10A NCAC 09 .1705 · Violation

Name of Operation: LITTLE GEMS DAYCARE Facility ID: 79000283 Consultant: KELLY HEALY Operation Type: Family CC Home Case Number: Visit Date: 8/13/2024 Number Present: 1 Completed Date: 8/13/2024 Age: From 1 To 1 Total Minutes: 90 Time In: 09:30 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care home today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Myra King, Operator. This program currently operates with a Four Star license. Restrictions include first and second shift, max five preschoolers, serves no more than two infants. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 08/01/2023. The program’s compliance history was 96% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. Ms. King is following her capacity and enrollment restrictions and the license is posted. Ms. King was visually supervising the children during the visit. During the visit I observed children taking a nap. The last annual compliance visit was conducted on 11-20-2023. A fire drill was documented on 08-09-2024. Ms. King will have to do another tornado drill now that she has reopened. An outdoor inspection was documented on 08-09-2024. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. This program does not provide transportation. I have asked Ms. King who lives in this home and have recorded her answer on the Verification of Required Information Form with her signature. I documented the following violations during today’s visit: Violation Number Comment Rule 908 Health questionnaire was not completed annually. .1703(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Ms. King lacks one hour of the number of hours she is required to have each year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) I have asked Ms. King to send me written documentation by August 27, 2024 indicating that the violations that were documented today have been corrected. I have asked her to include the center name and license number in her documentation, each violation number and how each was corrected, and to both sign and date the document. The document may be mailed or emailed to me at the address below. I have reminded Ms. King that if the documentation indicates that corrections have been made when they have not, this may be considered falsification of information and an Administrative Action may be recommended. In addition, repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date indicated in this visit summary could lead to the recommendation of an Administrative Action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: Ms. King said she would take one hour of training in the next two weeks. Ms. King filled out the Health Questionnaire during the visit. Consultation: Ms. King will be closed the week of August 26. Ms. King will need to change the Written Plan of Care in each child’s file, as she no longer goes anywhere and does not leave the children in the care of someone else. I have reviewed this visit summary with Ms. King at the conclusion of the visit and a copy was given to her. I have appreciated Ms. King’s time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: LITTLE GEMS DAYCARE Facility ID: 79000283 Consultant: KELLY HEALY Operation Type: Family CC Home Case Number: Visit Date: 8/13/2024 Number Present: 1 Completed Date: 8/13/2024 Age: From 1 To 1 Total Minutes: 90 Time In: 09:30 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care home today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Myra King, Operator. This program currently operates with a Four Star license. Restrictions include first and second shift, max five preschoolers, serves no more than two infants. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 08/01/2023. The program’s compliance history was 96% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. Ms. King is following her capacity and enrollment restrictions and the license is posted. Ms. King was visually supervising the children during the visit. During the visit I observed children taking a nap. The last annual compliance visit was conducted on 11-20-2023. A fire drill was documented on 08-09-2024. Ms. King will have to do another tornado drill now that she has reopened. An outdoor inspection was documented on 08-09-2024. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. This program does not provide transportation. I have asked Ms. King who lives in this home and have recorded her answer on the Verification of Required Information Form with her signature. I documented the following violations during today’s visit: Violation Number Comment Rule 908 Health questionnaire was not completed annually. .1703(a)(1) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Ms. King lacks one hour of the number of hours she is required to have each year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) I have asked Ms. King to send me written documentation by August 27, 2024 indicating that the violations that were documented today have been corrected. I have asked her to include the center name and license number in her documentation, each violation number and how each was corrected, and to both sign and date the document. The document may be mailed or emailed to me at the address below. I have reminded Ms. King that if the documentation indicates that corrections have been made when they have not, this may be considered falsification of information and an Administrative Action may be recommended. In addition, repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date indicated in this visit summary could lead to the recommendation of an Administrative Action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: Ms. King said she would take one hour of training in the next two weeks. Ms. King filled out the Health Questionnaire during the visit. Consultation: Ms. King will be closed the week of August 26. Ms. King will need to change the Written Plan of Care in each child’s file, as she no longer goes anywhere and does not leave the children in the care of someone else. I have reviewed this visit summary with Ms. King at the conclusion of the visit and a copy was given to her. I have appreciated Ms. King’s time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: LITTLE GEMS DAYCARE Facility ID: 79000283 Consultant: KELLY HEALY Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 1 To 3 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care home today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Myra King, Operator. This program currently operates with a Four Star license. Restrictions include first and second shift, max five preschoolers, serves no more than two infants. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 08/01/2023. The program’s compliance history was 93% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. Ms. King is following her capacity and enrollment restrictions and the license is posted. Ms. King was visually supervising the children during the visit. During the visit I observed children playing with toys and interacting with Ms. King. The last annual compliance visit was conducted on 02-08-2023. A fire drill was documented on 10-16-2023. A shelter in place drill was documented on 10-16-2023. An outdoor inspection was documented on 10-16-2023. