024 Number Present: 15 Completed Date: 12/2/2024 Age: From 0 To 3 Total Minutes: 150 Time In: 11:15 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, Ms. Taylor and Ms. Gaynor, co-owners, were present on this visit. Ms. Gaynor was providing care for children. Ms. Gilliam, Administrator, was not present. Currently this center operates with a Five-Star license issued on September 19, 2018, earning seven (7) points in education, six (6) points in program standards and one (1) quality point. The last Annual Compliance visit was completed on May 8, 2024. The last sanitation inspection was completed May 20, 2024, with a “Superior” classification. The last fire inspection was completed November 18, 2024 and approved for day-time and night care. Your compliance history is ninety-two percent as of 11/25/2024. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. The information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. Upon arrival three groups of children were observed in care today. Children were engaged in singing songs, tummy-time routines, free-choice play, and naptime. Lunch was served and consisted of chicken nuggets, mashed potatoes, orange slices, blueberries, rolls, and milk. The following violations were documented. Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash her hands after wiping a child's nose. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The door to the unoccupied kitchen was left open. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/16/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Tamaria Williams P.O. Box 1002 Williamston, NC 27892 Tamaria.Williams@dhhs.nc.gov Technical Assistance: Safe Indoor Environment - Hazardous products and equipment must be made inaccessible to children. The door to the unoccupied kitchen was locked but the door was not closed. To make the kitchen inaccessible, the door should be closed and locked. Hazardous items such as cleaning products, stoves, sharp objects, and aerosol cans must be kept locked at all times. This was corrected during the visit. Handwashing– In order to prevent the spread of germs from one child to other children in a room, children and staff must wash their hands after handling bodily fluids to keep themselves and the children healthy. Today a staff person wiped a child’s nose and did not wash her hands after. Handwashing is the best way to prevent the spread of germs. You will need to review handwashing procedures with your staff. ADDITIONAL COMMENTS: I encourage you to contact Cindy Smith, Child Care Health Consultant, Bertie County at 252-794-8190 and cindy@aacfnc.org, if additional assistance regarding applicable health and safety practices. Albemarle Smart Start Partnership (252) 333-3205, www.aacfnc.org is able to provide you with resources and information, training opportunities, and technical assistance on child care issues. 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. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 12/2/2024 Number Present: 15 Completed Date: 12/2/2024 Age: From 0 To 3 Total Minutes: 150 Time In: 11:15 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, Ms. Taylor and Ms. Gaynor, co-owners, were present on this visit. Ms. Gaynor was providing care for children. Ms. Gilliam, Administrator, was not present. Currently this center operates with a Five-Star license issued on September 19, 2018, earning seven (7) points in education, six (6) points in program standards and one (1) quality point. The last Annual Compliance visit was completed on May 8, 2024. The last sanitation inspection was completed May 20, 2024, with a “Superior” classification. The last fire inspection was completed November 18, 2024 and approved for day-time and night care. Your compliance history is ninety-two percent as of 11/25/2024. Your contact information on the Division of Child Development & Early Education (DCDEE) website was reviewed during today’s visit. The information is current. It is important to frequently check your email to remain informed about any new changes that have or may occur. Upon arrival three groups of children were observed in care today. Children were engaged in singing songs, tummy-time routines, free-choice play, and naptime. Lunch was served and consisted of chicken nuggets, mashed potatoes, orange slices, blueberries, rolls, and milk. The following violations were documented. Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Staff did not wash her hands after wiping a child's nose. 15A NCAC 18A .2803(a) 807 A safe indoor and outdoor environment was not provided for the children. The door to the unoccupied kitchen was left open. 10A NCAC 09 .0601(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 12/16/24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Tamaria Williams P.O. Box 1002 Williamston, NC 27892 Tamaria.Williams@dhhs.nc.gov Technical Assistance: Safe Indoor Environment - Hazardous products and equipment must be made inaccessible to children. The door to the unoccupied kitchen was locked but the door was not closed. To make the kitchen inaccessible, the door should be closed and locked. Hazardous items such as cleaning products, stoves, sharp objects, and aerosol cans must be kept locked at all times. This was corrected during the visit. Handwashing– In order to prevent the spread of germs from one child to other children in a room, children and staff must wash their hands after handling bodily fluids to keep themselves and the children healthy. Today a staff person wiped a child’s nose and did not wash her hands after. Handwashing is the best way to prevent the spread of germs. You will need to review handwashing procedures with your staff. ADDITIONAL COMMENTS: I encourage you to contact Cindy Smith, Child Care Health Consultant, Bertie County at 252-794-8190 and cindy@aacfnc.org, if additional assistance regarding applicable health and safety practices. Albemarle Smart Start Partnership (252) 333-3205, www.aacfnc.org is able to provide you with resources and information, training opportunities, and technical assistance on child care issues. 