NC GS 110-90 · Violation

Name of Operation: DIANE'S DAY CARE HOME Facility ID: 3405377 Consultant: WHITNEY PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/13/2025 Number Present: 3 Completed Date: 5/13/2025 Age: From 0 To 1 Total Minutes: 140 Time In: 08:45 AM Time Out: 11:05 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Ms. Diane Westmoreland, Operator. Mr. Westmoreland was present during the visit. Your program currently operates with a one-star license. Restrictions include daytime care only, maximum of five (5) preschool children at any time, and fuel burning stove not used during operating hours. The license was observed, and the restrictions were found in compliance. Ms. Westmoreland is the sole proprietor of this facility. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. We tested the smoke detector during today’s visit, and it worked successfully. Capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children napping, engaging in free play, and routine activities. I observed materials and activities that were available to the children in the classrooms. The last annual compliance visit was conducted on 05/22/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator and additional caregiver. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed owner status of this facility. Individuals living in the home were discussed and are recorded on the Verification of Required Information for Operator and Additional Caregiver form. Be reminded that everyone living in the home must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. Program records and required postings were monitored. A fire drill was conducted on 05/04/2025. A shelter in place drill was documented on 04/04/2025. An outdoor inspection was documented on 05/04/2025. There are no pets reported in the home. Staff files and children’s records were monitored per DCDEE procedures. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The program does not provide transportation. There are no pets reported in the home. The following violation was cited during today’s visit: Violation Number Comment Rule 909 Negative TB test or screening results for all operators were not available. During the visit, I observed two (2) caregiver files that did not include a TB test. .1702(b)(4) 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 05/27/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to whitney.parker@dhhs.nc.gov or mail two copies of the letter to: Whitney Parker P.O. Box 1342 Lexington, NC 27293 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit related to violations: • All caregivers must have a TB test on file. We discussed during the visit that you have a TB test but have to go get a copy. We discussed that Mr. Westmoreland would need to get a TB test and place it in his file. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Public schools and licensed child care facilities in North Carolina are eligible to participate in the funding mechanisms to cover the costs of testing for lead in water and inspecting for asbestos and lead-based paint hazards beyond the May 1, 2024 deadline listed in 10A NCAC 41C .1002(a). Due to the recent impacts of Hurricane Helene and other natural disasters, this deadline has been revised statewide, and facilities that have not yet enrolled should complete the online process by May 31, 2025. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. • The process of notifying the Division of new employees has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare 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) 814-6401 and someone will assist you. • The hold harmless was extended until the QRIS modernization has been completed. The previous cohort model is no longer in effect. Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. You can find more information at this link: https://ncrlap.org/Resources/pages/get-ready-for-3s/ • You stated Mr. Westmoreland is registered for SIDS on 06/03/2025. Mr. Westmoreland cannot be left alone with the children until he finishes his SIDS training. • Mr. Westmoreland is due for the Recognizing and Responding training by June 2025. He can completed this training using this link: https://pcanc.quest4data.com/courses • Mr. Westmoreland is due for his Health and Safety trainings by March 2026. These can be completed on DCDEE Moodle. • Make sure all caregivers have complete files available for review at all times. This link can be used to determine what must be on file for the operator/caregiver: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Operator.pdf?ver=qPxq_V6MlFy2RfLfNS5upg%3d%3d This link can be used to determine what must be on file for any additional caregivers/substitutes: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist_Additional_Caregiver_Substitute.pdf?ver=yr5-DL9gzNnlAXFh8zGiQQ%3d%3d Both of these documents can be found on DCDEE’s website under Provider Documents. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Whitney Parker, Child Care Consultant (336) 590-8765 whitney.parker@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: DIANE'S DAY CARE HOME Facility ID: 3405377 Consultant: PAMELA HAUSER Operation Type: Family CC Home Case Number: Visit Date: 11/14/2024 Number Present: 4 Completed Date: 11/14/2024 Age: From 0 To 2 Total Minutes: 180 Time In: 01:10 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced This visit was conducted by Turkessha Casterlow, Child Care Consultant, Pam Hauser, Licensing Supervisor with Diane Westmoreland, Operator. Your program currently operates with one star license effective 06/22/2019. Restrictions include daytime care only, maximum of 5 preschool children at any time, and fuel burning stove not used during operating hours. Diane Westmoreland is the sole proprietor of this family child care home. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Individuals living in the home were discussed and are recorded on the Verification of Required Information for Operator and Additional Caregiver form. Be reminded that everyone living in the home must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children engaged in nap, feeding and activities during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Diaper creams were observed during today’s visit and permission to administer was observed to be on file. Storage hazardous items was monitored today. A playground inspection was recorded 11/1/2024. A fire drill was recorded 11/1/2024. A lock down drill for the facility was recorded October 4, 2024. There are no pets reported in the home. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 1821 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Two infants did not have documented safe sleep checks completed for October 30- November 4, 2024, and one of the two infants did not have safe sleep checks documented for October 22 to October 31, 2024. The safe sleep times for two infants today was not documented. .1724(a)(8)&(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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 11/28/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to pamela.hauser@dhhs.nc.gov or mail two copies of the letter to: Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of 30 days. Two infants did not have documented safe sleep checks completed for October 30- November 4, 2024, and one of the two infants did not have safe sleep checks documented for October 22 to October 31, 2024. The safe sleep times for two infants today was not documented. Safe sleep checks by caregivers are important because they actively monitor a baby's sleep environment, ensuring it adheres to safe sleep practices, which significantly reduces the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related infant deaths by preventing potential hazards like suffocation or entanglement from loose blankets or toys in the crib; essentially safeguarding the baby during sleep time. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. During today’s visit we discussed supervision regarding preschool age and school age children. A 4ft fence is required per local zoning. The fence must be maintained at 4ft. from the inside of the fencing. At naptime if music is required to sooth children, I encourage you to play music that encourages rest, When receiving authorization to administer medication forms please ensure parents have document the name of the diaper cream. I stated to Ms. Westmoreland I would email her the information regarding the Clean Water to complete the webinar and survey. Your TB test is required to be on file for you as the operator. If you are unable to locate, you will need to complete a new TB to have on file. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Turkessha Casterlow, Child Care Consultant (336 )268-0089 Turkessha.casterlow@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1720 · Violation

Name of Operation: DIANE'S DAY CARE HOME Facility ID: 3405377 Consultant: AUDREY DAVIS Operation Type: Family CC Home Case Number: Visit Date: 12/14/2023 Number Present: 4 Completed Date: 12/14/2023 Age: From 0 To 2 Total Minutes: 90 Time In: 10:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your family child care home for compliance with applicable childcare requirements for a routine unannounced visit. Diane Westmoreland, Owner/ Operator of the home assisted me with the visit. Your program currently operates with a one-star license. Restrictions include 1st shift care, minimum of five preschool children at any time, and fuel burning stove not used during operating hours. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Westmoreland stated the only person living in the home with her is her husband. Be reminded that you and your husband must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. The letter must not expire before a new letter is issued. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Child supervision was adequate during my time in your home. I observed positive interactions today. I observed children having indoor free play and lunch. Lunch consisted of chicken nuggets, green beans, apples, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Two new infants were enrolled since your annual compliance visit in June 2023 which files I monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The only medication you accept is topical ointments such as diaper cream. Storage of hazardous items was monitored today and are stored in a locked hallway closet. All electrical outlets in the home are the safety type that do not require a cover. A shelter in place emergency drill was last documented 11/3/23 and a fire drill on 12/1/23. There are no pets at the home. The program does not transport children. The following violations were observed and cited today: Violation Number Comment Rule 903 When medication is administered, authorization for the operator to administer the specific medication according to the parent's or health care professional's instructions was not on file and available. A parent provides diaper cream for the provider to administer for an infant although written authorization completed and signed by the parent was not available for review. 10A NCAC 09 .1720(c)(1&2) & .1721(a)(4) 912 Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs. A 15-month-old child in care today was enrolled at age 11 months. At the time of enrollment, a feeding schedule required for children under 15 months of age was not completed by the parent. .1706(i) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. A safe sleep policy was not on file for a child enrolled at age 11 months. 10A NCAC 09 .1724(c)(3) Child Care programs are expected to be in 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 28, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • an accurate, detailed description of how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email your compliance letter to Audrey.davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Examples of an ownership changes include but are not limited to, becoming incorporated or dissolving an existing corporation. • Sleep Policy and Feeding Schedules – A fifteen month old child in care was enrolled at age 11 months and did not have a safe sleep policy on file which is required to be signed by the parents of infants less than a year old; and a feeding schedule for children under 15 months of age. You observed you had written “n/a” on the records checklist indicating you were of the understanding these items were not required for this child. I reviewed with you today that a child who enrolls on his first birthday does not need a signed safe sleep policy on file, and a child enrolled on the day the child turns 15 months does not need a feeding schedule. However, even one day before a child turns 1 or turns 15 months, these requirements still apply. Written Plan of Care: On the WPC form, you checked I will conduct routine tasks while children are in care. On the form you listed routine household tasks such as dusting and sweeping as the tasks you