Mary Myers Daycare #2

G.S. 110-90 · Violation

Name of Operation: MARY MYERS DAYCARE #2 Facility ID: 29000668 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 7 Completed Date: 12/16/2025 Age: From 2 To 3 Total Minutes: 122 Time In: 09:28 AM Time Out: 11:30 AM 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 complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on January 15, 2025. The facility currently operates with a Four-Star Child Care License that was issued on February 25, 2022. The last Sanitation Inspection was completed on November 24, 2025, with a "Satisfactory" classification and five (5) demerits. The last Fire Inspection was conducted on April 10, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on December 1, 2025. The last Lock Down/ Shelter-in-Place was on December 1, 2025. The last Playground Inspection was conducted on December 1, 2025. Upon arrival, I was greeted by the lead Pre-K teacher Rachel Tillotson. Mrs. Mary the director, came down later in my visit. I stated the purpose of my visit and completed a walkthrough of the facility where attendance was documented, and observations made. The children were observed playing in centers. A checklist was used to note the requirements I monitored today. The North Carolina Department of Secretary’s website was used to check the status of the corporation (Mary Myers Daycare Inc.) on December 14, 2025. The facility’s owner is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, and Playground Inspections. This facility does not transport children. The following violations were cited and technical assistance was offered. Violation Number Comment Rule 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. Ms. M. Dietz did not complete this training within 90 days of hire date. .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. Ms. Dietz did not complete this training within 90 days of hire date. .1102(d) 1314 Emergency information did not name child's health care professional. One child's application did not have the the name and contact number of the child's pediatrician or hospital preference listed. .0802(c)(2) 1757 A valid qualification letter was not on file and available to review at the facility. Ms. Dietz qualification letter expired on 10/5/25. G.S. 110-90.2(b) & (d) & .2703(e) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was kept in the main staff files. .0701(d) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 PM December 29, 2025. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received to my office by 5:00 PM December 29, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. Technical Assistance: Today we discussed that all criminal record checks must not expire. Ms. M. Dietz criminal background check expired on 10/5/25. Since this is a renewal of her background check she has 15 days from today’s date to receive a new qualification letter from the Division. If one is not received by the end of 15 days from today Ms. Dietz may not return until one is acquired. When a qualification letter is received I must have a copy emailed to me and a copy must be printed and placed in her file. Ms. Dietz did not receive first aid and CPR training within the first 90 days of hire date. Ms. Lindsay stated that she is scheduled to take first aid and CPR training tonight 12/16/25. For your correction letter I will need a copy of these training’s. We also discussed that all medical information cannot be in the main staff file. HIPPA laws state that all medical information must be in a separate file. The following items must be kept in a separate: Staff medical, TB test or TB screening, and Health Questionnaire. All children’s applications upon entering the facility must have the child’s pediatricians’ name and contact number listed as well as the hospital of choice should an emergency arise. Pathways To The Stars: Today we discussed that you should begin the process of completing your CQI plan for the facility and each staff member will begin their individual improvement plan. We talked about possibly having an outreach assessment conducted to see what areas of improvement are needed before taking the Rated License Assessment. We discussed what choices they would make for the Family Engagement process. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. UPDATES: Checkout our “What’s New” at DCDEE website https://ncchildcare.ncdhhs.gov and The QRIS section. RESOURCES: - For training and videos check out the NCRLAP website at https://www.ncrlap.org/ Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. 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: MARY MYERS DAYCARE #2 Facility ID: 29000668 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 4/15/2025 Number Present: 20 Completed Date: 4/15/2025 Age: From 2 To 4 Total Minutes: 90 Time In: 09:30 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance with applicable child care requirements. This facility currently operates with a Five-Star Child Care License that was issued on May 15, 2018. The last Sanitation Inspection was conducted on October 22, 2024, and received a “Superior” classification and received seventeen (17) demerits. The last Fire Inspection was conducted on April 10, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on April 2, 2025. The last Lock Down/ Shelter-in-Place was on April 2, 2025. The last Playground Inspection was conducted on April 2, 2025. Upon arrival, I was greeted by the director, Mary Myers. I stated the purpose of my visit, and I walked through the facility where attendance was recorded, and observations were made. The children threes and fours were outside playing, and the twos were inside playing in centers. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On arrival the Pre-K classroom was outside and were over ratio by five children. The ages in that group were 3 and 4's. GS 110-91(7);.0713(a-d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. D. Lell did not have a signed copy of shaken baby syndrome training in her file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. C. Tillotson did not have a copy of her recognizing and responding to suspicions of maltreatment in her file. .1102(g) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received in my office on, or before 5:00 PM April 28, 2025. • Each violation numbers. • How you corrected each violation. • The name of your center. • Facility ID number. • Date. • Title of the person who signs the letter. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received in my office by 5:00 PM April, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Technical Assistance: Today we discussed that for the children’s safety ratios must be always maintained. Today the teacher was very overwhelmed in the room with too many children to manage by herself. The lead teacher was on vacation. When the staff is out on vacation, plans need to be put in place for coverage in that class. When ratios are not met this causes stress on the children and staff and decreases the quality of care for the children. Staff must complete health and safety training within one year of the hire date. Recognizing and responding must be completed within 90 days of hire. Shaken baby Syndrome training must be completed on the first day of hire. Reminder: D. Lell will need to renew her first aid and CPR training before September of 2025. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. UPDATES: UP-DATES: Checkout our “What’s New” at DCDEE website https://ncchildcare.ncdhhs.gov. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov . RESOURCES: -The Health and Safety Trainings are being offered on the Division’s website. Under the “SERVICES” tab look for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. -For other upcoming ongoing training opportunities please visit your local Smart Start agency at: https://www.partnershipforchildren.org/ -Additional information can be found at https://www.childcareaware.org. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov. You can also sign up for e-mail alerts for recalled products at this site. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. Thank you for all that you do, to serve the children and families0. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. of North Carolina. 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 .0701 · Violation

Name of Operation: MARY MYERS DAYCARE #2 Facility ID: 29000668 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 14 Completed Date: 1/25/2024 Age: From 2 To 4 Total Minutes: 169 Time In: 09:00 AM Time Out: 11:49 AM 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 complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on February 2, 2023. The facility currently operates with a Four-Star Child Care License that was issued on February 25, 2022. The last Sanitation Inspection was completed on September 27, 2022, with a "Superior" classification. The last Fire Inspection was conducted on May 24, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on January 4, 2024. The last Lock Down/ Shelter-in-Place was on November 7, 2023. The last Playground Inspection was conducted on January 4, 2024. Upon arrival, I was greeted by the director, Mary Myers. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed playing in centers and group time. A checklist was used to note the requirements I monitored today. The North Carolina Department of Secretary’s website was used to check the status of the corporation on January 19, 2024. The facility’s owner is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records, Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. The following violations were observed during today’s visit. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member did not have a medical prior to start date. 10A NCAC 09 .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member needs 6 hours of in-service training for the year. .1103(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member did not complete this training with-in 90 days. .1102(g) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received to my office on, or before 5:00 PM February 7, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received to my office by 5:00 PM February 7, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. Technical Assistance: Today Ms. Mary contacted the health department to ask when they would be out for her sanitation inspection. The last sanitation inspection was conducted on September 27, 2022. Please be mindful of all new staff needs a medical and TB before they start. In-service trainings must be completed each year based on education requirements. You and your staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. UPDATES: -Current Rated Licenses are still in a ‘hold harmless’ state until June 2024. It has been determined that your facility is in Cohort 2. This means your prep year is from July 1, 2024, through June 30, 2025. Your reassessment year is from July 1, 2025, through June 30, 2026. Please make sure that all your staff’s education is in “Works” located on the Division of Child Development website at //ncchildcare.ncdhhs.gov/. During your preparation year you can request the Environmental Rating Scales and you determine how and when to use the scores. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .0302 · Violation

Name of Operation: MARY MYERS DAYCARE #2 Facility ID: 29000668 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: 1223-260L Visit Date: 1/3/2024 Number Present: 14 Completed Date: 1/3/2024 Age: From 2 To 4 Total Minutes: 105 Time In: 09:15 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 has been to investigate an allegation regarding the violation of child care requirements. On December 28, 2023, the Raleigh office received a report regarding concerns with the facility’s sick policy. Child Care Consultant, Mrs. Anita Graham assisted me during today’s visit. Upon arrival at the facility, we were greeted by a staff member. The director, Mary Myers soon arrived to assist with the visit. I discussed the allegation with the director. Today there were (14) children present, ages two through four years. Limited monitoring was conducted during today's visit, permit restrictions, adequate/approved space, supervision, staff/child ratio. A sampling of children’s records and program records. Allegation #1: There are concerns regarding the sick policy not being followed. Observation #1: During today’s visit we conducted a walkthrough of the facility. I interviewed the two staff members and the director. I reviewed a copy of the sick policy and asked if a copy of the policy was given to the families at the time of enrollment. We reviewed a sampling of children’s records each had a signed copy of the center’s sick policy. The director stated that their sick policy is given at the time of enrollment and posted on the front entrance. Conclusion #1: Based on conversations with the director, staff and a review of children’s and program records, this allegation is unsubstantiated. The following violations were observed, cited, and technical assistance was provided. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children's files did not have a medical. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children's files did not have immunization records. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter addressing each of the violations must be sent to my office by January 16, 2024. The letter must state how each of the items was corrected. Facility, the identification number, and your electronic signature. If I do not receive your response to the violations by January 16, 2024. Additional violations may be cited during a follow-up visit. You were provided an opportunity to ask questions regarding the interpretation and implementation of child care requirements applicable to the facility. Technical Assistance: We discussed each of the items of non-compliance and technical assistance of how to maintain compliance in the future. Please be aware that both a medical and immunization records must be in the child’s file within thirty (30) days of enrollment. Reminders: Today we discussed with the director that if the facility would like to change their sick policy it must be given to the families in writing fourteen (14) days prior to implementation. If the changes are made, I will need a copy of the new sick policy as well for your file. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: MARY MYERS DAYCARE #2 Facility ID: 29000668 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: 1223-260L Visit Date: 1/3/2024 Number Present: 14 Completed Date: 1/3/2024 Age: From 2 To 4 Total Minutes: 105 Time In: 09:15 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 has been to investigate an allegation regarding the violation of child care requirements. On December 28, 2023, the Raleigh office received a report regarding concerns with the facility’s sick policy. Child Care Consultant, Mrs. Anita Graham assisted me during today’s visit. Upon arrival at the facility, we were greeted by a staff member. The director, Mary Myers soon arrived to assist with the visit. I discussed the allegation with the director. Today there were (14) children present, ages two through four years. Limited monitoring was conducted during today's visit, permit restrictions, adequate/approved space, supervision, staff/child ratio. A sampling of children’s records and program records. Allegation #1: There are concerns regarding the sick policy not being followed. Observation #1: During today’s visit we conducted a walkthrough of the facility. I interviewed the two staff members and the director. I reviewed a copy of the sick policy and asked if a copy of the policy was given to the families at the time of enrollment. We reviewed a sampling of children’s records each had a signed copy of the center’s sick policy. The director stated that their sick policy is given at the time of enrollment and posted on the front entrance. Conclusion #1: Based on conversations with the director, staff and a review of children’s and program records, this allegation is unsubstantiated. The following violations were observed, cited, and technical assistance was provided. Violation Number Comment Rule 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Three children's files did not have a medical. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children's files did not have immunization records. 10A NCAC 09 .0302(d)(2) The above violations must be corrected immediately, and a letter addressing each of the violations must be sent to my office by January 16, 2024. The letter must state how each of the items was corrected. Facility, the identification number, and your electronic signature. If I do not receive your response to the violations by January 16, 2024. Additional violations may be cited during a follow-up visit. You were provided an opportunity to ask questions regarding the interpretation and implementation of child care requirements applicable to the facility. Technical Assistance: We discussed each of the items of non-compliance and technical assistance of how to maintain compliance in the future. Please be aware that both a medical and immunization records must be in the child’s file within thirty (30) days of enrollment. Reminders: Today we discussed with the director that if the facility would like to change their sick policy it must be given to the families in writing fourteen (14) days prior to implementation. If the changes are made, I will need a copy of the new sick policy as well for your file. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .0701 · Violation

Name of Operation: MARY MYERS DAYCARE #2 Facility ID: 29000668 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 8/9/2023 Number Present: 17 Completed Date: 8/9/2023 Age: From 2 To 4 Total Minutes: 130 Time In: 09:55 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance for applicable child care requirements. This facility currently operates with a Four-Star Child Care License that was issued on February 25, 2022. The last Sanitation Inspection was conducted on September 27, 2022, and received a “Satisfactory” classification with (0) demerits. The last Fire Inspection was conducted on May 24, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on July 11, 2023. The last Lock Down/Shelter-in-Place was on July 11, 2023. The last Playground Inspection was conducted on July 11, 2023. Upon arrival, I was greeted by the director, Mary Myers. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in circle time with their teacher. The children were counting and answering open ended questions from their teacher. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were observed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The pre-k teacher had 13 children, ages three and four year old's without an assistant. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member did not have a medical before her start date. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member did not have First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not have CPR training. .1102(d) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before August 22, 2023. The letter should include each item number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received by my office by August 22, 2023, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all of the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. Technical assistance: All staff must have a medical before their first day of work. This medical must be signed by a physician and dated. All staff must have First Aid and CPR training within the 90 days of their hire date completed. UPDATES: -CBC qualifying letters are now valid for five (5) years regardless of the date of issue. New letters will not be sent out. -Current rated licenses are still in a ‘hold harmless’ state until June 2024. Please make sure all of your employees are in "Works". It has been determined that your facility will be in Cohort 2. This means your prep year will be from July 1, 2024 through June 30, 2025. Your reassessment year will start on July 1, 2025 through June 30, 2026. RESOURCES: - You can visit the www.NCRLAP website for videos and resources with the Rated License process. -The Health and Safety Trainings are now being offered on the Division’s website. Under the “SERVICES” tab look for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. MOODLE: Any teachers current or new hires can test out of NCECC by accessing the link below and placing in their username and password. You must receive a score of 80% or higher and can only be taken twice. If you fail twice you must enroll in an EDU 119 course at a local community college. https://www.dcdee.moodle.nc.gov/ -For other upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org/ . -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -Child Care Aware® of America is a nonprofit organization that works directly with child care agencies and families. They are the third-party administrator that serves and supports eligible military families through the Child Care Fee Assistance programs. They manage the administration of the MCCYN-PLUS program. For more information, visit: https://www.childcareaware.org. -On March 13, 2023, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launches in North Carolina to make it easier for military families to access and afford quality child care from community providers. https://www.militaryonesource.mil/parenting/child-care/mccyn-plus-child-care-program/ -Navy families only: The Navy MCCYN Child Care Fee Assistance Program administers the MCCYN program for Navy families. Navy families can visit the following website for additional information: https://public.militarychildcare.csd.disa.mil/mccu/ui/#/navy. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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: MARY MYERS DAYCARE #2 Facility ID: 29000668 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 8/9/2023 Number Present: 17 Completed Date: 8/9/2023 Age: From 2 To 4 Total Minutes: 130 Time In: 09:55 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance for applicable child care requirements. This facility currently operates with a Four-Star Child Care License that was issued on February 25, 2022. The last Sanitation Inspection was conducted on September 27, 2022, and received a “Satisfactory” classification with (0) demerits. The last Fire Inspection was conducted on May 24, 2023, and the facility was approved for daytime care only. The last Fire Drill was conducted on July 11, 2023. The last Lock Down/Shelter-in-Place was on July 11, 2023. The last Playground Inspection was conducted on July 11, 2023. Upon arrival, I was greeted by the director, Mary Myers. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed participating in circle time with their teacher. The children were counting and answering open ended questions from their teacher. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were observed during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The pre-k teacher had 13 children, ages three and four year old's without an assistant. GS 110-91(7);.0713(a-d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member did not have a medical before her start date. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member did not have First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not have CPR training. .1102(d) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before August 22, 2023. The letter should include each item number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received by my office by August 22, 2023, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all of the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. Technical assistance: All staff must have a medical before their first day of work. This medical must be signed by a physician and dated. All staff must have First Aid and CPR training within the 90 days of their hire date completed. UPDATES: -CBC qualifying letters are now valid for five (5) years regardless of the date of issue. New letters will not be sent out. -Current rated licenses are still in a ‘hold harmless’ state until June 2024. Please make sure all of your employees are in "Works". It has been determined that your facility will be in Cohort 2. This means your prep year will be from July 1, 2024 through June 30, 2025. Your reassessment year will start on July 1, 2025 through June 30, 2026. RESOURCES: - You can visit the www.NCRLAP website for videos and resources with the Rated License process. -The Health and Safety Trainings are now being offered on the Division’s website. Under the “SERVICES” tab look for “DCDEE Moodle”. These trainings are free, and participants will receive training certificates when completed. MOODLE: Any teachers current or new hires can test out of NCECC by accessing the link below and placing in their username and password. You must receive a score of 80% or higher and can only be taken twice. If you fail twice you must enroll in an EDU 119 course at a local community college. https://www.dcdee.moodle.nc.gov/ -For other upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org/ . -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -Child Care Aware® of America is a nonprofit organization that works directly with child care agencies and families. They are the third-party administrator that serves and supports eligible military families through the Child Care Fee Assistance programs. They manage the administration of the MCCYN-PLUS program. For more information, visit: https://www.childcareaware.org. -On March 13, 2023, the Military Child Care in Your Neighborhood-PLUS (MCCYN-PLUS) initiative launches in North Carolina to make it easier for military families to access and afford quality child care from community providers. https://www.militaryonesource.mil/parenting/child-care/mccyn-plus-child-care-program/ -Navy families only: The Navy MCCYN Child Care Fee Assistance Program administers the MCCYN program for Navy families. Navy families can visit the following website for additional information: https://public.militarychildcare.csd.disa.mil/mccu/ui/#/navy. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov . You can also sign up for e-mail alerts for recalled products at this site. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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