Tutor Time Child Care/ Learning Center

NC GS 110-90 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 5/15/2026 Number Present: 65 Completed Date: 5/15/2026 Age: From 0 To 5 Total Minutes: 270 Time In: 08:45 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for the annual compliance visit. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 89%. The last annual compliance visit was conducted June 2, 2025. Secretary of State was reviewed May 13, 2026, and Tutor Time Learning Centers, LLC is listed as current-active. Upon arrival, I was greeted by Terri Long, Teacher and Alison Simmons, Director. Colleen Quinn, Assistant Director also was present today. I stated the purpose for my visit and reviewed the items I would monitor today with Ms. Simmons. I monitored the facility’s bulletin board for items required to be posted and found in compliance. The last Sanitation Inspection was completed February 19, 2026, with a superior rating and ten (10) demerits. The last fire inspection was completed on July 14, 2025. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last EPR plan is dated May 11, 2026. The ready-to-go file was in compliance. Ms. Simmons and Ms. Quinn assisted me with a walk-through of the facility today. All indoor areas , outdoor areas and transportation were monitored. I observed each learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in personal care routines, gross motor activity, outdoor play, teacher directed activities, circle time and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. Nurturing tones were heard when staff spoke with children. There were no discipline concerns. Each group of children were observed in licensed approved space. In the room serving infants twelve months or younger I monitored safe sleep policy and sleep charts. The safe sleep policy was posted and in compliance . Safe Sleep Charts were monitored and found in compliance. In the rooms serving infants, toddlers and twos, I monitored diaper creams and found in compliance. All bottles were labeled and dated. Feeding charts for children in the one-year-old toddler room under 15 months of age were in the children’s files because all children are currently on table food. Ms. Simons pulled them from their files and posted them. The center currently has two (2) child requiring emergency medication. I monitored the medications and required forms and found in compliance. I monitored all classrooms for general safety and storage of hazardous materials and found in compliance. I reviewed staff files using the most current staff and training worksheets. The files for five (5) new staff hired since the last annual compliance visit were reviewed. Ten (10) percent of veteran staff files were reviewed. No violations were cited. The ABCMS roster was provided and found in compliance. I monitored ten (10) percent of children’s files and found in compliance. No violations were cited. The following violations were cited today: Violation Number Comment Rule 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. One (1) double gate between the JK playground and grassy area had a gap of 6 (six) inches between the two gates and a gap of four (4) inches between the gate and the stationary pole. One (1) gate to the side walk from the JK playground had a gap of four (4) inches from the gate to the stationary pole. .0605(g) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under all stationary on three (3) play areas was compacted and did not reach the minimum critical height requirements in the fall zones. .0605(k)(1-4) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 29,2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 DCDEE Website/Provider Documents and Forms I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed reviewing all current documents and forms and consider using our forms for your enrollment process to ensure compliance with most current child care rules. DCDEE forms change with rule changes. The discipline policy, safe sleep policy as well as children's application should be reviewed regularly to ensure compliance with current laws. Reminders Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Outdoor Areas We discussed that the mulch is compacted and does not meet critical height depth required. I reminded you that you only need mulch under the fall zones and that you have a lot of mulch in areas outside of fall zones. I suggest that you consider measuring your fall zones and having the borders closer to the equipment in order to maximize you mulch. The gates located on the JK play area do not meet the required measurements to reduce risk of entrapment. We measured the areas together and you will submit a work order to address this concern. Pathway to the Stars We discussed that you will apply for your new rated license using Pathway 2. Your goal to apply late July, 2026 and you will contact me once you are ready. The current barrier for your center is the required CEU’s. We discussed that you are concerned that staff education requirements will reduce your star rating. You are working with w coach from CCRI and have developed a notebook with all pertinent documents for your pathway. We met with your coach and discussed your questions regarding Pathway 2 on a TEAMS meeting. During that meeting, we discussed accessing all requirements by reviewing the Application for Rated License under the Provider Documents and Forms tab on our website. Choose Pathway 2 and then you can access all needed documents by clicking on the blue highlighted forms. Tobacco Policy We discussed that you will add the word tobacco to your current parent policies. Your facility has a tobacco free sign near the door and the staff policies include the word tobacco as well. Cabinets/Counter Tops and Blinds The facility has new countertops in several rooms. We discussed that the countertop in Space 9 and the cabinets in Spaces 4, 5, 6 and 7 are showing wearing and peeling laminate. The blinds in Space 10 are showing wear and bant in areas. I suggest repairing or replacing these items. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270 or Amy Italiano, Licensing Supervisor at amy.italiano@dhhs.nc.gov or 704-936-6065. 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 .0802 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0326-180L Visit Date: 3/19/2026 Number Present: 64 Completed Date: 3/19/2026 Age: From 0 To 5 Total Minutes: 230 Time In: 09:45 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The facility currently operates with a four-star license, issued August 19, 2019. Upon my arrival, Colleen Quinn, Assistant Director and Alison Simmons, Director and greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons. Ms. Simmons stated that she was aware of an incident which fit the description of the allegations. She provided documentation for me to review in relationship to incident. We discussed the incident report emailed to me March 16, 2026, and the supplemental medical facility information added to the report and emailed to me this morning at 9:31 am. The allegation specific to a room serving children ages two and three years old is as follows: Children were not supervised resulting in an injury to a child. Incident Reports are not being completed and filed correctly During today’s visit, I monitored all classrooms, interviewed two (2) administrators and three (3) staff serving children ages two and three years old. I reviewed emails and documentation to and from Tutor Time Support Central and the NCDCDEE and provider. I reviewed samplings of incident reports and the incident log. I observed name to face sheets, and I monitored the classrooms serving older two-year-olds for general safety including monitoring the furniture for good repair and found in compliance. The center does not have stored video footage. I watched live feed footage of the classes serving two- and three-year-old children. I observed lunch served in the classroom serving younger twos. A teacher is required to sit with children during lunch and I observed this. I observed children in a classroom serving older two-year-olds and younger three-year-olds transitioning to lunch. Ms. Quinn and Ms. Simmons assisted me with the walkthrough. I observed outdoor play, center activities, special activities, diapering, lunch and routines. Finding: Children are not being supervised resulting in injury is not confirmed. Based on records review, observations and staff interviews it was confirmed that children are seen or heard at all times. Staff confirmed and I observed that children are seen and heard during meals. Staff stated that on March 11, 2026, two children ages three (3) and two (2) pushed a rectangular four seat activity table over by leaning against the edge of the table and pushing the table with their backs. This caused the table to flip backwards resulting in both children falling with the table. The teacher stated that children were observed and that the teacher was aware of all the children’s location the incident from a few feet away. The teacher was removing a chair that the children were using to play leapfrog. The teacher assessed that the chair was a risk after the children continued to play leapfrog after being redirected. After the table fell, one child stood and walked away from the table unharmed. The other child hit somewhere on the table resulting in a deep cut to the eyebrow. The teacher stated that she immediately rendered assistance to the child while maintaining supervision of the other children. The Assistant Director walked into the room to deliver supplies immediately following the incident and was able to assist with first aid and supervision of the remaining children. All teachers interviewed stated that at all times children can be seen or heard while playing. The Teacher and Assistant Director stated that a phone in the classroom is located in a way that allows adequate supervision. The teacher stated that a call was placed approximately five (5) minutes before the incident to request paper for a project. The Assistant Director stated that she received call, gathered the supplies and was on the way into the room soon as the incident occurred. All staff interviewed shared that when updating reports on the iPad, they are careful to continue to supervise children. I observed the placement of the classroom phone and found that it is located on a wall next to the bathroom and that supervision could be maintained while using the classroom phone. All staff interviewed stated that personal cell phones are not used at the center Incident Reports are not being completed and filed correctly is confirmed. Based on a sampling review of incident reports, it was determined that on August 19, 2025, an incident report did not include the day and year, the body part injured, medical treatment received and cause of injury. On August 21, 2025, a report did not include medical treatment received, witnesses to the incident, piece of equipment involved, location of incident, and cause of injury. See Technical Assistance provided. There was one (1) violation cited today. 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. On August 19, 2025, an incident report did not include the day and year, the body part injured, medical treatment received and cause of injury. On August 21, 2025, a report did not include medical treatment received, witnesses to the incident, piece of equipment involved, location of incident, and cause of injury. .0802 (e) Compliance Statement Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 2, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the supervision rule below. I observed your procedures for luch supervision and encourage you to continue to train your staff to understand the supervision requirements. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Incident Reports I met with the teacher and administrative staff. We discussed the importance of each line on an incident report. We reviewed an incident report line by line and reviewed the requirements to complete Medical Facility and treatment once received. I suggest that the staff and the parents initial and date the Medical Facility information once added. I reviewed previous technical assistance provided to you by the NCDCDEE and observed that the NCDCDEE provider forms were implemented for use April 15, 2024. Additional technical assistance was provided today regarding documentation of medical facility and treatment received. Please refer to the following rule for more detailed information: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) 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 the parent 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. (f) When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .1801 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0326-180L Visit Date: 3/19/2026 Number Present: 64 Completed Date: 3/19/2026 Age: From 0 To 5 Total Minutes: 230 Time In: 09:45 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The facility currently operates with a four-star license, issued August 19, 2019. Upon my arrival, Colleen Quinn, Assistant Director and Alison Simmons, Director and greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons. Ms. Simmons stated that she was aware of an incident which fit the description of the allegations. She provided documentation for me to review in relationship to incident. We discussed the incident report emailed to me March 16, 2026, and the supplemental medical facility information added to the report and emailed to me this morning at 9:31 am. The allegation specific to a room serving children ages two and three years old is as follows: Children were not supervised resulting in an injury to a child. Incident Reports are not being completed and filed correctly During today’s visit, I monitored all classrooms, interviewed two (2) administrators and three (3) staff serving children ages two and three years old. I reviewed emails and documentation to and from Tutor Time Support Central and the NCDCDEE and provider. I reviewed samplings of incident reports and the incident log. I observed name to face sheets, and I monitored the classrooms serving older two-year-olds for general safety including monitoring the furniture for good repair and found in