perform while children are in care. You said you do not leave the home when children are present and do not use a substitute for any reason. I explained this form refers to tasks either off site that would require you to transport the children with you or leave the children with a substitute provider, or tasks performed at home wherein you are in a different part of the home and unable to properly supervise children requiring you to need a substitute. We agreed you should check “no, I do not conduct routine tasks while children are in care.” Rated License Stars: I asked you today if you have considered applying for two to five stars. You said you are approaching retirement age and therefore not interested in increasing stars. Provider Verification of Information Form: I discussed with you today that providers will now be required to complete the verification form prior to your annual compliance visit and scan/ email the completed form to your consultant before your annual visit. I reviewed the form with you today. Due to no internet connection, you signed a hand-written summary and I agreed to email the typed summary upon returning to my office. Thank you for your time and assistance during the visit. If you have any questions, please contact me or my supervisor using the information below: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 ( 336)575-9510 audrey.davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1724 · Violation

Name of Operation: DIANE'S DAY CARE HOME Facility ID: 3405377 Consultant: AUDREY DAVIS Operation Type: Family CC Home Case Number: Visit Date: 12/14/2023 Number Present: 4 Completed Date: 12/14/2023 Age: From 0 To 2 Total Minutes: 90 Time In: 10:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your family child care home for compliance with applicable childcare requirements for a routine unannounced visit. Diane Westmoreland, Owner/ Operator of the home assisted me with the visit. Your program currently operates with a one-star license. Restrictions include 1st shift care, minimum of five preschool children at any time, and fuel burning stove not used during operating hours. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Westmoreland stated the only person living in the home with her is her husband. Be reminded that you and your husband must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. The letter must not expire before a new letter is issued. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Child supervision was adequate during my time in your home. I observed positive interactions today. I observed children having indoor free play and lunch. Lunch consisted of chicken nuggets, green beans, apples, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Two new infants were enrolled since your annual compliance visit in June 2023 which files I monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The only medication you accept is topical ointments such as diaper cream. Storage of hazardous items was monitored today and are stored in a locked hallway closet. All electrical outlets in the home are the safety type that do not require a cover. A shelter in place emergency drill was last documented 11/3/23 and a fire drill on 12/1/23. There are no pets at the home. The program does not transport children. The following violations were observed and cited today: Violation Number Comment Rule 903 When medication is administered, authorization for the operator to administer the specific medication according to the parent's or health care professional's instructions was not on file and available. A parent provides diaper cream for the provider to administer for an infant although written authorization completed and signed by the parent was not available for review. 10A NCAC 09 .1720(c)(1&2) & .1721(a)(4) 912 Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs. A 15-month-old child in care today was enrolled at age 11 months. At the time of enrollment, a feeding schedule required for children under 15 months of age was not completed by the parent. .1706(i) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. A safe sleep policy was not on file for a child enrolled at age 11 months. 10A NCAC 09 .1724(c)(3) Child Care programs are expected to be in 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 28, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • an accurate, detailed description of how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email your compliance letter to Audrey.davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Examples of an ownership changes include but are not limited to, becoming incorporated or dissolving an existing corporation. • Sleep Policy and Feeding Schedules – A fifteen month old child in care was enrolled at age 11 months and did not have a safe sleep policy on file which is required to be signed by the parents of infants less than a year old; and a feeding schedule for children under 15 months of age. You observed you had written “n/a” on the records checklist indicating you were of the understanding these items were not required for this child. I reviewed with you today that a child who enrolls on his first birthday does not need a signed safe sleep policy on file, and a child enrolled on the day the child turns 15 months does not need a feeding schedule. However, even one day before a child turns 1 or turns 15 months, these requirements still apply. Written Plan of Care: On the WPC form, you checked I will conduct routine tasks while children are in care. On the form you listed routine household tasks such as dusting and sweeping as the tasks you perform while children are in care. You said you do not leave the home when children are present and do not use a substitute for any reason. I explained this form refers to tasks either off site that would require you to transport the children with you or leave the children with a substitute provider, or tasks performed at home wherein you are in a different part of the home and unable to properly supervise children requiring you to need a substitute. We agreed you should check “no, I do not conduct routine tasks while children are in care.” Rated License Stars: I asked you today if you have considered applying for two to five stars. You said you are approaching retirement age and therefore not interested in increasing stars. Provider Verification of Information Form: I discussed with you today that providers will now be required to complete the verification form prior to your annual compliance