Precious Times Learning Center, Inc.

10A NCAC 09 .0902 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 84 Completed Date: 4/22/2026 Age: From 0 To 10 Total Minutes: 455 Time In: 09:20 AM Time Out: 01:25 PM Time In: 02:05 PM Time Out: 05:35 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety, and to begin your rated license assessment. The visit was conducted with you, Karen Tipton, Administrator. Sulamy Montaner, owner, was also present. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on June 4, 2025. This program currently operates with a Five star rated license effective April 26, 2018, meeting daytime care only, enhanced space, and enhanced ratios minus one child per group. This facility previously earned seven points in program standards, five points in staff education, and one quality point for the administrator completing a business training course of at least 30 clock hours. The license was posted, and the restrictions were in compliance. This facility currently uses Creative Curriculum for approved curriculum requirements. The program’s compliance history was 89 percent prior to today’s visit. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of April 22, 2026. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, gross motor activities outdoors, art activities, handwashing routines, lunch and nap. Infants in space #1 were observed during free play activities on the floor, bottle feedings, diaper changes, handwashing routines, and nap. Transportation requirements were monitored for two vehicles used to transport children. The most recent sanitation inspection for your facility was conducted on March 11, 2026. A superior sanitation classification was issued with 6 demerits noted on the grade card. The analysis date for the most recent lead water test was December 18, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead paint testing and no asbestos hazards were identified for your facility as of March 8, 2024. The most recent approved fire inspection for your facility was conducted on January 16, 2026. The most recent monthly fire drill was completed on April 17, 2026, at 2:52pm. The most recent quarterly shelter-in-place/lockdown emergency drill was completed on February 2, 2026, at 1:00pm. The most recent monthly playground inspection was completed on April 7, 2026, by Karen Tipton. The facilities EPR Plan was updated on April 6, 2026. Files for two new staff members, two existing staff members, and applicable records for all staff were reviewed. All staff members were listed on the ABCMS Provider Portal roster for this facility. Eleven children’s records were reviewed. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. One child, thirteen months old, enrolled on March 24, 2026, did not have a feeding plan on file for review. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. The parental medication authorization for Orajel Baby belonging to a child enrolled on March 24, 2026, did not include instructions on when to administer the medication. 10A NCAC 09 .0803(4)(6-9) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for an injury that occurred on March 12, 2026, for a child enrolled on February 16, 2026, did not include the first aid given to the child. .0802 (e) 1106 Each adult and child was not restrained by appropriate individual belt/device. Two booster seats on the Chevy van used to transport children expired in 2023. GS 110-91(13) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The application for enrollment with emergency medical care information for one child enrolled on March 23, 2026, was not located in the binder that was taken on the vehicle when children were transported. 10A NCAC 09 .1003(d) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. The application for enrollment containing emergency medical care information for one child enrolled on April 20, 2026, did not include the address of the child's parents or the address of other persons to be contacted in case of emergency. .0802(c)(1) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child enrolled on January 7, 2021, did not have a current Medical Action Plan on file available for review. The most recent Medical Action Plan on file was dated September 20, 2024. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Smoking and tobacco restriction signage was not posted on the Ford van used to transport children. .0604(i) The violations documented above must be corrected immediately. On or before May 6, 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 that 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 may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ptlc1040@gmail.com. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. Technical Assistance was provided on the following: Feeding Plan- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. I suggested that you utilize the Children’s File Checklist available on the DCDEE website. Refer to the checklist prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Medication- -I suggested that administrative staff, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. The medication authorization for topical ointments must include the child's name; the name of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. Incident Report- -We discussed the information required by rule for incident reports and I suggested that you review incident report requirements with all staff. I suggested that you review all incident reports once received to ensure all required information is obtained. This will allow you to gather any missing information from staff to be recorded prior to filing. Child care rule .0802(e) states the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Emergency Medical Care Information- -The child’s parent recorded the parent and child’s address on the application for enrollment during the visit. I suggested that you thoroughly review all children’s applications upon enrollment to ensure all required information is recorded. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Medical Action Plan- -The child’s parent completed a Medical Action Plan for their child during the visit. I suggested that you review the Medical Action Plan for each applicable child monthly to ensure the information is accurate, current, and that the plan isn’t older than 12 months. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp. Transportation- -The administrator discarded the two expired booster seats during the visit. When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. I suggested that you or a designated individual monitor the booster seats in the vans used to transport children monthly to ensure the booster seat has not expired. Most booster seats expire within ten years of the manufacturer’s date, but some expire earlier than that. ay close attention to the details located on the bottom of the booster seats and check booster seat expiration dates prior to adding a booster seat to the vehicle. Emergency and identifying information for transportation- -Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form must be in the vehicle for each child being transported. I suggested that you double check your vehicles binder prior to transporting children each day to ensure each child’s emergency and identifying information is on the vehicle. Smoking and Tobacco Restriction Signage- -The administrator added the tobacco restriction signage to the Ford van used to transport children during today’s visit. Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off-premise activities. Signage regarding the smoking and tobacco restrictions shall be posted at each entrance to the center and in vehicles used to transport children. The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. I suggested that you double check both vehicles daily to ensure the smoking and tobacco restriction signage is posted on each vehicle. Consultation: We discussed the following during the visit pertaining to your upcoming Environment Rating Scales- -I reminded you that visitors must wash their hands upon entering a classroom. -Individual expression art for both ITERS-3 and ECERS-3 at children’s eye level. Adult oriented information and postings should be minimized in the spaces children can easily see. -At least one-third of the display must be children's individualized artwork (ECERS-3). -Move pretend play barns and houses from the block center to the dramatic play center. Play with these materials take up floor space to be used for block play. -Refer to pages 58 and 59 of the ECERS-3 book for more information regarding sand and water play. -Dramatic play activity options for school age classrooms. -Remind staff that the gross motor activity listed on the activity plan must be able to be conducted indoors or outdoors. A gross motor activity is an active activity where children use their large muscles. In space #3a, the outdoor activity listed was “bird watching”, which is not a gross motor activity. However, this activity plan did list “bird yoga,” which qualifies as a gross motor activity. QRIS Pathways to the Stars Rated License Assessment: You submitted your Application for Assessment for a Rated License on April 22, 2026, choosing Pathway #1, the Program Assessment pathway. I reviewed and verified the Self Study Verification form and Rated License Assessment Request Review form. The three-month self-study was completed from December 16, 2025, through March 30, 2026. You stated you are ready to proceed with the Environment Rating Scale, and we discussed ordering the Environment Rating Scale on May 7, 2026. You stated and I confirmed that you have five ITERS-3 classrooms, three ECERS-3 classrooms, and two SACERS-U classrooms. During today’s visit, you provided me with the facilities Family and Community Engagement Standards and Facility Continuous Quality Improvement plan. You stated education for all staff members has been updated in WORKS. I will review staff education and let you know what overall star level education standard your facility meets. I provided you with the Quality Initiatives Recognition Form. I requested that you complete and submit this form to me by May 6, 2026, if you wish to participate. All quality initiative items must be verified. Please provide verification or proof that you meet the initiatives designated. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, the handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary was emailed to you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 84 Completed Date: 4/22/2026 Age: From 0 To 10 Total Minutes: 455 Time In: 09:20 AM Time Out: 01:25 PM Time In: 02:05 PM Time Out: 05:35 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety, and to begin your rated license assessment. The visit was conducted with you, Karen Tipton, Administrator. Sulamy Montaner, owner, was also present. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on June 4, 2025. This program currently operates with a Five star rated license effective April 26, 2018, meeting daytime care only, enhanced space, and enhanced ratios minus one child per group. This facility previously earned seven points in program standards, five points in staff education, and one quality point for the administrator completing a business training course of at least 30 clock hours. The license was posted, and the restrictions were in compliance. This facility currently uses Creative Curriculum for approved curriculum requirements. The program’s compliance history was 89 percent prior to today’s visit. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of April 22, 2026. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, gross motor activities outdoors, art activities, handwashing routines, lunch and nap. Infants in space #1 were observed during free play activities on the floor, bottle feedings, diaper changes, handwashing routines, and nap. Transportation requirements were monitored for two vehicles used to transport children. The most recent sanitation inspection for your facility was conducted on March 11, 2026. A superior sanitation classification was issued with 6 demerits noted on the grade card. The analysis date for the most recent lead water test was December 18, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead paint testing and no asbestos hazards were identified for your facility as of March 8, 2024. The most recent approved fire inspection for your facility was conducted on January 16, 2026. The most recent monthly fire drill was completed on April 17, 2026, at 2:52pm. The most recent quarterly shelter-in-place/lockdown emergency drill was completed on February 2, 2026, at 1:00pm. The most recent monthly playground inspection was completed on April 7, 2026, by Karen Tipton. The facilities EPR Plan was updated on April 6, 2026. Files for two new staff members, two existing staff members, and applicable records for all staff were reviewed. All staff members were listed on the ABCMS Provider Portal roster for this facility. Eleven children’s records were reviewed. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. One child, thirteen months old, enrolled on March 24, 2026, did not have a feeding plan on file for review. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. The parental medication authorization for Orajel Baby belonging to a child enrolled on March 24, 2026, did not include instructions on when to administer the medication. 10A NCAC 09 .0803(4)(6-9) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for an injury that occurred on March 12, 2026, for a child enrolled on February 16, 2026, did not include the first aid given to the child. .0802 (e) 1106 Each adult and child was not restrained by appropriate individual belt/device. Two booster seats on the Chevy van used to transport children expired in 2023. GS 110-91(13) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The application for enrollment with emergency medical care information for one child enrolled on March 23, 2026, was not located in the binder that was taken on the vehicle when children were transported. 10A NCAC 09 .1003(d) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. The application for enrollment containing emergency medical care information for one child enrolled on April 20, 2026, did not include the address of the child's parents or the address of other persons to be contacted in case of emergency. .0802(c)(1) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child enrolled on January 7, 2021, did not have a current Medical Action Plan on file available for review. The most recent Medical Action Plan on file was dated September 20, 2024. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Smoking and tobacco restriction signage was not posted on the Ford van used to transport children. .0604(i) The violations documented above must be corrected immediately. On or before May 6, 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 that 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 may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ptlc1040@gmail.com. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. Technical Assistance was provided on the following: Feeding Plan- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. I suggested that you utilize the Children’s File Checklist available on the DCDEE website. Refer to the checklist prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Medication- -I suggested that administrative staff, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. The medication authorization for topical ointments must include the child's name; the name of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. Incident Report- -We discussed the information required by rule for incident reports and I suggested that you review incident report requirements with all staff. I suggested that you review all incident reports once received to ensure all required information is obtained. This will allow you to gather any missing information from staff to be recorded prior to filing. Child care rule .0802(e) states the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Emergency Medical Care Information- -The child’s parent recorded the parent and child’s address on the application for enrollment during the visit. I suggested that you thoroughly review all children’s applications upon enrollment to ensure all required information is recorded. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Medical Action Plan- -The child’s parent completed a Medical Action Plan for their child during the visit. I suggested that you review the Medical Action Plan for each applicable child monthly to ensure the information is accurate, current, and that the plan isn’t older than 12 months. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp. Transportation- -The administrator discarded the two expired booster seats during the visit. When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. I suggested that you or a designated individual monitor the booster seats in the vans used to transport children monthly to ensure the booster seat has not expired. Most booster seats expire within ten years of the manufacturer’s date, but some expire earlier than that. ay close attention to the details located on the bottom of the booster seats and check booster seat expiration dates prior to adding a booster seat to the vehicle. Emergency and identifying information for transportation- -Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form must be in the vehicle for each child being transported. I suggested that you double check your vehicles binder prior to transporting children each day to ensure each child’s emergency and identifying information is on the vehicle. Smoking and Tobacco Restriction Signage- -The administrator added the tobacco restriction signage to the Ford van used to transport children during today’s visit. Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off-premise activities. Signage regarding the smoking and tobacco restrictions shall be posted at each entrance to the center and in vehicles used to transport children. The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. I suggested that you double check both vehicles daily to ensure the smoking and tobacco restriction signage is posted on each vehicle. Consultation: We discussed the following during the visit pertaining to your upcoming Environment Rating Scales- -I reminded you that visitors must wash their hands upon entering a classroom. -Individual expression art for both ITERS-3 and ECERS-3 at children’s eye level. Adult oriented information and postings should be minimized in the spaces children can easily see. -At least one-third of the display must be children's individualized artwork (ECERS-3). -Move pretend play barns and houses from the block center to the dramatic play center. Play with these materials take up floor space to be used for block play. -Refer to pages 58 and 59 of the ECERS-3 book for more information regarding sand and water play. -Dramatic play activity options for school age classrooms. -Remind staff that the gross motor activity listed on the activity plan must be able to be conducted indoors or outdoors. A gross motor activity is an active activity where children use their large muscles. In space #3a, the outdoor activity listed was “bird watching”, which is not a gross motor activity. However, this activity plan did list “bird yoga,” which qualifies as a gross motor activity. QRIS Pathways to the Stars Rated License Assessment: You submitted your Application for Assessment for a Rated License on April 22, 2026, choosing Pathway #1, the Program Assessment pathway. I reviewed and verified the Self Study Verification form and Rated License Assessment Request Review form. The three-month self-study was completed from December 16, 2025, through March 30, 2026. You stated you are ready to proceed with the Environment Rating Scale, and we discussed ordering the Environment Rating Scale on May 7, 2026. You stated and I confirmed that you have five ITERS-3 classrooms, three ECERS-3 classrooms, and two SACERS-U classrooms. During today’s visit, you provided me with the facilities Family and Community Engagement Standards and Facility Continuous Quality Improvement plan. You stated education for all staff members has been updated in WORKS. I will review staff education and let you know what overall star level education standard your facility meets. I provided you with the Quality Initiatives Recognition Form. I requested that you complete and submit this form to me by May 6, 2026, if you wish to participate. All quality initiative items must be verified. Please provide verification or proof that you meet the initiatives designated. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, the handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary was emailed to you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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 .1003 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 84 Completed Date: 4/22/2026 Age: From 0 To 10 Total Minutes: 455 Time In: 09:20 AM Time Out: 01:25 PM Time In: 02:05 PM Time Out: 05:35 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety, and to begin your rated license assessment. The visit was conducted with you, Karen Tipton, Administrator. Sulamy Montaner, owner, was also present. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on June 4, 2025. This program currently operates with a Five star rated license effective April 26, 2018, meeting daytime care only, enhanced space, and enhanced ratios minus one child per group. This facility previously earned seven points in program standards, five points in staff education, and one quality point for the administrator completing a business training course of at least 30 clock hours. The license was posted, and the restrictions were in compliance. This facility currently uses Creative Curriculum for approved curriculum requirements. The program’s compliance history was 89 percent prior to today’s visit. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of April 22, 2026. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, gross motor activities outdoors, art activities, handwashing routines, lunch and nap. Infants in space #1 were observed during free play activities on the floor, bottle feedings, diaper changes, handwashing routines, and nap. Transportation requirements were monitored for two vehicles used to transport children. The most recent sanitation inspection for your facility was conducted on March 11, 2026. A superior sanitation classification was issued with 6 demerits noted on the grade card. The analysis date for the most recent lead water test was December 18, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead paint testing and no asbestos hazards were identified for your facility as of March 8, 2024. The most recent approved fire inspection for your facility was conducted on January 16, 2026. The most recent monthly fire drill was completed on April 17, 2026, at 2:52pm. The most recent quarterly shelter-in-place/lockdown emergency drill was completed on February 2, 2026, at 1:00pm. The most recent monthly playground inspection was completed on April 7, 2026, by Karen Tipton. The facilities EPR Plan was updated on April 6, 2026. Files for two new staff members, two existing staff members, and applicable records for all staff were reviewed. All staff members were listed on the ABCMS Provider Portal roster for this facility. Eleven children’s records were reviewed. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. One child, thirteen months old, enrolled on March 24, 2026, did not have a feeding plan on file for review. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. The parental medication authorization for Orajel Baby belonging to a child enrolled on March 24, 2026, did not include instructions on when to administer the medication. 10A NCAC 09 .0803(4)(6-9) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for an injury that occurred on March 12, 2026, for a child enrolled on February 16, 2026, did not include the first aid given to the child. .0802 (e) 1106 Each adult and child was not restrained by appropriate individual belt/device. Two booster seats on the Chevy van used to transport children expired in 2023. GS 110-91(13) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The application for enrollment with emergency medical care information for one child enrolled on March 23, 2026, was not located in the binder that was taken on the vehicle when children were transported. 10A NCAC 09 .1003(d) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. The application for enrollment containing emergency medical care information for one child enrolled on April 20, 2026, did not include the address of the child's parents or the address of other persons to be contacted in case of emergency. .0802(c)(1) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child enrolled on January 7, 2021, did not have a current Medical Action Plan on file available for review. The most recent Medical Action Plan on file was dated September 20, 2024. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Smoking and tobacco restriction signage was not posted on the Ford van used to transport children. .0604(i) The violations documented above must be corrected immediately. On or before May 6, 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 that 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 may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ptlc1040@gmail.com. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. Technical Assistance was provided on the following: Feeding Plan- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. I suggested that you utilize the Children’s File Checklist available on the DCDEE website. Refer to the checklist prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Medication- -I suggested that administrative staff, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. The medication authorization for topical ointments must include the child's name; the name of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. Incident Report- -We discussed the information required by rule for incident reports and I suggested that you review incident report requirements with all staff. I suggested that you review all incident reports once received to ensure all required information is obtained. This will allow you to gather any missing information from staff to be recorded prior to filing. Child care rule .0802(e) states the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Emergency Medical Care Information- -The child’s parent recorded the parent and child’s address on the application for enrollment during the visit. I suggested that you thoroughly review all children’s applications upon enrollment to ensure all required information is recorded. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Medical Action Plan- -The child’s parent completed a Medical Action Plan for their child during the visit. I suggested that you review the Medical Action Plan for each applicable child monthly to ensure the information is accurate, current, and that the plan isn’t older than 12 months. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp. Transportation- -The administrator discarded the two expired booster seats during the visit. When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. I suggested that you or a designated individual monitor the booster seats in the vans used to transport children monthly to ensure the booster seat has not expired. Most booster seats expire within ten years of the manufacturer’s date, but some expire earlier than that. ay close attention to the details located on the bottom of the booster seats and check booster seat expiration dates prior to adding a booster seat to the vehicle. Emergency and identifying information for transportation- -Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form must be in the vehicle for each child being transported. I suggested that you double check your vehicles binder prior to transporting children each day to ensure each child’s emergency and identifying information is on the vehicle. Smoking and Tobacco Restriction Signage- -The administrator added the tobacco restriction signage to the Ford van used to transport children during today’s visit. Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off-premise activities. Signage regarding the smoking and tobacco restrictions shall be posted at each entrance to the center and in vehicles used to transport children. The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. I suggested that you double check both vehicles daily to ensure the smoking and tobacco restriction signage is posted on each vehicle. Consultation: We discussed the following during the visit pertaining to your upcoming Environment Rating Scales- -I reminded you that visitors must wash their hands upon entering a classroom. -Individual expression art for both ITERS-3 and ECERS-3 at children’s eye level. Adult oriented information and postings should be minimized in the spaces children can easily see. -At least one-third of the display must be children's individualized artwork (ECERS-3). -Move pretend play barns and houses from the block center to the dramatic play center. Play with these materials take up floor space to be used for block play. -Refer to pages 58 and 59 of the ECERS-3 book for more information regarding sand and water play. -Dramatic play activity options for school age classrooms. -Remind staff that the gross motor activity listed on the activity plan must be able to be conducted indoors or outdoors. A gross motor activity is an active activity where children use their large muscles. In space #3a, the outdoor activity listed was “bird watching”, which is not a gross motor activity. However, this activity plan did list “bird yoga,” which qualifies as a gross motor activity. QRIS Pathways to the Stars Rated License Assessment: You submitted your Application for Assessment for a Rated License on April 22, 2026, choosing Pathway #1, the Program Assessment pathway. I reviewed and verified the Self Study Verification form and Rated License Assessment Request Review form. The three-month self-study was completed from December 16, 2025, through March 30, 2026. You stated you are ready to proceed with the Environment Rating Scale, and we discussed ordering the Environment Rating Scale on May 7, 2026. You stated and I confirmed that you have five ITERS-3 classrooms, three ECERS-3 classrooms, and two SACERS-U classrooms. During today’s visit, you provided me with the facilities Family and Community Engagement Standards and Facility Continuous Quality Improvement plan. You stated education for all staff members has been updated in WORKS. I will review staff education and let you know what overall star level education standard your facility meets. I provided you with the Quality Initiatives Recognition Form. I requested that you complete and submit this form to me by May 6, 2026, if you wish to participate. All quality initiative items must be verified. Please provide verification or proof that you meet the initiatives designated. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, the handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary was emailed to you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 84 Completed Date: 4/22/2026 Age: From 0 To 10 Total Minutes: 455 Time In: 09:20 AM Time Out: 01:25 PM Time In: 02:05 PM Time Out: 05:35 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety, and to begin your rated license assessment. The visit was conducted with you, Karen Tipton, Administrator. Sulamy Montaner, owner, was also present. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on June 4, 2025. This program currently operates with a Five star rated license effective April 26, 2018, meeting daytime care only, enhanced space, and enhanced ratios minus one child per group. This facility previously earned seven points in program standards, five points in staff education, and one quality point for the administrator completing a business training course of at least 30 clock hours. The license was posted, and the restrictions were in compliance. This facility currently uses Creative Curriculum for approved curriculum requirements. The program’s compliance history was 89 percent prior to today’s visit. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of April 22, 2026. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, gross motor activities outdoors, art activities, handwashing routines, lunch and nap. Infants in space #1 were observed during free play activities on the floor, bottle feedings, diaper changes, handwashing routines, and nap. Transportation requirements were monitored for two vehicles used to transport children. The most recent sanitation inspection for your facility was conducted on March 11, 2026. A superior sanitation classification was issued with 6 demerits noted on the grade card. The analysis date for the most recent lead water test was December 18, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead paint testing and no asbestos hazards were identified for your facility as of March 8, 2024. The most recent approved fire inspection for your facility was conducted on January 16, 2026. The most recent monthly fire drill was completed on April 17, 2026, at 2:52pm. The most recent quarterly shelter-in-place/lockdown emergency drill was completed on February 2, 2026, at 1:00pm. The most recent monthly playground inspection was completed on April 7, 2026, by Karen Tipton. The facilities EPR Plan was updated on April 6, 2026. Files for two new staff members, two existing staff members, and applicable records for all staff were reviewed. All staff members were listed on the ABCMS Provider Portal roster for this facility. Eleven children’s records were reviewed. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. One child, thirteen months old, enrolled on March 24, 2026, did not have a feeding plan on file for review. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. The parental medication authorization for Orajel Baby belonging to a child enrolled on March 24, 2026, did not include instructions on when to administer the medication. 10A NCAC 09 .0803(4)(6-9) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for an injury that occurred on March 12, 2026, for a child enrolled on February 16, 2026, did not include the first aid given to the child. .0802 (e) 1106 Each adult and child was not restrained by appropriate individual belt/device. Two booster seats on the Chevy van used to transport children expired in 2023. GS 110-91(13) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The application for enrollment with emergency medical care information for one child enrolled on March 23, 2026, was not located in the binder that was taken on the vehicle when children were transported. 10A NCAC 09 .1003(d) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. The application for enrollment containing emergency medical care information for one child enrolled on April 20, 2026, did not include the address of the child's parents or the address of other persons to be contacted in case of emergency. .0802(c)(1) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child enrolled on January 7, 2021, did not have a current Medical Action Plan on file available for review. The most recent Medical Action Plan on file was dated September 20, 2024. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Smoking and tobacco restriction signage was not posted on the Ford van used to transport children. .0604(i) The violations documented above must be corrected immediately. On or before May 6, 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 that 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 may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ptlc1040@gmail.com. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. Technical Assistance was provided on the following: Feeding Plan- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. I suggested that you utilize the Children’s File Checklist available on the DCDEE website. Refer to the checklist prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Medication- -I suggested that administrative staff, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. The medication authorization for topical ointments must include the child's name; the name of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. Incident Report- -We discussed the information required by rule for incident reports and I suggested that you review incident report requirements with all staff. I suggested that you review all incident reports once received to ensure all required information is obtained. This will allow you to gather any missing information from staff to be recorded prior to filing. Child care rule .0802(e) states the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Emergency Medical Care Information- -The child’s parent recorded the parent and child’s address on the application for enrollment during the visit. I suggested that you thoroughly review all children’s applications upon enrollment to ensure all required information is recorded. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Medical Action Plan- -The child’s parent completed a Medical Action Plan for their child during the visit. I suggested that you review the Medical Action Plan for each applicable child monthly to ensure the information is accurate, current, and that the plan isn’t older than 12 months. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp. Transportation- -The administrator discarded the two expired booster seats during the visit. When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. I suggested that you or a designated individual monitor the booster seats in the vans used to transport children monthly to ensure the booster seat has not expired. Most booster seats expire within ten years of the manufacturer’s date, but some expire earlier than that. ay close attention to the details located on the bottom of the booster seats and check booster seat expiration dates prior to adding a booster seat to the vehicle. Emergency and identifying information for transportation- -Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form must be in the vehicle for each child being transported. I suggested that you double check your vehicles binder prior to transporting children each day to ensure each child’s emergency and identifying information is on the vehicle. Smoking and Tobacco Restriction Signage- -The administrator added the tobacco restriction signage to the Ford van used to transport children during today’s visit. Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off-premise activities. Signage regarding the smoking and tobacco restrictions shall be posted at each entrance to the center and in vehicles used to transport children. The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. I suggested that you double check both vehicles daily to ensure the smoking and tobacco restriction signage is posted on each vehicle. Consultation: We discussed the following during the visit pertaining to your upcoming Environment Rating Scales- -I reminded you that visitors must wash their hands upon entering a classroom. -Individual expression art for both ITERS-3 and ECERS-3 at children’s eye level. Adult oriented information and postings should be minimized in the spaces children can easily see. -At least one-third of the display must be children's individualized artwork (ECERS-3). -Move pretend play barns and houses from the block center to the dramatic play center. Play with these materials take up floor space to be used for block play. -Refer to pages 58 and 59 of the ECERS-3 book for more information regarding sand and water play. -Dramatic play activity options for school age classrooms. -Remind staff that the gross motor activity listed on the activity plan must be able to be conducted indoors or outdoors. A gross motor activity is an active activity where children use their large muscles. In space #3a, the outdoor activity listed was “bird watching”, which is not a gross motor activity. However, this activity plan did list “bird yoga,” which qualifies as a gross motor activity. QRIS Pathways to the Stars Rated License Assessment: You submitted your Application for Assessment for a Rated License on April 22, 2026, choosing Pathway #1, the Program Assessment pathway. I reviewed and verified the Self Study Verification form and Rated License Assessment Request Review form. The three-month self-study was completed from December 16, 2025, through March 30, 2026. You stated you are ready to proceed with the Environment Rating Scale, and we discussed ordering the Environment Rating Scale on May 7, 2026. You stated and I confirmed that you have five ITERS-3 classrooms, three ECERS-3 classrooms, and two SACERS-U classrooms. During today’s visit, you provided me with the facilities Family and Community Engagement Standards and Facility Continuous Quality Improvement plan. You stated education for all staff members has been updated in WORKS. I will review staff education and let you know what overall star level education standard your facility meets. I provided you with the Quality Initiatives Recognition Form. I requested that you complete and submit this form to me by May 6, 2026, if you wish to participate. All quality initiative items must be verified. Please provide verification or proof that you meet the initiatives designated. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, the handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary was emailed to you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 84 Completed Date: 4/22/2026 Age: From 0 To 10 Total Minutes: 455 Time In: 09:20 AM Time Out: 01:25 PM Time In: 02:05 PM Time Out: 05:35 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety, and to begin your rated license assessment. The visit was conducted with you, Karen Tipton, Administrator. Sulamy Montaner, owner, was also present. You provided me with applicable program, staff, and children’s records for review. The most recent annual compliance visit was conducted on June 4, 2025. This program currently operates with a Five star rated license effective April 26, 2018, meeting daytime care only, enhanced space, and enhanced ratios minus one child per group. This facility previously earned seven points in program standards, five points in staff education, and one quality point for the administrator completing a business training course of at least 30 clock hours. The license was posted, and the restrictions were in compliance. This facility currently uses Creative Curriculum for approved curriculum requirements. The program’s compliance history was 89 percent prior to today’s visit. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of April 22, 2026. A checklist was used to note the requirements monitored today. A walkthrough of the facility was completed today, and all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in free play activities indoors, gross motor activities outdoors, art activities, handwashing routines, lunch and nap. Infants in space #1 were observed during free play activities on the floor, bottle feedings, diaper changes, handwashing routines, and nap. Transportation requirements were monitored for two vehicles used to transport children. The most recent sanitation inspection for your facility was conducted on March 11, 2026. A superior sanitation classification was issued with 6 demerits noted on the grade card. The analysis date for the most recent lead water test was December 18, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead paint testing and no asbestos hazards were identified for your facility as of March 8, 2024. The most recent approved fire inspection for your facility was conducted on January 16, 2026. The most recent monthly fire drill was completed on April 17, 2026, at 2:52pm. The most recent quarterly shelter-in-place/lockdown emergency drill was completed on February 2, 2026, at 1:00pm. The most recent monthly playground inspection was completed on April 7, 2026, by Karen Tipton. The facilities EPR Plan was updated on April 6, 2026. Files for two new staff members, two existing staff members, and applicable records for all staff were reviewed. All staff members were listed on the ABCMS Provider Portal roster for this facility. Eleven children’s records were reviewed. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. One child, thirteen months old, enrolled on March 24, 2026, did not have a feeding plan on file for review. 10A NCAC 09 .0902(a) 847 Parent's medication authorization did not include required information. The parental medication authorization for Orajel Baby belonging to a child enrolled on March 24, 2026, did not include instructions on when to administer the medication. 10A NCAC 09 .0803(4)(6-9) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report for an injury that occurred on March 12, 2026, for a child enrolled on February 16, 2026, did not include the first aid given to the child. .0802 (e) 1106 Each adult and child was not restrained by appropriate individual belt/device. Two booster seats on the Chevy van used to transport children expired in 2023. GS 110-91(13) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. The application for enrollment with emergency medical care information for one child enrolled on March 23, 2026, was not located in the binder that was taken on the vehicle when children were transported. 10A NCAC 09 .1003(d) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. The application for enrollment containing emergency medical care information for one child enrolled on April 20, 2026, did not include the address of the child's parents or the address of other persons to be contacted in case of emergency. .0802(c)(1) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child enrolled on January 7, 2021, did not have a current Medical Action Plan on file available for review. The most recent Medical Action Plan on file was dated September 20, 2024. .0801(b) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Smoking and tobacco restriction signage was not posted on the Ford van used to transport children. .0604(i) The violations documented above must be corrected immediately. On or before May 6, 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 that 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 may be completed. Mail or email the information to: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ptlc1040@gmail.com. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. Technical Assistance was provided on the following: Feeding Plan- -Written feeding plans for children under fifteen months of age must be posted in the child’s classroom for reference and must be modified as the child's needs change. I suggested that you utilize the Children’s File Checklist available on the DCDEE website. Refer to the checklist prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Medication- -I suggested that administrative staff, or a designated staff member, review all medication permission forms to ensure all required information is obtained prior to accepting the medication from the child’s parent or guardian. The medication authorization for topical ointments must include the child's name; the name of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; the signature of the parent; the date the authorization was signed by the parent; and the length of time the authorization is valid, if less than 12 months. Incident Report- -We discussed the information required by rule for incident reports and I suggested that you review incident report requirements with all staff. I suggested that you review all incident reports once received to ensure all required information is obtained. This will allow you to gather any missing information from staff to be recorded prior to filing. Child care rule .0802(e) states the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Emergency Medical Care Information- -The child’s parent recorded the parent and child’s address on the application for enrollment during the visit. I suggested that you thoroughly review all children’s applications upon enrollment to ensure all required information is recorded. If the information does not apply to the child, instruct parents to write “n/a” rather than leaving the information blank. Medical Action Plan- -The child’s parent completed a Medical Action Plan for their child during the visit. I suggested that you review the Medical Action Plan for each applicable child monthly to ensure the information is accurate, current, and that the plan isn’t older than 12 months. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp. Transportation- -The administrator discarded the two expired booster seats during the visit. When children enrolled in a child care center are being transported, each adult and child shall be restrained with an individual seat belt or child safety seat appropriate to the child's age or weight in accordance with G.S. 20-135.2A located at http://www.buckleupnc.org/occupant-restraint-laws/seat-belt-law-summary/. Only one person shall occupy each seat belt or child safety seat. I suggested that you or a designated individual monitor the booster seats in the vans used to transport children monthly to ensure the booster seat has not expired. Most booster seats expire within ten years of the manufacturer’s date, but some expire earlier than that. ay close attention to the details located on the bottom of the booster seats and check booster seat expiration dates prior to adding a booster seat to the vehicle. Emergency and identifying information for transportation- -Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form must be in the vehicle for each child being transported. I suggested that you double check your vehicles binder prior to transporting children each day to ensure each child’s emergency and identifying information is on the vehicle. Smoking and Tobacco Restriction Signage- -The administrator added the tobacco restriction signage to the Ford van used to transport children during today’s visit. Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center, in vehicles used to transport children, or during any off-premise activities. Signage regarding the smoking and tobacco restrictions shall be posted at each entrance to the center and in vehicles used to transport children. The operator shall notify the parent of each child enrolled in the center, in writing, of the smoking and tobacco restriction. I suggested that you double check both vehicles daily to ensure the smoking and tobacco restriction signage is posted on each vehicle. Consultation: We discussed the following during the visit pertaining to your upcoming Environment Rating Scales- -I reminded you that visitors must wash their hands upon entering a classroom. -Individual expression art for both ITERS-3 and ECERS-3 at children’s eye level. Adult oriented information and postings should be minimized in the spaces children can easily see. -At least one-third of the display must be children's individualized artwork (ECERS-3). -Move pretend play barns and houses from the block center to the dramatic play center. Play with these materials take up floor space to be used for block play. -Refer to pages 58 and 59 of the ECERS-3 book for more information regarding sand and water play. -Dramatic play activity options for school age classrooms. -Remind staff that the gross motor activity listed on the activity plan must be able to be conducted indoors or outdoors. A gross motor activity is an active activity where children use their large muscles. In space #3a, the outdoor activity listed was “bird watching”, which is not a gross motor activity. However, this activity plan did list “bird yoga,” which qualifies as a gross motor activity. QRIS Pathways to the Stars Rated License Assessment: You submitted your Application for Assessment for a Rated License on April 22, 2026, choosing Pathway #1, the Program Assessment pathway. I reviewed and verified the Self Study Verification form and Rated License Assessment Request Review form. The three-month self-study was completed from December 16, 2025, through March 30, 2026. You stated you are ready to proceed with the Environment Rating Scale, and we discussed ordering the Environment Rating Scale on May 7, 2026. You stated and I confirmed that you have five ITERS-3 classrooms, three ECERS-3 classrooms, and two SACERS-U classrooms. During today’s visit, you provided me with the facilities Family and Community Engagement Standards and Facility Continuous Quality Improvement plan. You stated education for all staff members has been updated in WORKS. I will review staff education and let you know what overall star level education standard your facility meets. I provided you with the Quality Initiatives Recognition Form. I requested that you complete and submit this form to me by May 6, 2026, if you wish to participate. All quality initiative items must be verified. Please provide verification or proof that you meet the initiatives designated. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, the handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary was emailed to you. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 90 Completed Date: 6/4/2025 Age: From 0 To 12 Total Minutes: 415 Time In: 09:35 AM Time Out: 12:55 PM Time In: 01:35 PM Time Out: 05:10 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Karen Tipton, Administrator. Sulamy Montaner, owner, was also present. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of June 3, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 26, 2018. The program’s compliance history was 92 percent prior to today’s visit. 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. A checklist was used to note the requirements monitored today. During the walkthrough of the facility, children and staff were observed during free play activities indoors, gross motor activities outdoors including water activities, handwashing routines, lunch, and nap. Infants and staff in space #1 were observed during nap and free play activities on the floor. Transportation requirements were monitored. One of the two vehicles used for transporting children was off site for servicing during the visit. Your EPR Plan was updated on August 23, 2024. The most recent sanitation inspection for your facility was conducted on May 12, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was December 18, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead paint testing and no asbestos hazards were identified for your facility. The most recent approved fire inspection for your facility was conducted on January 23, 2025. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. Due to time constraints, the computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 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. In space #3a, one aerosol can of equate sunscreen was observed in an unlocked medicine box on a shelf above the diaper changing table. Staff reported the lock on the medicine box was broken. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, a visual sleep check was documented for one sleeping infant, ten (10) months of age, at 11:25am, and a visual sleep check was not documented again until 11:50am on June 2, 2025. In space #1, a visual sleep check was documented for one sleeping infant, four (4) months of age, at 3:40pm on June 3, 2025; however, another visual sleep check had not been documented by 3:55pm. Staff had recorded this infant woke up at 3:59pm. .0606(g) 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, S. Greene, employed on November 30, 2020, did not complete 9.5 hours of on-going training within the training year between November 30, 2023 and November 30, 2024. S. Greene only had one half hour of training brought forward from the previous year. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on April 24, 2025, did not have a medical exam completed until May 29, 2025. GS110-91(1) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 18, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe sleep checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested utilizing a timer to assist you with remembering to visually check sleeping infants every fifteen minutes. Storage of hazardous products- Staff moved the aerosol can of sunscreen to a locked cabinet in the classroom during the visit. 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 must be stored in a locked storage room or cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I suggested that you routinely check all storage cabinets, closets, and lock boxes to ensure the lock is operating properly. Children’s records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website. Refer to the checklist to ensure all required documentation is on file within the required timeframe. On-going training- S. Greene must complete 9.5 hours of training by June 18, 2025. Staff required to receive on-going training must complete the required number of hours according to their education and experience annually, within the training year. I suggested that you request staff to complete on-going training hour requirements within six months of the staff member’s training year to ensure compliance with on-going training requirements. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -Attendance documentation for children who are enrolled but have not attended their first day yet. I suggested drawing a line through the days the child does not attend rather than leaving the dates blank or marking the child absent. -Staff who do not have current CPR and First Aid certification cannot open, close, be alone at the facility caring for children, transport children, or be listed on the Emergency Medical Care Plan to respond to medical emergencies. -I suggested that you update your Emergency Medical Care Plan to include another designated staff member’s name, in the event that the staff members listed are not on site at any given time during operating hours. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. -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 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 90 Completed Date: 6/4/2025 Age: From 0 To 12 Total Minutes: 415 Time In: 09:35 AM Time Out: 12:55 PM Time In: 01:35 PM Time Out: 05:10 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Karen Tipton, Administrator. Sulamy Montaner, owner, was also present. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of June 3, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 26, 2018. The program’s compliance history was 92 percent prior to today’s visit. 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. A checklist was used to note the requirements monitored today. During the walkthrough of the facility, children and staff were observed during free play activities indoors, gross motor activities outdoors including water activities, handwashing routines, lunch, and nap. Infants and staff in space #1 were observed during nap and free play activities on the floor. Transportation requirements were monitored. One of the two vehicles used for transporting children was off site for servicing during the visit. Your EPR Plan was updated on August 23, 2024. The most recent sanitation inspection for your facility was conducted on May 12, 2025. A superior sanitation classification was issued with 0 demerits noted on the grade card. The analysis date for the most recent lead water test was December 18, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “survey review by RTI” for required lead paint testing and no asbestos hazards were identified for your facility. The most recent approved fire inspection for your facility was conducted on January 23, 2025. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. Due to time constraints, the computer-generated Visit Summary was emailed to you. The following violations were observed: Violation Number Comment Rule 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. In space #3a, one aerosol can of equate sunscreen was observed in an unlocked medicine box on a shelf above the diaper changing table. Staff reported the lock on the medicine box was broken. .2820(b) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, a visual sleep check was documented for one sleeping infant, ten (10) months of age, at 11:25am, and a visual sleep check was not documented again until 11:50am on June 2, 2025. In space #1, a visual sleep check was documented for one sleeping infant, four (4) months of age, at 3:40pm on June 3, 2025; however, another visual sleep check had not been documented by 3:55pm. Staff had recorded this infant woke up at 3:59pm. .0606(g) 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, S. Greene, employed on November 30, 2020, did not complete 9.5 hours of on-going training within the training year between November 30, 2023 and November 30, 2024. S. Greene only had one half hour of training brought forward from the previous year. .1103(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled on April 24, 2025, did not have a medical exam completed until May 29, 2025. GS110-91(1) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by June 18, 2025. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please be aware that any information submitted by you is considered legal documentation. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Safe sleep checks- Visually checking on sleeping infants every fifteen minutes, per your facilities safe sleep policy, is critical in protecting sleeping infants from sudden infant death syndrome. I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested utilizing the Caring for Our Children resource book for more information pertaining to safe sleep practices and sudden infant death syndrome. I suggested utilizing a timer to assist you with remembering to visually check sleeping infants every fifteen minutes. Storage of hazardous products- Staff moved the aerosol can of sunscreen to a locked cabinet in the classroom during the visit. 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 must be stored in a locked storage room or cabinet. I suggested that you monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. I suggested that you routinely check all storage cabinets, closets, and lock boxes to ensure the lock is operating properly. Children’s records- Children’s medical exam or health assessment must be received and on file within thirty days of the child’s enrollment. I suggested that you request children’s medical exams and immunization records prior to enrollment to ensure compliance with this requirement. I also suggested that you utilize the Children’s File Checklist available on the DCDEE website. Refer to the checklist to ensure all required documentation is on file within the required timeframe. On-going training- S. Greene must complete 9.5 hours of training by June 18, 2025. Staff required to receive on-going training must complete the required number of hours according to their education and experience annually, within the training year. I suggested that you request staff to complete on-going training hour requirements within six months of the staff member’s training year to ensure compliance with on-going training requirements. Consultation: We discussed the following during the visit: -Per Senate Bill 425, facilities are currently held harmless from star rated license assessments. -Attendance documentation for children who are enrolled but have not attended their first day yet. I suggested drawing a line through the days the child does not attend rather than leaving the dates blank or marking the child absent. -Staff who do not have current CPR and First Aid certification cannot open, close, be alone at the facility caring for children, transport children, or be listed on the Emergency Medical Care Plan to respond to medical emergencies. -I suggested that you update your Emergency Medical Care Plan to include another designated staff member’s name, in the event that the staff members listed are not on site at any given time during operating hours. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. -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 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. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support:The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/10/2024 Number Present: 71 Completed Date: 7/10/2024 Age: From 0 To 12 Total Minutes: 395 Time In: 09:30 AM Time Out: 12:25 PM Time In: 01:20 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess 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 with rated license assessment, including health and safety. The visit was conducted with you, Karen Tipton, Administrator. Sulamy Montaner, owner, was also present. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of July 10, 2024. This program currently operates with a Five star rated license effective April 26, 2018. The program’s compliance history was 85 percent prior to today’s visit. 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. A checklist was used to note the requirements monitored today. Infants and staff in space #1 were observed during nap and free play activities on the floor. During the walkthrough of the facility, children and staff were observed during free play activities indoors, gross motor activities outdoors, diapering routines, handwashing routines, and lunch. The most recent sanitation inspection for your facility was conducted on February 15, 2024. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on January 5, 2024. The most recent lead water testing results were completed on December 18, 2023. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you on July 12, 2024. The following violations were observed: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 5/14/2024 did not include the time the parent was notified of the injury. Two incident reports dated 4/16/2024 and 5/9/2024 did not include a description of the first aid given to the child. .0802 (e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 11/10/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 2/20/2024. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 24, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Recognizing and Responding to Suspicions of Child Maltreatment training- New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested that staff complete Recognizing and Responding to Suspicions of Child Maltreatment training during the first two weeks of employment, in conjunction with new staff orientation. Incident Reports- I suggested that you review child care requirements pertaining to incident reports with all staff. I suggested that you review all incident reports once received to ensure all required information is obtained. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Rated License Reassessment: -During today’s visit, we reviewed the results of the Environment Rating Scales. I reviewed each low scoring item on the Environment Rating Scale Facility Summary Report with you. Items that could have been cited as violations of child care requirements if observed by a representative of the Division of Child Development and Early Education were also reviewed and provided technical assistance. You had an opportunity to state corrections. The ECERS-R assessment was completed on 6/4/2024 and you received a score of 5.03. The SACERS-U assessment was completed on 6/4/2024 and you received a score of 6.2. The ITERS-R assessment was completed on 6/5/2024 and you received a score of 4.83. The overall average score was 5.35. We discussed possibly requesting the ITERS-R assessment again. I requested that you follow up with me regarding your decision to move forward. -A review of staff education in WORKS was completed. Several staff members need to complete their WORKS account and add education. I reviewed potential staff education points with you. -You stated you may decide to move forward with the facilities star rated license reassessment depending on staff education points. I requested that you have staff update their WORKS account as soon as possible and notify me once completed to complete a final evaluation of staff education. Consultation: We discussed the following during the visit: -You may visit http://www.cleanwaterforuskids.org/carolina to check the status of required asbestos and lead paint testing. During today’s visit, the website indicated “survey review by RTI.” -Check for warning labels that may be listed on glue sticks and glue bottles to ensure the product is appropriate and safe for the ages of children in the classroom. -I suggested that you complete your annual aquatics policy review with applicable staff at the beginning of summer, prior to aquatics activities, rather than in September. -Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -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 at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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

NC GS 110-90 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 66 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 220 Time In: 09:40 AM Time Out: 01:20 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 your program for compliance with applicable child care requirements. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, ITS-SIDS training, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Sulamy Montaner, Owner, and Karen Tipton, Administrator. You provided me with applicable program and staff records for review. Your program currently operates with a Five Star License effective April 26, 2018. The center's compliance history was reviewed with the operator. The program’s compliance history was 80% prior to today’s visit. 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 NC Secretary of State website was reviewed before the visit and Precious Times Learning Center, Inc. was listed as current/active on January 30, 2024. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Staff and children were observed during free play activities indoors and gross motor activities outdoors. Infants were observed in space #1 asleep in their crib, playing on the floor with toys, and being fed baby food with three staff. The most recent sanitation inspection for your facility was conducted on October 30, 2023. A Superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on January 5, 2024. You stated three new staff are currently employed since your most recent annual compliance visit conducted on July 17, 2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit. Violations and technical assistance were thoroughly reviewed with you and documented on the Visit Summary given to you at the conclusion of the visit. Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3a, the pharmacy label for one prescription medication Mupirocin ointment indicated to administer "for seven days" and was written for 9/28/2023. This prescription medication was not returned to the parent within the required timeframe. .0803(12) 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. In space #3a, the classroom for children two years of age, one plastic package of wipes with suffocation warnings was observed in the bathroom attached to the classroom on a shelf beside the toilet accessible to children. .0604(q) 1898 Staff did not complete the health and safety training within one year of employment. One staff employed on 12/19/2022 did not complete health and safety trainings until 1/18/2024. .1102(a) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by February 15, 2024. Please send your compliance letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: General Safety- -Staff moved the plastic package of wipes to a shelf above five feet from the floor during the visit. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I recommended that you monitor all classrooms for children under three years of age to ensure plastic grocery bags, plastic packaging, small toys, small art supplies, and other potential choking hazards are inaccessible to children or removed from the classroom. Medication- -I recommended that you monitor all medications at least monthly to ensure the medication has not expired and the authorization from the parent is on file and has not expired. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Health and Safety Training- -New staff must complete all required health and safety training within one year of employment. I recommended having all new staff complete required health and safety training within the first six months of employment to ensure completion of training within the required timeframe. Rated License Reassessment: To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort one. The preparation year for cohort one began July 1, 2023. The reassessment year will be July 1, 2024, through June 30, 2025. An email was sent to you on July 7, 2023, with information and guidance to help you prepare. We reviewed the tasks and activities listed within this email during today’s visit. We discussed your interest in possibly ordering the Environment Rating Scale during the preparation year. I requested that you follow-up with me regarding your decision within the next two weeks. Consultation (the following items reviewed were in compliance today): -Enhancing your cozy area with additional soft materials. -Storage of blankets on cots. -Living things (plants and animals) -Individual expression artwork displayed in classrooms. -Emergency exits cleared to provide direct path for exiting the building. -Weather Watch Chart -Staff must model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. We discussed options for staff beverages in the classroom. -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -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 at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .0302 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 85 Completed Date: 7/17/2023 Age: From 0 To 11 Total Minutes: 260 Time In: 08:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements. The visit was conducted with you, Sulamy Montaner, Owner. You provided me with applicable program and children's records for review. Karen Tipton, Administrator, was off-site with school-age children on a field trip. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted on July 17, 2023, therefore, an announced follow-up visit will be conducted within five business days to review staff files, health and safety trainings, and transportation requirements. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of July 14, 2023. This program currently operates with a Five star rated license effective April 26, 2018. The program's compliance history was 80 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, gross motor activities outdoors, and handwashing routines. Infants in space #1 were observed during tummy time activities, playing on the floor with toys, and eating breakfast with caregivers actively involved. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on January 27, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. Due to connectivity issues during the visit, the computer-generated Visit Summary was emailed to you after the visit was conducted on July 17, 2023. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in space #3a and space #3b were dated 6/19/2023-6/23/2023. GS 110-91(12); .0508(a) 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. In space #3b, two aerosol cans of Lysol disinfectant spray and one aerosol can of Febreeze air freshener were observed in an unlocked cabinet. In space #6, one aerosol can of Lysol disinfectant spray and one bottle of Lysol toilet bowl cleaner were observed in an unlocked cabinet in the bathroom. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3b, the permission form for one child's A&D diaper rash cream expired on May 23, 2023. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 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. The immunization record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place drill recorded on the Emergency Drill Log was dated 3/20/2023. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 2/6/2023 did not completed Recognizing and Responding to Suspicions of Child Maltreatment training until 5/23/2023. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 31, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Storage of Hazardous Products- -Staff locked both cabinets containing hazardous products during the visit. I reminded you that all hazardous products must be kept in locked storage regardless of the room being utilized or not. I recommended that you review this requirement with staff to lock all cabinets containing hazardous products after each time the cabinet is opened and to monitor all spaces throughout the day to ensure these cabinets remain locked. Medication Authorization- -Leftover medicines must be returned to the parent within 72 hours after the course of treatment is completed, after authorization is withdrawn or after authorization expires. I recommended that you check all medications at least monthly to ensure the permission form is still current and that the medication has not expired. Activity Plans- -A current activity plan must be posted for each group of children for reference. I recommended that you monitor each classroom every Monday morning to ensure the current activity plan is posted. Emergency Drills- -Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be conducted by July 31, 2023. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Children's Medical Exam and Immunization Records- -The child's medical exam and immunization records must be on file within 30 days of enrollment. I recommended that you request this documentation prior to the child’s first day of enrollment. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort one. The preparation year for cohort one begins July 1, 2023. The reassessment year will be July 1, 2024, through June 30, 2025. Consultation: We discussed the following during the visit: -We reviewed child care requirement 10A NCAC 09 .1005 regarding off-premise activities in child care centers. -We reviewed screen time requirements for school age children. Child care requirement 10A NCAC 09 .2508(e) states when screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. -I reminded you that child safety latches are not approved locking devices. I recommended that you review this with staff. -We discussed storage of plastic grocery bags with safety warnings. Choking hazards including plastic grocery bags must be kept in locked storage (a child safety latch is not an approved locking device) or out of reach of children (a vertical distance of five feet or higher from the floor). -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -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 at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .1005 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 85 Completed Date: 7/17/2023 Age: From 0 To 11 Total Minutes: 260 Time In: 08:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements. The visit was conducted with you, Sulamy Montaner, Owner. You provided me with applicable program and children's records for review. Karen Tipton, Administrator, was off-site with school-age children on a field trip. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted on July 17, 2023, therefore, an announced follow-up visit will be conducted within five business days to review staff files, health and safety trainings, and transportation requirements. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of July 14, 2023. This program currently operates with a Five star rated license effective April 26, 2018. The program's compliance history was 80 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, gross motor activities outdoors, and handwashing routines. Infants in space #1 were observed during tummy time activities, playing on the floor with toys, and eating breakfast with caregivers actively involved. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on January 27, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. Due to connectivity issues during the visit, the computer-generated Visit Summary was emailed to you after the visit was conducted on July 17, 2023. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in space #3a and space #3b were dated 6/19/2023-6/23/2023. GS 110-91(12); .0508(a) 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. In space #3b, two aerosol cans of Lysol disinfectant spray and one aerosol can of Febreeze air freshener were observed in an unlocked cabinet. In space #6, one aerosol can of Lysol disinfectant spray and one bottle of Lysol toilet bowl cleaner were observed in an unlocked cabinet in the bathroom. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3b, the permission form for one child's A&D diaper rash cream expired on May 23, 2023. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 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. The immunization record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place drill recorded on the Emergency Drill Log was dated 3/20/2023. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 2/6/2023 did not completed Recognizing and Responding to Suspicions of Child Maltreatment training until 5/23/2023. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 31, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Storage of Hazardous Products- -Staff locked both cabinets containing hazardous products during the visit. I reminded you that all hazardous products must be kept in locked storage regardless of the room being utilized or not. I recommended that you review this requirement with staff to lock all cabinets containing hazardous products after each time the cabinet is opened and to monitor all spaces throughout the day to ensure these cabinets remain locked. Medication Authorization- -Leftover medicines must be returned to the parent within 72 hours after the course of treatment is completed, after authorization is withdrawn or after authorization expires. I recommended that you check all medications at least monthly to ensure the permission form is still current and that the medication has not expired. Activity Plans- -A current activity plan must be posted for each group of children for reference. I recommended that you monitor each classroom every Monday morning to ensure the current activity plan is posted. Emergency Drills- -Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be conducted by July 31, 2023. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Children's Medical Exam and Immunization Records- -The child's medical exam and immunization records must be on file within 30 days of enrollment. I recommended that you request this documentation prior to the child’s first day of enrollment. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort one. The preparation year for cohort one begins July 1, 2023. The reassessment year will be July 1, 2024, through June 30, 2025. Consultation: We discussed the following during the visit: -We reviewed child care requirement 10A NCAC 09 .1005 regarding off-premise activities in child care centers. -We reviewed screen time requirements for school age children. Child care requirement 10A NCAC 09 .2508(e) states when screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. -I reminded you that child safety latches are not approved locking devices. I recommended that you review this with staff. -We discussed storage of plastic grocery bags with safety warnings. Choking hazards including plastic grocery bags must be kept in locked storage (a child safety latch is not an approved locking device) or out of reach of children (a vertical distance of five feet or higher from the floor). -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -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 at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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 .2508 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 85 Completed Date: 7/17/2023 Age: From 0 To 11 Total Minutes: 260 Time In: 08:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements. The visit was conducted with you, Sulamy Montaner, Owner. You provided me with applicable program and children's records for review. Karen Tipton, Administrator, was off-site with school-age children on a field trip. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted on July 17, 2023, therefore, an announced follow-up visit will be conducted within five business days to review staff files, health and safety trainings, and transportation requirements. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of July 14, 2023. This program currently operates with a Five star rated license effective April 26, 2018. The program's compliance history was 80 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, gross motor activities outdoors, and handwashing routines. Infants in space #1 were observed during tummy time activities, playing on the floor with toys, and eating breakfast with caregivers actively involved. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on January 27, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. Due to connectivity issues during the visit, the computer-generated Visit Summary was emailed to you after the visit was conducted on July 17, 2023. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in space #3a and space #3b were dated 6/19/2023-6/23/2023. GS 110-91(12); .0508(a) 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. In space #3b, two aerosol cans of Lysol disinfectant spray and one aerosol can of Febreeze air freshener were observed in an unlocked cabinet. In space #6, one aerosol can of Lysol disinfectant spray and one bottle of Lysol toilet bowl cleaner were observed in an unlocked cabinet in the bathroom. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3b, the permission form for one child's A&D diaper rash cream expired on May 23, 2023. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 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. The immunization record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place drill recorded on the Emergency Drill Log was dated 3/20/2023. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 2/6/2023 did not completed Recognizing and Responding to Suspicions of Child Maltreatment training until 5/23/2023. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 31, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Storage of Hazardous Products- -Staff locked both cabinets containing hazardous products during the visit. I reminded you that all hazardous products must be kept in locked storage regardless of the room being utilized or not. I recommended that you review this requirement with staff to lock all cabinets containing hazardous products after each time the cabinet is opened and to monitor all spaces throughout the day to ensure these cabinets remain locked. Medication Authorization- -Leftover medicines must be returned to the parent within 72 hours after the course of treatment is completed, after authorization is withdrawn or after authorization expires. I recommended that you check all medications at least monthly to ensure the permission form is still current and that the medication has not expired. Activity Plans- -A current activity plan must be posted for each group of children for reference. I recommended that you monitor each classroom every Monday morning to ensure the current activity plan is posted. Emergency Drills- -Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be conducted by July 31, 2023. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Children's Medical Exam and Immunization Records- -The child's medical exam and immunization records must be on file within 30 days of enrollment. I recommended that you request this documentation prior to the child’s first day of enrollment. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort one. The preparation year for cohort one begins July 1, 2023. The reassessment year will be July 1, 2024, through June 30, 2025. Consultation: We discussed the following during the visit: -We reviewed child care requirement 10A NCAC 09 .1005 regarding off-premise activities in child care centers. -We reviewed screen time requirements for school age children. Child care requirement 10A NCAC 09 .2508(e) states when screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. -I reminded you that child safety latches are not approved locking devices. I recommended that you review this with staff. -We discussed storage of plastic grocery bags with safety warnings. Choking hazards including plastic grocery bags must be kept in locked storage (a child safety latch is not an approved locking device) or out of reach of children (a vertical distance of five feet or higher from the floor). -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -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 at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 85 Completed Date: 7/17/2023 Age: From 0 To 11 Total Minutes: 260 Time In: 08:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements. The visit was conducted with you, Sulamy Montaner, Owner. You provided me with applicable program and children's records for review. Karen Tipton, Administrator, was off-site with school-age children on a field trip. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted on July 17, 2023, therefore, an announced follow-up visit will be conducted within five business days to review staff files, health and safety trainings, and transportation requirements. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of July 14, 2023. This program currently operates with a Five star rated license effective April 26, 2018. The program's compliance history was 80 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, gross motor activities outdoors, and handwashing routines. Infants in space #1 were observed during tummy time activities, playing on the floor with toys, and eating breakfast with caregivers actively involved. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on January 27, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. Due to connectivity issues during the visit, the computer-generated Visit Summary was emailed to you after the visit was conducted on July 17, 2023. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in space #3a and space #3b were dated 6/19/2023-6/23/2023. GS 110-91(12); .0508(a) 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. In space #3b, two aerosol cans of Lysol disinfectant spray and one aerosol can of Febreeze air freshener were observed in an unlocked cabinet. In space #6, one aerosol can of Lysol disinfectant spray and one bottle of Lysol toilet bowl cleaner were observed in an unlocked cabinet in the bathroom. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3b, the permission form for one child's A&D diaper rash cream expired on May 23, 2023. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 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. The immunization record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place drill recorded on the Emergency Drill Log was dated 3/20/2023. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 2/6/2023 did not completed Recognizing and Responding to Suspicions of Child Maltreatment training until 5/23/2023. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 31, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Storage of Hazardous Products- -Staff locked both cabinets containing hazardous products during the visit. I reminded you that all hazardous products must be kept in locked storage regardless of the room being utilized or not. I recommended that you review this requirement with staff to lock all cabinets containing hazardous products after each time the cabinet is opened and to monitor all spaces throughout the day to ensure these cabinets remain locked. Medication Authorization- -Leftover medicines must be returned to the parent within 72 hours after the course of treatment is completed, after authorization is withdrawn or after authorization expires. I recommended that you check all medications at least monthly to ensure the permission form is still current and that the medication has not expired. Activity Plans- -A current activity plan must be posted for each group of children for reference. I recommended that you monitor each classroom every Monday morning to ensure the current activity plan is posted. Emergency Drills- -Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be conducted by July 31, 2023. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Children's Medical Exam and Immunization Records- -The child's medical exam and immunization records must be on file within 30 days of enrollment. I recommended that you request this documentation prior to the child’s first day of enrollment. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort one. The preparation year for cohort one begins July 1, 2023. The reassessment year will be July 1, 2024, through June 30, 2025. Consultation: We discussed the following during the visit: -We reviewed child care requirement 10A NCAC 09 .1005 regarding off-premise activities in child care centers. -We reviewed screen time requirements for school age children. Child care requirement 10A NCAC 09 .2508(e) states when screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. -I reminded you that child safety latches are not approved locking devices. I recommended that you review this with staff. -We discussed storage of plastic grocery bags with safety warnings. Choking hazards including plastic grocery bags must be kept in locked storage (a child safety latch is not an approved locking device) or out of reach of children (a vertical distance of five feet or higher from the floor). -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -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 at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 85 Completed Date: 7/17/2023 Age: From 0 To 11 Total Minutes: 260 Time In: 08:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements. The visit was conducted with you, Sulamy Montaner, Owner. You provided me with applicable program and children's records for review. Karen Tipton, Administrator, was off-site with school-age children on a field trip. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted on July 17, 2023, therefore, an announced follow-up visit will be conducted within five business days to review staff files, health and safety trainings, and transportation requirements. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of July 14, 2023. This program currently operates with a Five star rated license effective April 26, 2018. The program's compliance history was 80 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, gross motor activities outdoors, and handwashing routines. Infants in space #1 were observed during tummy time activities, playing on the floor with toys, and eating breakfast with caregivers actively involved. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on January 27, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. Due to connectivity issues during the visit, the computer-generated Visit Summary was emailed to you after the visit was conducted on July 17, 2023. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in space #3a and space #3b were dated 6/19/2023-6/23/2023. GS 110-91(12); .0508(a) 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. In space #3b, two aerosol cans of Lysol disinfectant spray and one aerosol can of Febreeze air freshener were observed in an unlocked cabinet. In space #6, one aerosol can of Lysol disinfectant spray and one bottle of Lysol toilet bowl cleaner were observed in an unlocked cabinet in the bathroom. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3b, the permission form for one child's A&D diaper rash cream expired on May 23, 2023. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 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. The immunization record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place drill recorded on the Emergency Drill Log was dated 3/20/2023. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 2/6/2023 did not completed Recognizing and Responding to Suspicions of Child Maltreatment training until 5/23/2023. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 31, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Storage of Hazardous Products- -Staff locked both cabinets containing hazardous products during the visit. I reminded you that all hazardous products must be kept in locked storage regardless of the room being utilized or not. I recommended that you review this requirement with staff to lock all cabinets containing hazardous products after each time the cabinet is opened and to monitor all spaces throughout the day to ensure these cabinets remain locked. Medication Authorization- -Leftover medicines must be returned to the parent within 72 hours after the course of treatment is completed, after authorization is withdrawn or after authorization expires. I recommended that you check all medications at least monthly to ensure the permission form is still current and that the medication has not expired. Activity Plans- -A current activity plan must be posted for each group of children for reference. I recommended that you monitor each classroom every Monday morning to ensure the current activity plan is posted. Emergency Drills- -Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be conducted by July 31, 2023. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Children's Medical Exam and Immunization Records- -The child's medical exam and immunization records must be on file within 30 days of enrollment. I recommended that you request this documentation prior to the child’s first day of enrollment. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort one. The preparation year for cohort one begins July 1, 2023. The reassessment year will be July 1, 2024, through June 30, 2025. Consultation: We discussed the following during the visit: -We reviewed child care requirement 10A NCAC 09 .1005 regarding off-premise activities in child care centers. -We reviewed screen time requirements for school age children. Child care requirement 10A NCAC 09 .2508(e) states when screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. -I reminded you that child safety latches are not approved locking devices. I recommended that you review this with staff. -We discussed storage of plastic grocery bags with safety warnings. Choking hazards including plastic grocery bags must be kept in locked storage (a child safety latch is not an approved locking device) or out of reach of children (a vertical distance of five feet or higher from the floor). -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -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 at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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

NC GS 110-90 · Violation

Name of Operation: PRECIOUS TIMES LEARNING CENTER, INC. Facility ID: 55000120 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/17/2023 Number Present: 85 Completed Date: 7/17/2023 Age: From 0 To 11 Total Minutes: 260 Time In: 08:45 AM Time Out: 01:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements. The visit was conducted with you, Sulamy Montaner, Owner. You provided me with applicable program and children's records for review. Karen Tipton, Administrator, was off-site with school-age children on a field trip. The Staff and Training Worksheets were not completed nor available during the annual compliance visit conducted on July 17, 2023, therefore, an announced follow-up visit will be conducted within five business days to review staff files, health and safety trainings, and transportation requirements. The North Carolina Secretary of State website was viewed before the visit and Precious Times Learning Center, Inc. was current/active as of July 14, 2023. This program currently operates with a Five star rated license effective April 26, 2018. The program's compliance history was 80 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors, gross motor activities outdoors, and handwashing routines. Infants in space #1 were observed during tummy time activities, playing on the floor with toys, and eating breakfast with caregivers actively involved. The most recent sanitation inspection for your facility was conducted on April 11, 2023. A superior sanitation classification was issued with 0 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on January 27, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. Due to connectivity issues during the visit, the computer-generated Visit Summary was emailed to you after the visit was conducted on July 17, 2023. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in space #3a and space #3b were dated 6/19/2023-6/23/2023. GS 110-91(12); .0508(a) 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. In space #3b, two aerosol cans of Lysol disinfectant spray and one aerosol can of Febreeze air freshener were observed in an unlocked cabinet. In space #6, one aerosol can of Lysol disinfectant spray and one bottle of Lysol toilet bowl cleaner were observed in an unlocked cabinet in the bathroom. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3b, the permission form for one child's A&D diaper rash cream expired on May 23, 2023. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical exam record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 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. The immunization record for one child enrolled on 1/30/2023 was not printed by the medical facility until 3/9/2023. 10A NCAC 09 .0302(d)(2) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The most recent shelter-in-place drill recorded on the Emergency Drill Log was dated 3/20/2023. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on 2/6/2023 did not completed Recognizing and Responding to Suspicions of Child Maltreatment training until 5/23/2023. .1102(g) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 31, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Storage of Hazardous Products- -Staff locked both cabinets containing hazardous products during the visit. I reminded you that all hazardous products must be kept in locked storage regardless of the room being utilized or not. I recommended that you review this requirement with staff to lock all cabinets containing hazardous products after each time the cabinet is opened and to monitor all spaces throughout the day to ensure these cabinets remain locked. Medication Authorization- -Leftover medicines must be returned to the parent within 72 hours after the course of treatment is completed, after authorization is withdrawn or after authorization expires. I recommended that you check all medications at least monthly to ensure the permission form is still current and that the medication has not expired. Activity Plans- -A current activity plan must be posted for each group of children for reference. I recommended that you monitor each classroom every Monday morning to ensure the current activity plan is posted. Emergency Drills- -Shelter-in-place or lockdown drills must be practiced within every three months. A shelter-in-place or lockdown drill must be conducted by July 31, 2023. Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Children's Medical Exam and Immunization Records- -The child's medical exam and immunization records must be on file within 30 days of enrollment. I recommended that you request this documentation prior to the child’s first day of enrollment. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. Your facility is in cohort one. The preparation year for cohort one begins July 1, 2023. The reassessment year will be July 1, 2024, through June 30, 2025. Consultation: We discussed the following during the visit: -We reviewed child care requirement 10A NCAC 09 .1005 regarding off-premise activities in child care centers. -We reviewed screen time requirements for school age children. Child care requirement 10A NCAC 09 .2508(e) states when screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. -I reminded you that child safety latches are not approved locking devices. I recommended that you review this with staff. -We discussed storage of plastic grocery bags with safety warnings. Choking hazards including plastic grocery bags must be kept in locked storage (a child safety latch is not an approved locking device) or out of reach of children (a vertical distance of five feet or higher from the floor). -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -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 at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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