compliance. The center does not have stored video footage. I watched live feed footage of the classes serving two- and three-year-old children. I observed lunch served in the classroom serving younger twos. A teacher is required to sit with children during lunch and I observed this. I observed children in a classroom serving older two-year-olds and younger three-year-olds transitioning to lunch. Ms. Quinn and Ms. Simmons assisted me with the walkthrough. I observed outdoor play, center activities, special activities, diapering, lunch and routines. Finding: Children are not being supervised resulting in injury is not confirmed. Based on records review, observations and staff interviews it was confirmed that children are seen or heard at all times. Staff confirmed and I observed that children are seen and heard during meals. Staff stated that on March 11, 2026, two children ages three (3) and two (2) pushed a rectangular four seat activity table over by leaning against the edge of the table and pushing the table with their backs. This caused the table to flip backwards resulting in both children falling with the table. The teacher stated that children were observed and that the teacher was aware of all the children’s location the incident from a few feet away. The teacher was removing a chair that the children were using to play leapfrog. The teacher assessed that the chair was a risk after the children continued to play leapfrog after being redirected. After the table fell, one child stood and walked away from the table unharmed. The other child hit somewhere on the table resulting in a deep cut to the eyebrow. The teacher stated that she immediately rendered assistance to the child while maintaining supervision of the other children. The Assistant Director walked into the room to deliver supplies immediately following the incident and was able to assist with first aid and supervision of the remaining children. All teachers interviewed stated that at all times children can be seen or heard while playing. The Teacher and Assistant Director stated that a phone in the classroom is located in a way that allows adequate supervision. The teacher stated that a call was placed approximately five (5) minutes before the incident to request paper for a project. The Assistant Director stated that she received call, gathered the supplies and was on the way into the room soon as the incident occurred. All staff interviewed shared that when updating reports on the iPad, they are careful to continue to supervise children. I observed the placement of the classroom phone and found that it is located on a wall next to the bathroom and that supervision could be maintained while using the classroom phone. All staff interviewed stated that personal cell phones are not used at the center Incident Reports are not being completed and filed correctly is confirmed. Based on a sampling review of incident reports, it was determined that on August 19, 2025, an incident report did not include the day and year, the body part injured, medical treatment received and cause of injury. On August 21, 2025, a report did not include medical treatment received, witnesses to the incident, piece of equipment involved, location of incident, and cause of injury. See Technical Assistance provided. There was one (1) violation cited today. 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. On August 19, 2025, an incident report did not include the day and year, the body part injured, medical treatment received and cause of injury. On August 21, 2025, a report did not include medical treatment received, witnesses to the incident, piece of equipment involved, location of incident, and cause of injury. .0802 (e) Compliance Statement Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 2, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the supervision rule below. I observed your procedures for luch supervision and encourage you to continue to train your staff to understand the supervision requirements. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Incident Reports I met with the teacher and administrative staff. We discussed the importance of each line on an incident report. We reviewed an incident report line by line and reviewed the requirements to complete Medical Facility and treatment once received. I suggest that the staff and the parents initial and date the Medical Facility information once added. I reviewed previous technical assistance provided to you by the NCDCDEE and observed that the NCDCDEE provider forms were implemented for use April 15, 2024. Additional technical assistance was provided today regarding documentation of medical facility and treatment received. Please refer to the following rule for more detailed information: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) 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 the parent 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. (f) When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0326-180L Visit Date: 3/19/2026 Number Present: 64 Completed Date: 3/19/2026 Age: From 0 To 5 Total Minutes: 230 Time In: 09:45 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The facility currently operates with a four-star license, issued August 19, 2019. Upon my arrival, Colleen Quinn, Assistant Director and Alison Simmons, Director and greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons. Ms. Simmons stated that she was aware of an incident which fit the description of the allegations. She provided documentation for me to review in relationship to incident. We discussed the incident report emailed to me March 16, 2026, and the supplemental medical facility information added to the report and emailed to me this morning at 9:31 am. The allegation specific to a room serving children ages two and three years old is as follows: Children were not supervised resulting in an injury to a child. Incident Reports are not being completed and filed correctly During today’s visit, I monitored all classrooms, interviewed two (2) administrators and three (3) staff serving children ages two and three years old. I reviewed emails and documentation to and from Tutor Time Support Central and the NCDCDEE and provider. I reviewed samplings of incident reports and the incident log. I observed name to face sheets, and I monitored the classrooms serving older two-year-olds for general safety including monitoring the furniture for good repair and found in compliance. The center does not have stored video footage. I watched live feed footage of the classes serving two- and three-year-old children. I observed lunch served in the classroom serving younger twos. A teacher is required to sit with children during lunch and I observed this. I observed children in a classroom serving older two-year-olds and younger three-year-olds transitioning to lunch. Ms. Quinn and Ms. Simmons assisted me with the walkthrough. I observed outdoor play, center activities, special activities, diapering, lunch and routines. Finding: Children are not being supervised resulting in injury is not confirmed. Based on records review, observations and staff interviews it was confirmed that children are seen or heard at all times. Staff confirmed and I observed that children are seen and heard during meals. Staff stated that on March 11, 2026, two children ages three (3) and two (2) pushed a rectangular four seat activity table over by leaning against the edge of the table and pushing the table with their backs. This caused the table to flip backwards resulting in both children falling with the table. The teacher stated that children were observed and that the teacher was aware of all the children’s location the incident from a few feet away. The teacher was removing a chair that the children were using to play leapfrog. The teacher assessed that the chair was a risk after the children continued to play leapfrog after being redirected. After the table fell, one child stood and walked away from the table unharmed. The other child hit somewhere on the table resulting in a deep cut to the eyebrow. The teacher stated that she immediately rendered assistance to the child while maintaining supervision of the other children. The Assistant Director walked into the room to deliver supplies immediately following the incident and was able to assist with first aid and supervision of the remaining children. All teachers interviewed stated that at all times children can be seen or heard while playing. The Teacher and Assistant Director stated that a phone in the classroom is located in a way that allows adequate supervision. The teacher stated that a call was placed approximately five (5) minutes before the incident to request paper for a project. The Assistant Director stated that she received call, gathered the supplies and was on the way into the room soon as the incident occurred. All staff interviewed shared that when updating reports on the iPad, they are careful to continue to supervise children. I observed the placement of the classroom phone and found that it is located on a wall next to the bathroom and that supervision could be maintained while using the classroom phone. All staff interviewed stated that personal cell phones are not used at the center Incident Reports are not being completed and filed correctly is confirmed. Based on a sampling review of incident reports, it was determined that on August 19, 2025, an incident report did not include the day and year, the body part injured, medical treatment received and cause of injury. On August 21, 2025, a report did not include medical treatment received, witnesses to the incident, piece of equipment involved, location of incident, and cause of injury. See Technical Assistance provided. There was one (1) violation cited today. 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. On August 19, 2025, an incident report did not include the day and year, the body part injured, medical treatment received and cause of injury. On August 21, 2025, a report did not include medical treatment received, witnesses to the incident, piece of equipment involved, location of incident, and cause of injury. .0802 (e) Compliance Statement Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 2, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the supervision rule below. I observed your procedures for luch supervision and encourage you to continue to train your staff to understand the supervision requirements. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. Incident Reports I met with the teacher and administrative staff. We discussed the importance of each line on an incident report. We reviewed an incident report line by line and reviewed the requirements to complete Medical Facility and treatment once received. I suggest that the staff and the parents initial and date the Medical Facility information once added. I reviewed previous technical assistance provided to you by the NCDCDEE and observed that the NCDCDEE provider forms were implemented for use April 15, 2024. Additional technical assistance was provided today regarding documentation of medical facility and treatment received. Please refer to the following rule for more detailed information: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) 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 the parent 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. (f) When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .0508 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/9/2025 Number Present: 58 Completed Date: 10/9/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 11:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit. A Written Warning (WW) was issued by DCDEE to this facility on August 6, 2025. The compliance history prior to today’s visit is 87 %. The AA was posted as required on the program bulletin board at the entrance of the facility. The AA was received on August 11, 2025. I conducted a phone review of the Written Warning (WW) with Ms. Simmons on August 14, 2025. Upon arrival, Alison Simmons, Director, greeted me. I stated the purpose of my visit. Ms. Simmons assisted me with today’s visit. The following items were monitored today: supervision, staff/child ratio, adequate/approved space, license posted, permit restrictions, general safety, storage of hazardous materials, lesson plans and posted Administrative Action (AA) cover letter. A walk-through of the facility was conducted with Ms. Simmons. Children were observed engaged in free choice of indoor activities, lunch, transitions, personal care routines and rest. Staff were observed supervising and interacting with children during activities, assisting children with personal routines, and transitioning from lunch to rest. Two violations were cited for small parts/plastic and storage of hazardous materials. I observed repairs to lower cabinets and new locks. In Space 7 and Space 9 upper cabinets are beginning to peel and will need to be replaced or repaired soon. Ms. Simmons and I met to review and discussed the Written Warning stipulations, the timelines and the technical assistance included in the general observations section of the visit summary following each stipulation. The following stipulations were reviewed: Stipulation # 1 The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding the care and treatment of children • North Carolina General Statute § 110-91(12) and Child Care Rules 10A NCAC 09 .0508(a) and -.0510(e)(3) regarding developmentally appropriate activities • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision During a walkthrough of the facility today two violations were cited. This stipulation is not met. Stipulation #2 of the Corrective Action Plan (CAP) required the facility to arrange the following training courses through Child Care Resources, Inc: A+ Supervision training and Behavioral Intervention Strategies: You want me to try what? The supervision training is scheduled for September 24, 2025, and the Behavioral Intervention training was completed September 11, 2025, and the attendance roster was submitted to me September 15, 2025. The two staff members who could not attend the Behavioral Intervention training on September 11, 2025, completed the training virtually September 18, 2025. A+ Supervision was completed September 25, 2025, October 3, 2025, and October 4, 2025. All current employees have completed the training. This stipulation is met. Stipulation #3 requires the Director Within two (2) weeks after the required A+ Supervision training is completed, Ms. Simmons shall revise the facility’s supervision policy and procedures to include, in detail, the steps the facility will take to ensure adequate supervision of children. I received the policies October 7, 2025. We reviewed the policies during today’s visit, and I approved the policies pending the edits to include names and titles of staff to contact should concerns regarding supervision occur. Requirements for this stipulation have been met. Stipulation # 4 requires Within two (2) weeks after the required Behavioral Intervention Strategies: You want me to try what? training is completed, Ms. Simmons shall revise the current discipline policy and procedures to include, in detail, the steps the facility will take to ensure appropriate discipline of children. The due date was September 25, 2025. I received the policies October 9, 2025. We reviewed the policies today. Please edit the policies to include names and titles of management team wherever the policies state contact the management team. This stipulation is not met. Stipulation # 5 Within two (2) weeks after this Notice is received, Ms. Simmons shall develop written procedures to describe, in detail, the steps the facility will take to ensure developmentally appropriate activities are implemented. Ms. Simmons submitted a draft of the policies and procedures to me on August 25, 2025. I reviewed the document September 5, 2025, and requested edits. The second draft was submitted to me on September 12, 2025. I reviewed this with Ms. Simmons today and approved the procedures. The written procedures shall be immediately implemented and incorporated into operating procedures. A copy of the written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed that all current and future staff members shall review the procedures, and a signed acknowledgment page shall be kept in each employee’s staff file for review upon request. This stipulation is met. Stipulation # 6 Within two (2) weeks after notification from the Division the stipulation has been met for the policy and procedures related to supervision, discipline of children, and developmentally appropriate activities, Ms. Simmons shall conduct a staff meeting with all staff members to discuss the policy and procedures. This stipulation has not been met pending completion of all other stipulations. The following violations were cited today: 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 9, Febreze, sharp scissors and diaper creams were accessible to children un unlocked drawers. In Space 10, diaper creams, sunscreen and sharp scissors were accessible to children in unlocked drawers. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 4 and 5 plastic on a bowl of fruit was on a divider wall lower than five (5) feet accessible to children. In Space 9, feathers and pom poms in a plastic baggie, and glitter were accessible to children in an unlocked drawer. In Space 10, plastic baggies were accessible to children in an unlocked drawer. .0604(q) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. I will check my contact information to ensure that you are receiving my emails. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .1801 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/9/2025 Number Present: 58 Completed Date: 10/9/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 11:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit. A Written Warning (WW) was issued by DCDEE to this facility on August 6, 2025. The compliance history prior to today’s visit is 87 %. The AA was posted as required on the program bulletin board at the entrance of the facility. The AA was received on August 11, 2025. I conducted a phone review of the Written Warning (WW) with Ms. Simmons on August 14, 2025. Upon arrival, Alison Simmons, Director, greeted me. I stated the purpose of my visit. Ms. Simmons assisted me with today’s visit. The following items were monitored today: supervision, staff/child ratio, adequate/approved space, license posted, permit restrictions, general safety, storage of hazardous materials, lesson plans and posted Administrative Action (AA) cover letter. A walk-through of the facility was conducted with Ms. Simmons. Children were observed engaged in free choice of indoor activities, lunch, transitions, personal care routines and rest. Staff were observed supervising and interacting with children during activities, assisting children with personal routines, and transitioning from lunch to rest. Two violations were cited for small parts/plastic and storage of hazardous materials. I observed repairs to lower cabinets and new locks. In Space 7 and Space 9 upper cabinets are beginning to peel and will need to be replaced or repaired soon. Ms. Simmons and I met to review and discussed the Written Warning stipulations, the timelines and the technical assistance included in the general observations section of the visit summary following each stipulation. The following stipulations were reviewed: Stipulation # 1 The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding the care and treatment of children • North Carolina General Statute § 110-91(12) and Child Care Rules 10A NCAC 09 .0508(a) and -.0510(e)(3) regarding developmentally appropriate activities • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision During a walkthrough of the facility today two violations were cited. This stipulation is not met. Stipulation #2 of the Corrective Action Plan (CAP) required the facility to arrange the following training courses through Child Care Resources, Inc: A+ Supervision training and Behavioral Intervention Strategies: You want me to try what? The supervision training is scheduled for September 24, 2025, and the Behavioral Intervention training was completed September 11, 2025, and the attendance roster was submitted to me September 15, 2025. The two staff members who could not attend the Behavioral Intervention training on September 11, 2025, completed the training virtually September 18, 2025. A+ Supervision was completed September 25, 2025, October 3, 2025, and October 4, 2025. All current employees have completed the training. This stipulation is met. Stipulation #3 requires the Director Within two (2) weeks after the required A+ Supervision training is completed, Ms. Simmons shall revise the facility’s supervision policy and procedures to include, in detail, the steps the facility will take to ensure adequate supervision of children. I received the policies October 7, 2025. We reviewed the policies during today’s visit, and I approved the policies pending the edits to include names and titles of staff to contact should concerns regarding supervision occur. Requirements for this stipulation have been met. Stipulation # 4 requires Within two (2) weeks after the required Behavioral Intervention Strategies: You want me to try what? training is completed, Ms. Simmons shall revise the current discipline policy and procedures to include, in detail, the steps the facility will take to ensure appropriate discipline of children. The due date was September 25, 2025. I received the policies October 9, 2025. We reviewed the policies today. Please edit the policies to include names and titles of management team wherever the policies state contact the management team. This stipulation is not met. Stipulation # 5 Within two (2) weeks after this Notice is received, Ms. Simmons shall develop written procedures to describe, in detail, the steps the facility will take to ensure developmentally appropriate activities are implemented. Ms. Simmons submitted a draft of the policies and procedures to me on August 25, 2025. I reviewed the document September 5, 2025, and requested edits. The second draft was submitted to me on September 12, 2025. I reviewed this with Ms. Simmons today and approved the procedures. The written procedures shall be immediately implemented and incorporated into operating procedures. A copy of the written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed that all current and future staff members shall review the procedures, and a signed acknowledgment page shall be kept in each employee’s staff file for review upon request. This stipulation is met. Stipulation # 6 Within two (2) weeks after notification from the Division the stipulation has been met for the policy and procedures related to supervision, discipline of children, and developmentally appropriate activities, Ms. Simmons shall conduct a staff meeting with all staff members to discuss the policy and procedures. This stipulation has not been met pending completion of all other stipulations. The following violations were cited today: 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 9, Febreze, sharp scissors and diaper creams were accessible to children un unlocked drawers. In Space 10, diaper creams, sunscreen and sharp scissors were accessible to children in unlocked drawers. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 4 and 5 plastic on a bowl of fruit was on a divider wall lower than five (5) feet accessible to children. In Space 9, feathers and pom poms in a plastic baggie, and glitter were accessible to children in an unlocked drawer. In Space 10, plastic baggies were accessible to children in an unlocked drawer. .0604(q) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. I will check my contact information to ensure that you are receiving my emails. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/9/2025 Number Present: 58 Completed Date: 10/9/2025 Age: From 0 To 5 Total Minutes: 130 Time In: 11:30 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable child care requirements for an administrative action follow-up visit. A Written Warning (WW) was issued by DCDEE to this facility on August 6, 2025. The compliance history prior to today’s visit is 87 %. The AA was posted as required on the program bulletin board at the entrance of the facility. The AA was received on August 11, 2025. I conducted a phone review of the Written Warning (WW) with Ms. Simmons on August 14, 2025. Upon arrival, Alison Simmons, Director, greeted me. I stated the purpose of my visit. Ms. Simmons assisted me with today’s visit. The following items were monitored today: supervision, staff/child ratio, adequate/approved space, license posted, permit restrictions, general safety, storage of hazardous materials, lesson plans and posted Administrative Action (AA) cover letter. A walk-through of the facility was conducted with Ms. Simmons. Children were observed engaged in free choice of indoor activities, lunch, transitions, personal care routines and rest. Staff were observed supervising and interacting with children during activities, assisting children with personal routines, and transitioning from lunch to rest. Two violations were cited for small parts/plastic and storage of hazardous materials. I observed repairs to lower cabinets and new locks. In Space 7 and Space 9 upper cabinets are beginning to peel and will need to be replaced or repaired soon. Ms. Simmons and I met to review and discussed the Written Warning stipulations, the timelines and the technical assistance included in the general observations section of the visit summary following each stipulation. The following stipulations were reviewed: Stipulation # 1 The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding the care and treatment of children • North Carolina General Statute § 110-91(12) and Child Care Rules 10A NCAC 09 .0508(a) and -.0510(e)(3) regarding developmentally appropriate activities • Child Care Rule 10A NCAC 09 .1801(a)(1-5) regarding supervision During a walkthrough of the facility today two violations were cited. This stipulation is not met. Stipulation #2 of the Corrective Action Plan (CAP) required the facility to arrange the following training courses through Child Care Resources, Inc: A+ Supervision training and Behavioral Intervention Strategies: You want me to try what? The supervision training is scheduled for September 24, 2025, and the Behavioral Intervention training was completed September 11, 2025, and the attendance roster was submitted to me September 15, 2025. The two staff members who could not attend the Behavioral Intervention training on September 11, 2025, completed the training virtually September 18, 2025. A+ Supervision was completed September 25, 2025, October 3, 2025, and October 4, 2025. All current employees have completed the training. This stipulation is met. Stipulation #3 requires the Director Within two (2) weeks after the required A+ Supervision training is completed, Ms. Simmons shall revise the facility’s supervision policy and procedures to include, in detail, the steps the facility will take to ensure adequate supervision of children. I received the policies October 7, 2025. We reviewed the policies during today’s visit, and I approved the policies pending the edits to include names and titles of staff to contact should concerns regarding supervision occur. Requirements for this stipulation have been met. Stipulation # 4 requires Within two (2) weeks after the required Behavioral Intervention Strategies: You want me to try what? training is completed, Ms. Simmons shall revise the current discipline policy and procedures to include, in detail, the steps the facility will take to ensure appropriate discipline of children. The due date was September 25, 2025. I received the policies October 9, 2025. We reviewed the policies today. Please edit the policies to include names and titles of management team wherever the policies state contact the management team. This stipulation is not met. Stipulation # 5 Within two (2) weeks after this Notice is received, Ms. Simmons shall develop written procedures to describe, in detail, the steps the facility will take to ensure developmentally appropriate activities are implemented. Ms. Simmons submitted a draft of the policies and procedures to me on August 25, 2025. I reviewed the document September 5, 2025, and requested edits. The second draft was submitted to me on September 12, 2025. I reviewed this with Ms. Simmons today and approved the procedures. The written procedures shall be immediately implemented and incorporated into operating procedures. A copy of the written procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed that all current and future staff members shall review the procedures, and a signed acknowledgment page shall be kept in each employee’s staff file for review upon request. This stipulation is met. Stipulation # 6 Within two (2) weeks after notification from the Division the stipulation has been met for the policy and procedures related to supervision, discipline of children, and developmentally appropriate activities, Ms. Simmons shall conduct a staff meeting with all staff members to discuss the policy and procedures. This stipulation has not been met pending completion of all other stipulations. The following violations were cited today: 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 9, Febreze, sharp scissors and diaper creams were accessible to children un unlocked drawers. In Space 10, diaper creams, sunscreen and sharp scissors were accessible to children in unlocked drawers. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Spaces 4 and 5 plastic on a bowl of fruit was on a divider wall lower than five (5) feet accessible to children. In Space 9, feathers and pom poms in a plastic baggie, and glitter were accessible to children in an unlocked drawer. In Space 10, plastic baggies were accessible to children in an unlocked drawer. .0604(q) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before October 23, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety training free of charge. The What’s New tab provides current information that is sent out through blast emails. I will check my contact information to ensure that you are receiving my emails. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .0509 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0725-372L Visit Date: 8/5/2025 Number Present: 91 Completed Date: 8/5/2025 Age: From 0 To 11 Total Minutes: 245 Time In: 09:40 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 85% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Guinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons. As I arrived, Natalie Casper, Environmental Specialist was completing an environmental health inspection. The allegations are as follows: Developmentally appropriate activities are not being offered. A three-year-old child grouped with the two-year-old children is not in age-appropriate class. Diapering and toileting procedures in a two-year-old classroom are not followed. A child in a pull up was not changed as needed. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and three (3) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of July 21, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines.. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Developmentally appropriate activities are not being offered is not confirmed. Based on observations and interviews, the classroom is designed to as an early preschool classroom serving two- and three-year-old children. The classroom does not have a permanent Lead Teacher, although one will begin tomorrow. Learning centers and open-ended art activities were observed implemented during the visit. A teacher directed art project supporting the Recycle unit was observed, however, was not the activity on the plan for today. Based on one or more interviews, materials are not provided consistently. A violation was cited for materials not being available to support the curriculum. During the administrator interview, it was stated that Lead Teachers are responsible for securing needed materials. At this time, there is not a Lead Teacher assigned to the classroom. A three-year-old child grouped with the two-year-old children is not in an appropriate age-class is not confirmed. Based on observations and staff interviews it was determined that the room in question is the Early Preschool room specifically designed for two- and three-year-old children. The goal of this room is to prepare a child with mastering toilet training prior to moving to the Preschool Room. Both administrators stated that parents are informed of this during the initial tour and prior to enrollment. According to the facility’s parent handbook, “Learning to use the toilet is a gradual process that takes place over a period of time as a child matures physically and emotionally.” The Preschool room serves only three (3) year old children who are fully potty trained. Upon review of “Sprout About”, a parent communication tool used by the center, I was able to determine that some children in Early Preschool classroom are still toilet training. I was also able to review communication with parents and observe age appropriate activities posted. Children who are potty trained and developmentally ready are moved to the Preschool Classroom as space is available throughout the school year and annually there is a transition week in mid-August to prepare for the new school year. Diapering and toileting procedures in a two-year-old classroom are not followed is confirmed. A child in a pull up was not changed as needed is confirmed. Based on staff interviews it was confirmed that a child was not changed as needed when transitioning from the early morning room to the child’s classroom at 9:00 am. The child arrived to the center at approximately 7:45 am. The interviewees stated the child was soaked through the pull-up and his clothes were wet. Additionally, staff confirmed that documentation regarding toileting and diapering is difficult to maintain due to staffing in the two-year-old classrooms. During the interviews, it was stated that within the past week the maximum group size was exceeded in the classroom serving two- and three-year-old children during the morning. I reviewed Face to Name Transition Sheets for the week of July 28 , 2025 and observed that on July 28, 2025, the room was in compliance at all times. Three (3) potty trained three (3) year old children were moved to the Preschool classroom to maintain ratio and group size at 9:17 am. The following violations were cited today: Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. One (1) child arriving at approximately 7:45 am was not changed as needed prior to moving from the morning classroom at approximately 9:00 am. 10A NCAC 09 .0806(a) 432 The center did not have developmentally appropriate equipment and materials accessible daily. Staff stated that materials needed to support lesson plans for activities are not available and/or accessible daily. GS 110-91(12);10A NCAC 09 .0509(1) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Toileting Procedures and Policies We discussed that you have contacted Community Health Nurse, Tish Watson, who has visited the center and will continue to support the center. Ms. Watson reached out on July 31, 2025, to confirm staffing in order to provide sufficient materials for additional technical assistance regarding toileting procedures. I recommend reviewing your written policies regarding the center will only move children who are potty trained and developmentally ready to the Preschool Classroom as space is available throughout the school year and annually there is a transition week in mid-August to prepare for the new school year. Materials Available to Support Activities on Lesson Plans We discussed all teacher's having access to needed materials and/or administrators assisting teacher's by providing materials as needed or having suitable substitutions planned and documented for each activity. 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1)each center shall have developmentally appropriate equipment and materials accessible on a daily basis; North Carolina Foundations for Early Learning and Development I provided a NCFELD book for the center and we discussed the following requirements and training for your center: For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training at the facility through Child Care resources for your staff. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .0806 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0725-372L Visit Date: 8/5/2025 Number Present: 91 Completed Date: 8/5/2025 Age: From 0 To 11 Total Minutes: 245 Time In: 09:40 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 85% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Guinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons. As I arrived, Natalie Casper, Environmental Specialist was completing an environmental health inspection. The allegations are as follows: Developmentally appropriate activities are not being offered. A three-year-old child grouped with the two-year-old children is not in age-appropriate class. Diapering and toileting procedures in a two-year-old classroom are not followed. A child in a pull up was not changed as needed. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and three (3) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of July 21, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines.. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Developmentally appropriate activities are not being offered is not confirmed. Based on observations and interviews, the classroom is designed to as an early preschool classroom serving two- and three-year-old children. The classroom does not have a permanent Lead Teacher, although one will begin tomorrow. Learning centers and open-ended art activities were observed implemented during the visit. A teacher directed art project supporting the Recycle unit was observed, however, was not the activity on the plan for today. Based on one or more interviews, materials are not provided consistently. A violation was cited for materials not being available to support the curriculum. During the administrator interview, it was stated that Lead Teachers are responsible for securing needed materials. At this time, there is not a Lead Teacher assigned to the classroom. A three-year-old child grouped with the two-year-old children is not in an appropriate age-class is not confirmed. Based on observations and staff interviews it was determined that the room in question is the Early Preschool room specifically designed for two- and three-year-old children. The goal of this room is to prepare a child with mastering toilet training prior to moving to the Preschool Room. Both administrators stated that parents are informed of this during the initial tour and prior to enrollment. According to the facility’s parent handbook, “Learning to use the toilet is a gradual process that takes place over a period of time as a child matures physically and emotionally.” The Preschool room serves only three (3) year old children who are fully potty trained. Upon review of “Sprout About”, a parent communication tool used by the center, I was able to determine that some children in Early Preschool classroom are still toilet training. I was also able to review communication with parents and observe age appropriate activities posted. Children who are potty trained and developmentally ready are moved to the Preschool Classroom as space is available throughout the school year and annually there is a transition week in mid-August to prepare for the new school year. Diapering and toileting procedures in a two-year-old classroom are not followed is confirmed. A child in a pull up was not changed as needed is confirmed. Based on staff interviews it was confirmed that a child was not changed as needed when transitioning from the early morning room to the child’s classroom at 9:00 am. The child arrived to the center at approximately 7:45 am. The interviewees stated the child was soaked through the pull-up and his clothes were wet. Additionally, staff confirmed that documentation regarding toileting and diapering is difficult to maintain due to staffing in the two-year-old classrooms. During the interviews, it was stated that within the past week the maximum group size was exceeded in the classroom serving two- and three-year-old children during the morning. I reviewed Face to Name Transition Sheets for the week of July 28 , 2025 and observed that on July 28, 2025, the room was in compliance at all times. Three (3) potty trained three (3) year old children were moved to the Preschool classroom to maintain ratio and group size at 9:17 am. The following violations were cited today: Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. One (1) child arriving at approximately 7:45 am was not changed as needed prior to moving from the morning classroom at approximately 9:00 am. 10A NCAC 09 .0806(a) 432 The center did not have developmentally appropriate equipment and materials accessible daily. Staff stated that materials needed to support lesson plans for activities are not available and/or accessible daily. GS 110-91(12);10A NCAC 09 .0509(1) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Toileting Procedures and Policies We discussed that you have contacted Community Health Nurse, Tish Watson, who has visited the center and will continue to support the center. Ms. Watson reached out on July 31, 2025, to confirm staffing in order to provide sufficient materials for additional technical assistance regarding toileting procedures. I recommend reviewing your written policies regarding the center will only move children who are potty trained and developmentally ready to the Preschool Classroom as space is available throughout the school year and annually there is a transition week in mid-August to prepare for the new school year. Materials Available to Support Activities on Lesson Plans We discussed all teacher's having access to needed materials and/or administrators assisting teacher's by providing materials as needed or having suitable substitutions planned and documented for each activity. 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1)each center shall have developmentally appropriate equipment and materials accessible on a daily basis; North Carolina Foundations for Early Learning and Development I provided a NCFELD book for the center and we discussed the following requirements and training for your center: For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training at the facility through Child Care resources for your staff. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0725-372L Visit Date: 8/5/2025 Number Present: 91 Completed Date: 8/5/2025 Age: From 0 To 11 Total Minutes: 245 Time In: 09:40 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 85% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Guinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons. As I arrived, Natalie Casper, Environmental Specialist was completing an environmental health inspection. The allegations are as follows: Developmentally appropriate activities are not being offered. A three-year-old child grouped with the two-year-old children is not in age-appropriate class. Diapering and toileting procedures in a two-year-old classroom are not followed. A child in a pull up was not changed as needed. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and three (3) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of July 21, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines.. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Developmentally appropriate activities are not being offered is not confirmed. Based on observations and interviews, the classroom is designed to as an early preschool classroom serving two- and three-year-old children. The classroom does not have a permanent Lead Teacher, although one will begin tomorrow. Learning centers and open-ended art activities were observed implemented during the visit. A teacher directed art project supporting the Recycle unit was observed, however, was not the activity on the plan for today. Based on one or more interviews, materials are not provided consistently. A violation was cited for materials not being available to support the curriculum. During the administrator interview, it was stated that Lead Teachers are responsible for securing needed materials. At this time, there is not a Lead Teacher assigned to the classroom. A three-year-old child grouped with the two-year-old children is not in an appropriate age-class is not confirmed. Based on observations and staff interviews it was determined that the room in question is the Early Preschool room specifically designed for two- and three-year-old children. The goal of this room is to prepare a child with mastering toilet training prior to moving to the Preschool Room. Both administrators stated that parents are informed of this during the initial tour and prior to enrollment. According to the facility’s parent handbook, “Learning to use the toilet is a gradual process that takes place over a period of time as a child matures physically and emotionally.” The Preschool room serves only three (3) year old children who are fully potty trained. Upon review of “Sprout About”, a parent communication tool used by the center, I was able to determine that some children in Early Preschool classroom are still toilet training. I was also able to review communication with parents and observe age appropriate activities posted. Children who are potty trained and developmentally ready are moved to the Preschool Classroom as space is available throughout the school year and annually there is a transition week in mid-August to prepare for the new school year. Diapering and toileting procedures in a two-year-old classroom are not followed is confirmed. A child in a pull up was not changed as needed is confirmed. Based on staff interviews it was confirmed that a child was not changed as needed when transitioning from the early morning room to the child’s classroom at 9:00 am. The child arrived to the center at approximately 7:45 am. The interviewees stated the child was soaked through the pull-up and his clothes were wet. Additionally, staff confirmed that documentation regarding toileting and diapering is difficult to maintain due to staffing in the two-year-old classrooms. During the interviews, it was stated that within the past week the maximum group size was exceeded in the classroom serving two- and three-year-old children during the morning. I reviewed Face to Name Transition Sheets for the week of July 28 , 2025 and observed that on July 28, 2025, the room was in compliance at all times. Three (3) potty trained three (3) year old children were moved to the Preschool classroom to maintain ratio and group size at 9:17 am. The following violations were cited today: Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. One (1) child arriving at approximately 7:45 am was not changed as needed prior to moving from the morning classroom at approximately 9:00 am. 10A NCAC 09 .0806(a) 432 The center did not have developmentally appropriate equipment and materials accessible daily. Staff stated that materials needed to support lesson plans for activities are not available and/or accessible daily. GS 110-91(12);10A NCAC 09 .0509(1) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Toileting Procedures and Policies We discussed that you have contacted Community Health Nurse, Tish Watson, who has visited the center and will continue to support the center. Ms. Watson reached out on July 31, 2025, to confirm staffing in order to provide sufficient materials for additional technical assistance regarding toileting procedures. I recommend reviewing your written policies regarding the center will only move children who are potty trained and developmentally ready to the Preschool Classroom as space is available throughout the school year and annually there is a transition week in mid-August to prepare for the new school year. Materials Available to Support Activities on Lesson Plans We discussed all teacher's having access to needed materials and/or administrators assisting teacher's by providing materials as needed or having suitable substitutions planned and documented for each activity. 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1)each center shall have developmentally appropriate equipment and materials accessible on a daily basis; North Carolina Foundations for Early Learning and Development I provided a NCFELD book for the center and we discussed the following requirements and training for your center: For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training at the facility through Child Care resources for your staff. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0725-372L Visit Date: 8/5/2025 Number Present: 91 Completed Date: 8/5/2025 Age: From 0 To 11 Total Minutes: 245 Time In: 09:40 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of childcare requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 85% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Guinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons. As I arrived, Natalie Casper, Environmental Specialist was completing an environmental health inspection. The allegations are as follows: Developmentally appropriate activities are not being offered. A three-year-old child grouped with the two-year-old children is not in age-appropriate class. Diapering and toileting procedures in a two-year-old classroom are not followed. A child in a pull up was not changed as needed. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and three (3) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of July 21, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines.. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Developmentally appropriate activities are not being offered is not confirmed. Based on observations and interviews, the classroom is designed to as an early preschool classroom serving two- and three-year-old children. The classroom does not have a permanent Lead Teacher, although one will begin tomorrow. Learning centers and open-ended art activities were observed implemented during the visit. A teacher directed art project supporting the Recycle unit was observed, however, was not the activity on the plan for today. Based on one or more interviews, materials are not provided consistently. A violation was cited for materials not being available to support the curriculum. During the administrator interview, it was stated that Lead Teachers are responsible for securing needed materials. At this time, there is not a Lead Teacher assigned to the classroom. A three-year-old child grouped with the two-year-old children is not in an appropriate age-class is not confirmed. Based on observations and staff interviews it was determined that the room in question is the Early Preschool room specifically designed for two- and three-year-old children. The goal of this room is to prepare a child with mastering toilet training prior to moving to the Preschool Room. Both administrators stated that parents are informed of this during the initial tour and prior to enrollment. According to the facility’s parent handbook, “Learning to use the toilet is a gradual process that takes place over a period of time as a child matures physically and emotionally.” The Preschool room serves only three (3) year old children who are fully potty trained. Upon review of “Sprout About”, a parent communication tool used by the center, I was able to determine that some children in Early Preschool classroom are still toilet training. I was also able to review communication with parents and observe age appropriate activities posted. Children who are potty trained and developmentally ready are moved to the Preschool Classroom as space is available throughout the school year and annually there is a transition week in mid-August to prepare for the new school year. Diapering and toileting procedures in a two-year-old classroom are not followed is confirmed. A child in a pull up was not changed as needed is confirmed. Based on staff interviews it was confirmed that a child was not changed as needed when transitioning from the early morning room to the child’s classroom at 9:00 am. The child arrived to the center at approximately 7:45 am. The interviewees stated the child was soaked through the pull-up and his clothes were wet. Additionally, staff confirmed that documentation regarding toileting and diapering is difficult to maintain due to staffing in the two-year-old classrooms. During the interviews, it was stated that within the past week the maximum group size was exceeded in the classroom serving two- and three-year-old children during the morning. I reviewed Face to Name Transition Sheets for the week of July 28 , 2025 and observed that on July 28, 2025, the room was in compliance at all times. Three (3) potty trained three (3) year old children were moved to the Preschool classroom to maintain ratio and group size at 9:17 am. The following violations were cited today: Violation Number Comment Rule 401 Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. One (1) child arriving at approximately 7:45 am was not changed as needed prior to moving from the morning classroom at approximately 9:00 am. 10A NCAC 09 .0806(a) 432 The center did not have developmentally appropriate equipment and materials accessible daily. Staff stated that materials needed to support lesson plans for activities are not available and/or accessible daily. GS 110-91(12);10A NCAC 09 .0509(1) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Toileting Procedures and Policies We discussed that you have contacted Community Health Nurse, Tish Watson, who has visited the center and will continue to support the center. Ms. Watson reached out on July 31, 2025, to confirm staffing in order to provide sufficient materials for additional technical assistance regarding toileting procedures. I recommend reviewing your written policies regarding the center will only move children who are potty trained and developmentally ready to the Preschool Classroom as space is available throughout the school year and annually there is a transition week in mid-August to prepare for the new school year. Materials Available to Support Activities on Lesson Plans We discussed all teacher's having access to needed materials and/or administrators assisting teacher's by providing materials as needed or having suitable substitutions planned and documented for each activity. 10A NCAC 09 .0509 LEARNING ENVIRONMENT The learning environment consists of the indoor and outdoor area which encourages child initiated and teacher supported activities as follows: (1)each center shall have developmentally appropriate equipment and materials accessible on a daily basis; North Carolina Foundations for Early Learning and Development I provided a NCFELD book for the center and we discussed the following requirements and training for your center: For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training at the facility through Child Care resources for your staff. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .2203 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/24/2025 Number Present: 72 Completed Date: 6/24/2025 Age: From 0 To 4 Total Minutes: 80 Time In: 11:50 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-up Visit to verify compliance with cited violations during the June 17, 2025, complaint visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 85 % prior to today’s visit. Upon my arrival, Colleen Quinn, Assistant Director, greeted me. I explained the purpose of the visit. Alison Simmons, Director was on a field trip with the school age children. During today’s visit, I monitored all classrooms. I observed children engaged transitional activities, rest, lunch, and personal care routines. Supervision and staff child ratios were observed in compliance. Children were spoken to with nurturing and caring tones. I observed a pest control tent in the hallway outside Space 11. It had a keep out of reach of children warning on the label. Ms. Quinn immediately discarded the item. There was one violation cited today: 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 the hallway outside of Space 11 a pest control tent was on the floor with a keep out of reach warning accessible to children. .2820(b) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. Follow-up visits will be conducted regularly to monitor compliance. The violation was corrected during the visit today. We discussed that I did not correct the violations today cited during the complaint visit conducted June 17, 2025. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations cited during the complaint visit 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may be issued following the June 17, 2025 complaint visit based on the violations citied as outlined in the rule as follows: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-105 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/24/2025 Number Present: 72 Completed Date: 6/24/2025 Age: From 0 To 4 Total Minutes: 80 Time In: 11:50 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-up Visit to verify compliance with cited violations during the June 17, 2025, complaint visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 85 % prior to today’s visit. Upon my arrival, Colleen Quinn, Assistant Director, greeted me. I explained the purpose of the visit. Alison Simmons, Director was on a field trip with the school age children. During today’s visit, I monitored all classrooms. I observed children engaged transitional activities, rest, lunch, and personal care routines. Supervision and staff child ratios were observed in compliance. Children were spoken to with nurturing and caring tones. I observed a pest control tent in the hallway outside Space 11. It had a keep out of reach of children warning on the label. Ms. Quinn immediately discarded the item. There was one violation cited today: 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 the hallway outside of Space 11 a pest control tent was on the floor with a keep out of reach warning accessible to children. .2820(b) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. Follow-up visits will be conducted regularly to monitor compliance. The violation was corrected during the visit today. We discussed that I did not correct the violations today cited during the complaint visit conducted June 17, 2025. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations cited during the complaint visit 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may be issued following the June 17, 2025 complaint visit based on the violations citied as outlined in the rule as follows: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/24/2025 Number Present: 72 Completed Date: 6/24/2025 Age: From 0 To 4 Total Minutes: 80 Time In: 11:50 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-up Visit to verify compliance with cited violations during the June 17, 2025, complaint visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 85 % prior to today’s visit. Upon my arrival, Colleen Quinn, Assistant Director, greeted me. I explained the purpose of the visit. Alison Simmons, Director was on a field trip with the school age children. During today’s visit, I monitored all classrooms. I observed children engaged transitional activities, rest, lunch, and personal care routines. Supervision and staff child ratios were observed in compliance. Children were spoken to with nurturing and caring tones. I observed a pest control tent in the hallway outside Space 11. It had a keep out of reach of children warning on the label. Ms. Quinn immediately discarded the item. There was one violation cited today: 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 the hallway outside of Space 11 a pest control tent was on the floor with a keep out of reach warning accessible to children. .2820(b) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. Follow-up visits will be conducted regularly to monitor compliance. The violation was corrected during the visit today. We discussed that I did not correct the violations today cited during the complaint visit conducted June 17, 2025. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations cited during the complaint visit 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may be issued following the June 17, 2025 complaint visit based on the violations citied as outlined in the rule as follows: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/24/2025 Number Present: 72 Completed Date: 6/24/2025 Age: From 0 To 4 Total Minutes: 80 Time In: 11:50 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance of applicable child care requirements during an Unannounced Follow-up Visit to verify compliance with cited violations during the June 17, 2025, complaint visit. Supervision, capacity, ratio, adequate/approved space and general license requirements were monitored during today’s visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 85 % prior to today’s visit. Upon my arrival, Colleen Quinn, Assistant Director, greeted me. I explained the purpose of the visit. Alison Simmons, Director was on a field trip with the school age children. During today’s visit, I monitored all classrooms. I observed children engaged transitional activities, rest, lunch, and personal care routines. Supervision and staff child ratios were observed in compliance. Children were spoken to with nurturing and caring tones. I observed a pest control tent in the hallway outside Space 11. It had a keep out of reach of children warning on the label. Ms. Quinn immediately discarded the item. There was one violation cited today: 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 the hallway outside of Space 11 a pest control tent was on the floor with a keep out of reach warning accessible to children. .2820(b) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. Follow-up visits will be conducted regularly to monitor compliance. The violation was corrected during the visit today. We discussed that I did not correct the violations today cited during the complaint visit conducted June 17, 2025. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations cited during the complaint visit 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may be issued following the June 17, 2025 complaint visit based on the violations citied as outlined in the rule as follows: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .0508 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .0510 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .1801 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .2203 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110- 91 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-105 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0625-044L Visit Date: 6/17/2025 Number Present: 71 Completed Date: 6/17/2025 Age: From 0 To 7 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 90% prior to today’s visit. Upon my arrival, Alison Simmons, Director, and Colleen Quinn, Assistant Director greeted me. I explained the purpose of the visit and shared the allegations with Ms. Simmons and Ms. Quinn. The allegations are as follows: Supervision is not maintained as required due to staff cell phone usage. Diapering procedures are not followed. Teachers are not interacting in nurturing manner and caring manner. Lesson plans are not followed, learning activities are not adequately provided. Adequate parental communication is not provided by staff. Children are treated differently based on socioeconomic status. During today’s visit, I monitored all classrooms, interviewed two (2) administrators and seven (7) staff. I observed three (3) staff complete a diaper change. I observed lesson plans and activity areas. I observed the parent communication “Sprout About” for the two year old classroom for the week of May 23, 2025. I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. I cited a violation for observing harsh and uncaring tones heard with the children in the toddler classroom. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review the following was determined: Supervision is not maintained as required due to staff cell phone usage is not confirmed. All staff interviewed stated supervision definition correctly and that staff do not use their cell phones. I reviewed the staff cell phone policy which prohibits the use of phones. One staff member shared that the only time a phone has been used recently was to play music for the children. I did not observe personal cell phones out in the center. While interviewing staff it was confirmed that supervision is not maintained due to a child with challenging behaviors who runs from the classroom when there is only one staff member present. An administrator is alerted, however, the child is not seen or heard for a period of time if only one staff member is in the room at the time. Diapering procedures are not followed is confirmed. I observed three (3) staff members complete diaper changes incorrectly following the steps as outlined below: 8. Discard soiled gloves (if used). 9. Clean your hands with a fresh disposable wipe. 10. Wipe child’s hands with a fresh disposable wipe. 11. Place a clean diaper under child. 14. Wash child’s hands (use a fresh disposable wipe if child is unable to support their head), dry child’s hands, and return the child to a supervised area. 18. Spray entire diapering surface with DISINFECTANT (surface must be glistening wet) and allow to air dry for at least 2 minutes (for chlorine) or as specified on disinfectant label. Teachers are not interacting in a nurturing manner and caring manner is confirmed. I observed teachers serving toddlers speak with harsh tones and elevated voices. Two staff members confirmed hearing harsh tones by teachers serving toddlers. Lesson plans are not followed and learning activities are not adequately provided and is confirmed. The teachers serving toddlers and twos did not know the activity for the day or have the needed materials. The book center did not have sufficient number of books available and accessible to children. Adequate parental communication is not provided by staff is not confirmed. All staff interviewed stated that parental communication is provided by all staff. A parent participation plan is included in the handbook and all staff stated concerns are addressed by teachers and/or administrators face to face, through Sprout About, email and phone calls if needed. Children are treated differently based on socioeconomic status is not confirmed. All staff interviewed stated that all children are treated fairly and no child is treated differently based on socioeconomic status. All children’s financial information is kept private and is not accessible to staff members. The following violations cited today: Violation Number Comment Rule 303 Children were not adequately supervised at all times. In Space 10, it was reported that a child with challenging behaviors runs out of the classroom frequently. On at least one occasion, the teacher was unable to leave the classroom to supervise the child. .1801(a)(1-5) 428 A current activity plan was not posted for each group of children for reference. In Spaces 3, 4, 9 and 10 lesson plans were observed posted however, teachers did not know the activity for the day and were not implementing the lesson plan. GS 110-91(12); .0508(a) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 3, 4 and 9 books were not offered in sufficient quantity. .0510(e)(3) 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 10, a baggie with spoons was accessible to children on a counter. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space 3 and 4, teachers were heard and observed using inappropriate tones with children. During the staff interviews two (2) teachers confirmed that inappropriate tones are often used in the classrooms serving toddlers. G.S. 110-91(10) 9995 A violation was found for which there is no item number In Spaces 3, 4 and 9 correct diapering procedures were not followed.15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor supervision. On or before July 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed the following rules related to the allegations confirmed: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Diapering Procedures We discussed that the requirements for diaper changes can be found in SECTION .2800 - SANITATION OF CHILD CARE CENTERS Sanitation Section 2800 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES. We discussed printing, training and posting poster found here for your staff: the https://mecknc.widen.net/s/kdvdsnmtgz/envhlt-cc-signs-diaper-changing-procedure. Additionally, I recommend reaching out to your environmental health consultant to secure training for all staff regarding diaper changing and handwashing. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS When children under three years old are in care, the schedule shall include regular daily events such as the arrival and departure of the children, free-choice times, outside time, and teacher-directed activities. For children under two years old, interspersed among the daily events shall be individualized caregiving routines such as eating, napping, and toileting. The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: art and other creative play; children's books; blocks and block building; manipulatives; and family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. 10A NCAC 09 .0510 ACTIVITY AREAS For each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110- 91(12) as follows: (1) Centers with a licensed capacity of 30 or more children shall have at least four activity areas available in the space occupied by a group of children. When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: books; blocks; dolls; pretend play materials; musical toys; sensory toys; and fine motor toys; (2) materials shall be kept in a space where related equipment and materials are kept in accordance with G.S. 110-91(12) and shall be made available to the children on a daily basis; (3) materials shall be offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices, (4) on a daily basis caregivers shall provide developmentally appropriate activities that support health and physical development. An open area that allows freedom of movement shall be available, both indoors and outdoors, for infants and for toddlers; (5) hands-on experiences, including both familiar and new activities, shall be provided to enable the infant or toddler to learn about himself and the world both indoors and outdoors; Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. North Carolina Foundations for Early Learning and Development We discussed the following requirements and training for your center For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://ncchildcare.ncdhhs.gov/Foundations-for-Early-Learning-and-Development You can access the training calendar for NCFELD trainings here: https://www.childcareresourcesinc.org/training . You may be able to schedule training for your staff as well. Here is information to contract training: Contracted Training Let us bring our experts to you! Contracted training offers you the opportunity to meet the specific professional development needs of your staff, right at your own facility. For more information or to schedule contracted training, send us an email or click here! Challenging Behaviors Hotline At the Annual Compliance Visit and today, we discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance Post your questions in the ‘Talk to the Expert’ Group on our online network, Social Emotional Connections, for early childhood educators. 