visit and scan/ email the completed form to your consultant before your annual visit. I reviewed the form with you today. Due to no internet connection, you signed a hand-written summary and I agreed to email the typed summary upon returning to my office. Thank you for your time and assistance during the visit. If you have any questions, please contact me or my supervisor using the information below: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 ( 336)575-9510 audrey.davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DIANE'S DAY CARE HOME Facility ID: 3405377 Consultant: AUDREY DAVIS Operation Type: Family CC Home Case Number: Visit Date: 12/14/2023 Number Present: 4 Completed Date: 12/14/2023 Age: From 0 To 2 Total Minutes: 90 Time In: 10:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your family child care home for compliance with applicable childcare requirements for a routine unannounced visit. Diane Westmoreland, Owner/ Operator of the home assisted me with the visit. Your program currently operates with a one-star license. Restrictions include 1st shift care, minimum of five preschool children at any time, and fuel burning stove not used during operating hours. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Westmoreland stated the only person living in the home with her is her husband. Be reminded that you and your husband must have criminal record checks conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. The letter must not expire before a new letter is issued. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Child supervision was adequate during my time in your home. I observed positive interactions today. I observed children having indoor free play and lunch. Lunch consisted of chicken nuggets, green beans, apples, bread, and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Two new infants were enrolled since your annual compliance visit in June 2023 which files I monitored today. Storage and administration of medication were monitored. Medication authorization was monitored. The only medication you accept is topical ointments such as diaper cream. Storage of hazardous items was monitored today and are stored in a locked hallway closet. All electrical outlets in the home are the safety type that do not require a cover. A shelter in place emergency drill was last documented 11/3/23 and a fire drill on 12/1/23. There are no pets at the home. The program does not transport children. The following violations were observed and cited today: Violation Number Comment Rule 903 When medication is administered, authorization for the operator to administer the specific medication according to the parent's or health care professional's instructions was not on file and available. A parent provides diaper cream for the provider to administer for an infant although written authorization completed and signed by the parent was not available for review. 10A NCAC 09 .1720(c)(1&2) & .1721(a)(4) 912 Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs. A 15-month-old child in care today was enrolled at age 11 months. At the time of enrollment, a feeding schedule required for children under 15 months of age was not completed by the parent. .1706(i) 1808 Signed statement did not include the date the operator's safe sleep policy was given and explained to the parent/guardian. A safe sleep policy was not on file for a child enrolled at age 11 months. 10A NCAC 09 .1724(c)(3) Child Care programs are expected to be in 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. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before December 28, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • an accurate, detailed description of how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not yet been made, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email your compliance letter to Audrey.davis@dhhs.nc.gov Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. Examples of an ownership changes include but are not limited to, becoming incorporated or dissolving an existing corporation. • Sleep Policy and Feeding Schedules – A fifteen month old child in care was enrolled at age 11 months and did not have a safe sleep policy on file which is required to be signed by the parents of infants less than a year old; and a feeding schedule for children under 15 months of age. You observed you had written “n/a” on the records checklist indicating you were of the understanding these items were not required for this child. I reviewed with you today that a child who enrolls on his first birthday does not need a signed safe sleep policy on file, and a child enrolled on the day the child turns 15 months does not need a feeding schedule. However, even one day before a child turns 1 or turns 15 months, these requirements still apply. Written Plan of Care: On the WPC form, you checked I will conduct routine tasks while children are in care. On the form you listed routine household tasks such as dusting and sweeping as the tasks you perform while children are in care. You said you do not leave the home when children are present and do not use a substitute for any reason. I explained this form refers to tasks either off site that would require you to transport the children with you or leave the children with a substitute provider, or tasks performed at home wherein you are in a different part of the home and unable to properly supervise children requiring you to need a substitute. We agreed you should check “no, I do not conduct routine tasks while children are in care.” Rated License Stars: I asked you today if you have considered applying for two to five stars. You said you are approaching retirement age and therefore not interested in increasing stars. Provider Verification of Information Form: I discussed with you today that providers will now be required to complete the verification form prior to your annual compliance visit and scan/ email the completed form to your consultant before your annual visit. I reviewed the form with you today. Due to no internet connection, you signed a hand-written summary and I agreed to email the typed summary upon returning to my office. Thank you for your time and assistance during the visit. If you have any questions, please contact me or my supervisor using the information below: Audrey Davis, Child Care Consultant PO Box 17273 Winston-Salem, NC 27116 ( 336)575-9510 audrey.davis@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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