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. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Be knowledgeable of the child care laws and rules and environmental health rules; review them with your staff and assist them with understanding and implementing them to maintain compliance and keep children safe and healthy. The most recent versions of child care laws and rules (updated 1/1/24) and environmental health rules (updated 7/1/23) in North Carolina, the Items Number Listing (can be used as a detailed checklist of required items) and What’s New information are available on the DCDEE website, www.ncchildcare.ncdhhs.gov. Check the designated facility email at least weekly to stay current with communication and email blasts from DCDEE. If your email is not the facility email, sign up for email blasts on the What’s New page for general information and communication from DCDEE. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@dhhs.nc.gov if you have questions. 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 .2818 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: 0723-139L Visit Date: 8/4/2023 Number Present: 24 Completed Date: 8/4/2023 Age: From 1 To 7 Total Minutes: 355 Time In: 07:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Keshia Hayward, Child Care Consultant assisted with the visit. Upon arrival you, D. Taylor were not onsite; however, you arrived shortly after the visit started and assisted. Eleven (11) children were observed in care ranging from ages one (1) to seven (7) years old being cared for by one (1) adult. Children were observed napping, playing in centers with developmentally appropriate materials, interacting with caregivers, completing toileting and handwashing routines, and eating breakfast. Breakfast consisted of cereal and milk. Supervision, Staff/child ratio, use of licensed space, space capacity, and license and permit restrictions, staff and children’s records, and indoor spaces used by children were monitored. The license and emergency care plan were posted, and fire and sanitation inspections were current. The following violations were observed and documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival children were observed in the back of the building while the caregiver was in the front answering the door for arrival; therefore, she could not see or hear the children. .1801(a)(1-5) 533 Breast 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. A bottle and one sippy cup was not labeled with the child's name or date. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two children hands were not washed upon arrival. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of air freshener in aerosol dispensed containers were observed in unlock areas in Space #4 and the adult bathroom. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were observed in space accessible to children in Space #1. .0604(q) 860 Balloons were accessible to children. Helium filled balloons were accessible to a four year old child in Space #5. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff child ratio requirements were not met when one caregiver was observed providing care to eleven children ranging from ages one to seven from 7:20am to 7:50am. 10A NCAC 09 .2818 1858 Linens were not changed when they became soiled or wet. Linens in two cribs where children were napping were soiled with dark stains. .0806(c) 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. Recognizing and Responding to Suspicions of Child Maltreatment training was not completed for one staff member hired on 10/24/2022. .1102(g) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your facility. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/ 18/2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 8/3/2023. STAFF INTERVIEWS: You and one caregiver were interviewed regarding the allegations. You and staff were given the opportunity to answer questions and express concerns. During the interview you stated you were aware of the allegations shared. You reported there was a concern expressed by one parent regarding supervision, while children were in care, but nothing relating to unqualified staff in the facility while children are in care. It was reported that one (1) staff member works in the morning from 6:30am until the next staff member arrives between 7:30am-8:00am. You and staff member stated because one staff member was on site alone in the morning the doors remained locked, therefore, children are left in the assigned spaces alone until the caregiver answers the door and completes the arrival process. You stated there is typically one or two staff in the morning, but today you were not sure what happened with the second caregiver scheduled to work. It was reported upon arrival the children are typically placed down for nap upon arrival and are awakened approximately 7:45am to prepare for breakfast. It was added, typically another caregiver is on site and will prepare breakfast; however, if there is only one staff person, that individual resumes the responsibility of preparing breakfast while the children are still down for nap. You and staff shared the center’s supervision policy, and a copy was provided for review. It was reported staff are required to make sure they can always see each child from every angle. Also, staff periodically check on children in each space to ensure safety when on person is one site. You explained parents are aware the doors are locked in the morning for safety, so they have been asked to knock