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. This program does not provide transportation. I have asked Ms. King who lives in this home and have recorded her answer on the Verification of Required Information Form with her signature. I documented the following violations during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child's medical report was not on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. The signed discipline policy was not on file for two children. G.S.110-91(10); .1727(a)&(b) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. Ms. King has not taken Child Maltreatment in the last five years. Her last class was 6-27-2018. .1703(a)(5) I have asked Ms. King to send me written documentation by December 4, 2023 indicating that the violations that were documented today have been corrected. I have asked her to include the center name and license number in her documentation, each violation number and how each was corrected, and to both sign and date the document. The document may be mailed or emailed to me at the address below. I have reminded Ms. King that if the documentation indicates that corrections have been made when they have not, this may be considered falsification of information and an Administrative Action may be recommended. In addition, repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date indicated in this visit summary could lead to the recommendation of an Administrative Action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: I have given Ms. King the website for the Child Maltreatment training. I have reviewed this visit summary with Ms. King at the conclusion of the visit and a copy was given to her. I have appreciated Ms. King’s time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S.110-91 · Violation

Name of Operation: LITTLE GEMS DAYCARE Facility ID: 79000283 Consultant: KELLY HEALY Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 1 To 3 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care home today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Myra King, Operator. This program currently operates with a Four Star license. Restrictions include first and second shift, max five preschoolers, serves no more than two infants. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 08/01/2023. The program’s compliance history was 93% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. Ms. King is following her capacity and enrollment restrictions and the license is posted. Ms. King was visually supervising the children during the visit. During the visit I observed children playing with toys and interacting with Ms. King. The last annual compliance visit was conducted on 02-08-2023. A fire drill was documented on 10-16-2023. A shelter in place drill was documented on 10-16-2023. An outdoor inspection was documented on 10-16-2023. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. This program does not provide transportation. I have asked Ms. King who lives in this home and have recorded her answer on the Verification of Required Information Form with her signature. I documented the following violations during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child's medical report was not on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. The signed discipline policy was not on file for two children. G.S.110-91(10); .1727(a)&(b) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. Ms. King has not taken Child Maltreatment in the last five years. Her last class was 6-27-2018. .1703(a)(5) I have asked Ms. King to send me written documentation by December 4, 2023 indicating that the violations that were documented today have been corrected. I have asked her to include the center name and license number in her documentation, each violation number and how each was corrected, and to both sign and date the document. The document may be mailed or emailed to me at the address below. I have reminded Ms. King that if the documentation indicates that corrections have been made when they have not, this may be considered falsification of information and an Administrative Action may be recommended. In addition, repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date indicated in this visit summary could lead to the recommendation of an Administrative Action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: I have given Ms. King the website for the Child Maltreatment training. I have reviewed this visit summary with Ms. King at the conclusion of the visit and a copy was given to her. I have appreciated Ms. King’s time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: LITTLE GEMS DAYCARE Facility ID: 79000283 Consultant: KELLY HEALY Operation Type: Family CC Home Case Number: Visit Date: 11/20/2023 Number Present: 3 Completed Date: 11/20/2023 Age: From 1 To 3 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced visit was conducted at this child care home today to monitor compliance with all applicable childcare requirements. This visit was conducted with Ms. Myra King, Operator. This program currently operates with a Four Star license. Restrictions include first and second shift, max five preschoolers, serves no more than two infants. The license was posted and the restrictions were being followed. The NC Secretary of State website was reviewed on 08/01/2023. The program’s compliance history was 93% prior to today’s visit. Programs are required to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. I have observed indoor and outdoor areas today. Ms. King is following her capacity and enrollment restrictions and the license is posted. Ms. King was visually supervising the children during the visit. During the visit I observed children playing with toys and interacting with Ms. King. The last annual compliance visit was conducted on 02-08-2023. A fire drill was documented on 10-16-2023. A shelter in place drill was documented on 10-16-2023. An outdoor inspection was documented on 10-16-2023. I observed program records and posted items today. I observed staff and children’s records today according to DCDEE procedures. I observed the storage of hazardous items and cleaning supplies. I observed both the storage of medications and the administration of medication paperwork. This program does not provide transportation. I have asked Ms. King who lives in this home and have recorded her answer on the Verification of Required Information Form with her signature. I documented the following violations during today’s visit: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One child's medical report was not on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. The signed discipline policy was not on file for two children. G.S.110-91(10); .1727(a)&(b) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. Ms. King has not taken Child Maltreatment in the last five years. Her last class was 6-27-2018. .1703(a)(5) I have asked Ms. King to send me written documentation by December 4, 2023 indicating that the violations that were documented today have been corrected. I have asked her to include the center name and license number in her documentation, each violation number and how each was corrected, and to both sign and date the document. The document may be mailed or emailed to me at the address below. I have reminded Ms. King that if the documentation indicates that corrections have been made when they have not, this may be considered falsification of information and an Administrative Action may be recommended. In addition, repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date indicated in this visit summary could lead to the recommendation of an Administrative Action. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. I provided the following Technical Assistance during today’s visit: I have given Ms. King the website for the Child Maltreatment training. I have reviewed this visit summary with Ms. King at the conclusion of the visit and a copy was given to her. I have appreciated Ms. King’s time and assistance with this visit and have encouraged her to contact me if she has any questions at 336-317-5601. Kelly Healy PO Box 20423 Winston – Salem, NC 27120 kelly.healy@dhhs.nc.gov My supervisor, Ms. Pamela Hauser, can be reached at Pamela.Hauser@dhhs.nc.gov. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times