on a specific door to notify staff that someone is up front. You added there are not cameras at the center. Staff also know to contact the administrator if an employee does not arrive to work at their scheduled time. You shared that a birthday celebration was given for you at the center on 6/21/2023. You added approximately 8 to10 family members were on site at the time of the birthday celebration. You reported there was no intermingling between your family, staff and the children and they did not enter spaces where care was provided to children. Based on information received and my observations, the allegation regarding supervision was substantiated; however, the allegation regarding qualified staff was not substantiated. TECHNICAL ASSISTANCE/CONSULTATION: ENHANCED STAFF/CHILD RATIO REQUIREMENTS Based on my observation, your program was out of compliance with staff child/ratio requirements. One caregiver was observed providing care to eleven children ranging from ages one (1) to seven (7) from 7:20am to 7:50am. Throughout the remaining time of the visit thirteen (13) and four (4) staff members arrived. We discussed staff/child ratio requirements for your program. I explained the age of the youngest child present was one year old; therefore, the staff/child ratio should have been one staff to six children. You referenced the child care requirement for grouping of children for one hour and I explained that the children can be grouped for the first and last hour of care during the day. I recommend staffing enough workers to provide care to the children each day. We also talked about reviewing the child care requirements regarding enhanced child/ staff ratios with all staff and ensuring the ratio charts are updated according to age in each space. SUPERVISION: During my walkthrough children were observed in the back of the building napping while the caregiver was at the front answering the door for children who arrived. Based on the location of the caregiver, children could not be heard or seen, therefore, adequate supervision was not provided. I shared safety concerns that could arise due to lack of supervision. I reminded you that children should always be supervised. We talked about ensuring staff are positioned in locations where children can be seen and heard. HEALTHY AND SAFE ENVIROMENT: Soiled sheets were observed in two (2) cribs in the space used for the infants. There should always be clean bedding/sheets on the cribs and /or cots the children nap on. You changed the sheets during the visit. We also discussed the importance of children washing hands during the required times. Hand washing did not occur for two children upon arrival. It was explained practicing hand washing routines will help cut down on the spread of germs and maintaining an healthy environment. I informed you plastic bags must be stored in space inaccessible to children under the age of three-years old. Also, a four year old child had access to helium-filled balloons in Space #5 where he was not supervised. Children can swallow and suffocate on plastic and encounter serious injuries. Be reminded items in aerosol dispensed container should be stored under lock and key. I recommend you use the storage of hazardous products in child care flyer as a guide. Being proactive and monitoring the spaces prior to children gaining access will create a safe and healthy environment. CONTACT INFOMRATION: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DEE & TEE PRECIOUS ANGELS ACADEMY Facility ID: 08000092 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: 0723-139L Visit Date: 8/4/2023 Number Present: 24 Completed Date: 8/4/2023 Age: From 1 To 7 Total Minutes: 355 Time In: 07:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Keshia Hayward, Child Care Consultant assisted with the visit. Upon arrival you, D. Taylor were not onsite; however, you arrived shortly after the visit started and assisted. Eleven (11) children were observed in care ranging from ages one (1) to seven (7) years old being cared for by one (1) adult. Children were observed napping, playing in centers with developmentally appropriate materials, interacting with caregivers, completing toileting and handwashing routines, and eating breakfast. Breakfast consisted of cereal and milk. Supervision, Staff/child ratio, use of licensed space, space capacity, and license and permit restrictions, staff and children’s records, and indoor spaces used by children were monitored. The license and emergency care plan were posted, and fire and sanitation inspections were current. The following violations were observed and documented. Violation Number Comment Rule 303 Children were not adequately supervised at all times. Upon arrival children were observed in the back of the building while the caregiver was in the front answering the door for arrival; therefore, she could not see or hear the children. .1801(a)(1-5) 533 Breast 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. A bottle and one sippy cup was not labeled with the child's name or date. 15A NCAC 18A .2804(d) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Two children hands were not washed upon arrival. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two cans of air freshener in aerosol dispensed containers were observed in unlock areas in Space #4 and the adult bathroom. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were observed in space accessible to children in Space #1. .0604(q) 860 Balloons were accessible to children. Helium filled balloons were accessible to a four year old child in Space #5. .0604(q) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff child ratio requirements were not met when one caregiver was observed providing care to eleven children ranging from ages one to seven from 7:20am to 7:50am. 10A NCAC 09 .2818 1858 Linens were not changed when they became soiled or wet. Linens in two cribs where children were napping were soiled with dark stains. .0806(c) 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. Recognizing and Responding to Suspicions of Child Maltreatment training was not completed for one staff member hired on 10/24/2022. .1102(g) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your facility. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before 8/ 18/2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 8/3/2023. STAFF INTERVIEWS: You and one caregiver were interviewed regarding the allegations. You and staff were given the opportunity to answer questions and express concerns. During the interview you stated you were aware of the allegations shared. You reported there was a concern expressed by one parent regarding supervision, while children were in care, but nothing relating to unqualified staff in the facility while children are in care. It was reported that one (1) staff member works in the morning from 6:30am until the next staff member arrives between 7:30am-8:00am. You and staff member stated because one staff member was on site alone in the morning the doors remained locked, therefore, children are left in the assigned spaces alone until the caregiver answers the door and completes the arrival process. You stated there is typically one or two staff in the morning, but today you were not sure what happened with the second caregiver scheduled to work. It was reported upon arrival the children are typically placed down for nap upon arrival and are awakened approximately 7:45am to prepare for breakfast. It was added, typically another caregiver is on site and will prepare breakfast; however, if there is only one staff person, that individual resumes the responsibility of preparing breakfast while the children are still down for nap. You and staff shared the center’s supervision policy, and a copy was provided for review. It was reported staff are required to make sure they can always see each child from every angle. Also, staff periodically check on children in each space to ensure safety when on person is one site. You explained parents are aware the doors are locked in the morning for safety, so they have been asked to knock on a specific door to notify staff that someone is up front. You added there are not cameras at the center. Staff also know to contact the administrator if an employee does not arrive to work at their scheduled time. You shared that a birthday celebration was given for you at the center on 6/21/2023. You added approximately 8 to10 family members were on site at the time of the birthday celebration. You reported there was no intermingling between your family, staff and the children and they did not enter spaces where care was provided to children. Based on information received and my observations, the allegation regarding supervision was substantiated; however, the allegation regarding qualified staff was not substantiated. TECHNICAL ASSISTANCE/CONSULTATION: ENHANCED STAFF/CHILD RATIO REQUIREMENTS Based on my observation, your program was out of compliance with staff child/ratio requirements. One caregiver was observed providing care to eleven children ranging from ages one (1) to seven (7) from 7:20am to 7:50am. Throughout the remaining time of the visit thirteen (13) and four (4) staff members arrived. We discussed staff/child ratio requirements for your program. I explained the age of the youngest child present was one year old; therefore, the staff/child ratio should have been one staff to six children. You referenced the child care requirement for grouping of children for one hour and I explained that the children can be grouped for the first and last hour of care during the day. I recommend staffing enough workers to provide care to the children each day. We also talked about reviewing the child care requirements regarding enhanced child/ staff ratios with all staff and ensuring the ratio charts are updated according to age in each space. SUPERVISION: During my walkthrough children were observed in the back of the building napping while the caregiver was at the front answering the door for children who arrived. Based on the location of the caregiver, children could not be heard or seen, therefore, adequate supervision was not provided. I shared safety concerns that could arise due to lack of supervision. I reminded you that children should always be supervised. We talked about ensuring staff are positioned in locations where children can be seen and heard. HEALTHY AND SAFE ENVIROMENT: Soiled sheets were observed in two (2) cribs in the space used for the infants. There should always be clean bedding/sheets on the cribs and /or cots the children nap on. You changed the sheets during the visit. We also discussed the importance of children washing hands during the required times. Hand washing did not occur for two children upon arrival. It was explained practicing hand washing routines will help cut down on the spread of germs and maintaining an healthy environment. I informed you plastic bags must be stored in space inaccessible to children under the age of three-years old. Also, a four year old child had access to helium-filled balloons in Space #5 where he was not supervised. Children can swallow and suffocate on plastic and encounter serious injuries. Be reminded items in aerosol dispensed container should be stored under lock and key. I recommend you use the storage of hazardous products in child care flyer as a guide. Being proactive and monitoring the spaces prior to children gaining access will create a safe and healthy environment. CONTACT INFOMRATION: At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. 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