10A NCAC 09 .2203 WRITTEN WARNINGS We discussed a written warning may follow todays visit as outlined below: (1) a substantiation of one or more violations as a result of a complaint that do not meet the criteria for a maltreatment finding in accordance with G.S. 110-105.3(b)(3) but for which corrective action is needed; (2) citation of 16 or more violations of separate rules in a single visit where the operator does not meet the criteria of other administrative actions set forth in this Section; or (3) citation of one of the following violations on two consecutive visits: A written warning, which shall include a corrective action plan, may be issued to an operator in regard to any violation including, but not limited to, these situations: supervision of children; discipline, nurture, or care of children; staff/child ratio; group size; licensed capacity; permit restriction; CPR training; First Aid training; ITS-SIDS training; and criminal record check requirements regarding pre-service and three-year reassessments in accordance with G.S. 110-90.2(b). At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 88 Completed Date: 6/2/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:30 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for the annual compliance visit. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 88%. The last annual compliance visit was conducted June 18, 2024. I reviewed secretary of State June 2, 2025, and found Tutor Time Learning Centers, LLC listed as current-active. Upon arrival, I rang the doorbell. I was greeted by Alison Simmons, Director and Colleen Quinn, Assistant Director. I stated the purpose for my visit and reviewed the items I would monitor today with Ms. Simmons. I monitored the facility’s bulletin board for items required to be posted an found in compliance. Ms. Simmons assisted me as I monitored the van currently used in day-to-day operations. I found all transportation requirements in compliance. Two new vans were observed parked in the lot and will be used for summer camp. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. I observed each learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in personal care routines, breakfast, outdoor play, activity areas, teacher directed activities, circle time and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. Nurturing tones were heard when staff spoke with children. There were no discipline concerns. Each group of children were observed in licensed approved space. The outdoor play areas were monitored. The center has four (4) areas with equipment and one (1) grassy area for gardening and soccer. I observed standing water in a water play table , potting soil in a wagon, debris, trash and a pile of decomposing leaves next to a fence in the grassy area. The Director stated that this area is not currently used by children. Three (3) outdoor play areas with stationary equipment did not meet the depth requirement for mulch. In the room serving infants twelve months or younger I monitored safe sleep policy and sleep charts. The safe sleep policy was posted but not customized. A violation was cited. Safe Sleep Charts were monitored and found in compliance. In the rooms serving infants, toddlers and twos, Ms. Simmons assist4ed me as I monitored all diaper creams and found in compliance. All bottles were labeled and dated. Feeding charts for children under 15 months of age were posted and in compliance. The center currently has one (1) child requiring emergency medication. I monitored the medications and required forms and found in compliance. I monitored the storage of hazardous materials in all classrooms and found in compliance. I monitored all classrooms for general safety. In the room serving toddlers, I observed the laminate on cabinets peeling. In the room serving infants, the plastic mat under the highchairs was torn leaving a sharp edge accessible to children. In the rooms serving two- and three-year-olds, I observed torn books accessible to children, See the violations section of the visit summary. I reviewed staff files using the most current staff and training worksheets. The files for all new staff hired since the routine unannounced visit March 20, 2025 visit were reviewed. Ten (10) percent of veteran staff files were reviewed. Violations can be viewed in the violations section of this Visit Summary. I was provided the ABCMS roster and found the current staff in compliance. I reviewed all program records. The last Sanitation Inspection was completed February 21, 2025, with a superior rating and ten (10) demerits. The last fire inspection was completed on August 16, 2024. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last EPR plan is dated November 20, 2024. The ready-to-go file was in compliance. The following violations were cited: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space 4 and 5 the cabinets laminate was torn. In Space 1 and 11, area rugs were torn and frayed. In Space 10, a pillow was ripped and books were torn. In Space 6, a plastic carpet mat was torn with sharp areas accessible to children. 10A NCAC 09 .0601(a) 891 The safe sleep policy did not contain the required information. The center safe sleep policy was not customized by checking the boxes that applied to the procedures or policies specific to the center. 10A NCAC 09 .0606(a)(1-8) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member hired 7-3-2023 did not complete ITS-SIDS training. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under stationary equipment on three (3) outdoor play areas did not meet critical height requirements. The depth measured 3.25 inches or less . .0605(k)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Three (3) staff members did not complete health and safety training within one year of employment. Two (2) staff members completed health and safety training over a year from date of employment. .1102(a) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Health and Safety Trainings We discussed all health and safety trainings must be competed within one year of employment date. Health and Safety Training cannot be over one year old from an employee’s date of hire. You can review the rules as follows: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Safe Sleep Record Retention One of your staff members asked about retaining the SIDS Sleep Chart/Visual Check. The safe sleep checks shall me maintained at least 30 days after record recorded, revised or replaced. All record retention rules can be found 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION Toddler Teacher Resource We discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance DCDEE Website: I encourage you to utilize the DCDEE website on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. The most current Summary of Law can be found here. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Getting Ready For Assessments We discussed training and equipping your teachers using the resources for Get Ready for the 3’s / QRIS: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—is being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. WORK Letters We discussed updating all staff WORKS letters For more information visit : https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 88 Completed Date: 6/2/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:30 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for the annual compliance visit. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 88%. The last annual compliance visit was conducted June 18, 2024. I reviewed secretary of State June 2, 2025, and found Tutor Time Learning Centers, LLC listed as current-active. Upon arrival, I rang the doorbell. I was greeted by Alison Simmons, Director and Colleen Quinn, Assistant Director. I stated the purpose for my visit and reviewed the items I would monitor today with Ms. Simmons. I monitored the facility’s bulletin board for items required to be posted an found in compliance. Ms. Simmons assisted me as I monitored the van currently used in day-to-day operations. I found all transportation requirements in compliance. Two new vans were observed parked in the lot and will be used for summer camp. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. I observed each learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in personal care routines, breakfast, outdoor play, activity areas, teacher directed activities, circle time and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. Nurturing tones were heard when staff spoke with children. There were no discipline concerns. Each group of children were observed in licensed approved space. The outdoor play areas were monitored. The center has four (4) areas with equipment and one (1) grassy area for gardening and soccer. I observed standing water in a water play table , potting soil in a wagon, debris, trash and a pile of decomposing leaves next to a fence in the grassy area. The Director stated that this area is not currently used by children. Three (3) outdoor play areas with stationary equipment did not meet the depth requirement for mulch. In the room serving infants twelve months or younger I monitored safe sleep policy and sleep charts. The safe sleep policy was posted but not customized. A violation was cited. Safe Sleep Charts were monitored and found in compliance. In the rooms serving infants, toddlers and twos, Ms. Simmons assist4ed me as I monitored all diaper creams and found in compliance. All bottles were labeled and dated. Feeding charts for children under 15 months of age were posted and in compliance. The center currently has one (1) child requiring emergency medication. I monitored the medications and required forms and found in compliance. I monitored the storage of hazardous materials in all classrooms and found in compliance. I monitored all classrooms for general safety. In the room serving toddlers, I observed the laminate on cabinets peeling. In the room serving infants, the plastic mat under the highchairs was torn leaving a sharp edge accessible to children. In the rooms serving two- and three-year-olds, I observed torn books accessible to children, See the violations section of the visit summary. I reviewed staff files using the most current staff and training worksheets. The files for all new staff hired since the routine unannounced visit March 20, 2025 visit were reviewed. Ten (10) percent of veteran staff files were reviewed. Violations can be viewed in the violations section of this Visit Summary. I was provided the ABCMS roster and found the current staff in compliance. I reviewed all program records. The last Sanitation Inspection was completed February 21, 2025, with a superior rating and ten (10) demerits. The last fire inspection was completed on August 16, 2024. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last EPR plan is dated November 20, 2024. The ready-to-go file was in compliance. The following violations were cited: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space 4 and 5 the cabinets laminate was torn. In Space 1 and 11, area rugs were torn and frayed. In Space 10, a pillow was ripped and books were torn. In Space 6, a plastic carpet mat was torn with sharp areas accessible to children. 10A NCAC 09 .0601(a) 891 The safe sleep policy did not contain the required information. The center safe sleep policy was not customized by checking the boxes that applied to the procedures or policies specific to the center. 10A NCAC 09 .0606(a)(1-8) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member hired 7-3-2023 did not complete ITS-SIDS training. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under stationary equipment on three (3) outdoor play areas did not meet critical height requirements. The depth measured 3.25 inches or less . .0605(k)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Three (3) staff members did not complete health and safety training within one year of employment. Two (2) staff members completed health and safety training over a year from date of employment. .1102(a) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Health and Safety Trainings We discussed all health and safety trainings must be competed within one year of employment date. Health and Safety Training cannot be over one year old from an employee’s date of hire. You can review the rules as follows: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Safe Sleep Record Retention One of your staff members asked about retaining the SIDS Sleep Chart/Visual Check. The safe sleep checks shall me maintained at least 30 days after record recorded, revised or replaced. All record retention rules can be found 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION Toddler Teacher Resource We discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance DCDEE Website: I encourage you to utilize the DCDEE website on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. The most current Summary of Law can be found here. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Getting Ready For Assessments We discussed training and equipping your teachers using the resources for Get Ready for the 3’s / QRIS: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—is being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. WORK Letters We discussed updating all staff WORKS letters For more information visit : https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .1102 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 88 Completed Date: 6/2/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:30 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for the annual compliance visit. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 88%. The last annual compliance visit was conducted June 18, 2024. I reviewed secretary of State June 2, 2025, and found Tutor Time Learning Centers, LLC listed as current-active. Upon arrival, I rang the doorbell. I was greeted by Alison Simmons, Director and Colleen Quinn, Assistant Director. I stated the purpose for my visit and reviewed the items I would monitor today with Ms. Simmons. I monitored the facility’s bulletin board for items required to be posted an found in compliance. Ms. Simmons assisted me as I monitored the van currently used in day-to-day operations. I found all transportation requirements in compliance. Two new vans were observed parked in the lot and will be used for summer camp. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. I observed each learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in personal care routines, breakfast, outdoor play, activity areas, teacher directed activities, circle time and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. Nurturing tones were heard when staff spoke with children. There were no discipline concerns. Each group of children were observed in licensed approved space. The outdoor play areas were monitored. The center has four (4) areas with equipment and one (1) grassy area for gardening and soccer. I observed standing water in a water play table , potting soil in a wagon, debris, trash and a pile of decomposing leaves next to a fence in the grassy area. The Director stated that this area is not currently used by children. Three (3) outdoor play areas with stationary equipment did not meet the depth requirement for mulch. In the room serving infants twelve months or younger I monitored safe sleep policy and sleep charts. The safe sleep policy was posted but not customized. A violation was cited. Safe Sleep Charts were monitored and found in compliance. In the rooms serving infants, toddlers and twos, Ms. Simmons assist4ed me as I monitored all diaper creams and found in compliance. All bottles were labeled and dated. Feeding charts for children under 15 months of age were posted and in compliance. The center currently has one (1) child requiring emergency medication. I monitored the medications and required forms and found in compliance. I monitored the storage of hazardous materials in all classrooms and found in compliance. I monitored all classrooms for general safety. In the room serving toddlers, I observed the laminate on cabinets peeling. In the room serving infants, the plastic mat under the highchairs was torn leaving a sharp edge accessible to children. In the rooms serving two- and three-year-olds, I observed torn books accessible to children, See the violations section of the visit summary. I reviewed staff files using the most current staff and training worksheets. The files for all new staff hired since the routine unannounced visit March 20, 2025 visit were reviewed. Ten (10) percent of veteran staff files were reviewed. Violations can be viewed in the violations section of this Visit Summary. I was provided the ABCMS roster and found the current staff in compliance. I reviewed all program records. The last Sanitation Inspection was completed February 21, 2025, with a superior rating and ten (10) demerits. The last fire inspection was completed on August 16, 2024. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last EPR plan is dated November 20, 2024. The ready-to-go file was in compliance. The following violations were cited: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space 4 and 5 the cabinets laminate was torn. In Space 1 and 11, area rugs were torn and frayed. In Space 10, a pillow was ripped and books were torn. In Space 6, a plastic carpet mat was torn with sharp areas accessible to children. 10A NCAC 09 .0601(a) 891 The safe sleep policy did not contain the required information. The center safe sleep policy was not customized by checking the boxes that applied to the procedures or policies specific to the center. 10A NCAC 09 .0606(a)(1-8) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member hired 7-3-2023 did not complete ITS-SIDS training. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under stationary equipment on three (3) outdoor play areas did not meet critical height requirements. The depth measured 3.25 inches or less . .0605(k)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Three (3) staff members did not complete health and safety training within one year of employment. Two (2) staff members completed health and safety training over a year from date of employment. .1102(a) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Health and Safety Trainings We discussed all health and safety trainings must be competed within one year of employment date. Health and Safety Training cannot be over one year old from an employee’s date of hire. You can review the rules as follows: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Safe Sleep Record Retention One of your staff members asked about retaining the SIDS Sleep Chart/Visual Check. The safe sleep checks shall me maintained at least 30 days after record recorded, revised or replaced. All record retention rules can be found 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION Toddler Teacher Resource We discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance DCDEE Website: I encourage you to utilize the DCDEE website on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. The most current Summary of Law can be found here. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Getting Ready For Assessments We discussed training and equipping your teachers using the resources for Get Ready for the 3’s / QRIS: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—is being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. WORK Letters We discussed updating all staff WORKS letters For more information visit : https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .2318 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 88 Completed Date: 6/2/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:30 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for the annual compliance visit. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 88%. The last annual compliance visit was conducted June 18, 2024. I reviewed secretary of State June 2, 2025, and found Tutor Time Learning Centers, LLC listed as current-active. Upon arrival, I rang the doorbell. I was greeted by Alison Simmons, Director and Colleen Quinn, Assistant Director. I stated the purpose for my visit and reviewed the items I would monitor today with Ms. Simmons. I monitored the facility’s bulletin board for items required to be posted an found in compliance. Ms. Simmons assisted me as I monitored the van currently used in day-to-day operations. I found all transportation requirements in compliance. Two new vans were observed parked in the lot and will be used for summer camp. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. I observed each learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in personal care routines, breakfast, outdoor play, activity areas, teacher directed activities, circle time and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. Nurturing tones were heard when staff spoke with children. There were no discipline concerns. Each group of children were observed in licensed approved space. The outdoor play areas were monitored. The center has four (4) areas with equipment and one (1) grassy area for gardening and soccer. I observed standing water in a water play table , potting soil in a wagon, debris, trash and a pile of decomposing leaves next to a fence in the grassy area. The Director stated that this area is not currently used by children. Three (3) outdoor play areas with stationary equipment did not meet the depth requirement for mulch. In the room serving infants twelve months or younger I monitored safe sleep policy and sleep charts. The safe sleep policy was posted but not customized. A violation was cited. Safe Sleep Charts were monitored and found in compliance. In the rooms serving infants, toddlers and twos, Ms. Simmons assist4ed me as I monitored all diaper creams and found in compliance. All bottles were labeled and dated. Feeding charts for children under 15 months of age were posted and in compliance. The center currently has one (1) child requiring emergency medication. I monitored the medications and required forms and found in compliance. I monitored the storage of hazardous materials in all classrooms and found in compliance. I monitored all classrooms for general safety. In the room serving toddlers, I observed the laminate on cabinets peeling. In the room serving infants, the plastic mat under the highchairs was torn leaving a sharp edge accessible to children. In the rooms serving two- and three-year-olds, I observed torn books accessible to children, See the violations section of the visit summary. I reviewed staff files using the most current staff and training worksheets. The files for all new staff hired since the routine unannounced visit March 20, 2025 visit were reviewed. Ten (10) percent of veteran staff files were reviewed. Violations can be viewed in the violations section of this Visit Summary. I was provided the ABCMS roster and found the current staff in compliance. I reviewed all program records. The last Sanitation Inspection was completed February 21, 2025, with a superior rating and ten (10) demerits. The last fire inspection was completed on August 16, 2024. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last EPR plan is dated November 20, 2024. The ready-to-go file was in compliance. The following violations were cited: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space 4 and 5 the cabinets laminate was torn. In Space 1 and 11, area rugs were torn and frayed. In Space 10, a pillow was ripped and books were torn. In Space 6, a plastic carpet mat was torn with sharp areas accessible to children. 10A NCAC 09 .0601(a) 891 The safe sleep policy did not contain the required information. The center safe sleep policy was not customized by checking the boxes that applied to the procedures or policies specific to the center. 10A NCAC 09 .0606(a)(1-8) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member hired 7-3-2023 did not complete ITS-SIDS training. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under stationary equipment on three (3) outdoor play areas did not meet critical height requirements. The depth measured 3.25 inches or less . .0605(k)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Three (3) staff members did not complete health and safety training within one year of employment. Two (2) staff members completed health and safety training over a year from date of employment. .1102(a) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Health and Safety Trainings We discussed all health and safety trainings must be competed within one year of employment date. Health and Safety Training cannot be over one year old from an employee’s date of hire. You can review the rules as follows: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Safe Sleep Record Retention One of your staff members asked about retaining the SIDS Sleep Chart/Visual Check. The safe sleep checks shall me maintained at least 30 days after record recorded, revised or replaced. All record retention rules can be found 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION Toddler Teacher Resource We discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance DCDEE Website: I encourage you to utilize the DCDEE website on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. The most current Summary of Law can be found here. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Getting Ready For Assessments We discussed training and equipping your teachers using the resources for Get Ready for the 3’s / QRIS: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—is being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. WORK Letters We discussed updating all staff WORKS letters For more information visit : https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 88 Completed Date: 6/2/2025 Age: From 0 To 5 Total Minutes: 335 Time In: 09:30 AM Time Out: 03:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for the annual compliance visit. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 88%. The last annual compliance visit was conducted June 18, 2024. I reviewed secretary of State June 2, 2025, and found Tutor Time Learning Centers, LLC listed as current-active. Upon arrival, I rang the doorbell. I was greeted by Alison Simmons, Director and Colleen Quinn, Assistant Director. I stated the purpose for my visit and reviewed the items I would monitor today with Ms. Simmons. I monitored the facility’s bulletin board for items required to be posted an found in compliance. Ms. Simmons assisted me as I monitored the van currently used in day-to-day operations. I found all transportation requirements in compliance. Two new vans were observed parked in the lot and will be used for summer camp. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. I observed each learning environment and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in personal care routines, breakfast, outdoor play, activity areas, teacher directed activities, circle time and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. Nurturing tones were heard when staff spoke with children. There were no discipline concerns. Each group of children were observed in licensed approved space. The outdoor play areas were monitored. The center has four (4) areas with equipment and one (1) grassy area for gardening and soccer. I observed standing water in a water play table , potting soil in a wagon, debris, trash and a pile of decomposing leaves next to a fence in the grassy area. The Director stated that this area is not currently used by children. Three (3) outdoor play areas with stationary equipment did not meet the depth requirement for mulch. In the room serving infants twelve months or younger I monitored safe sleep policy and sleep charts. The safe sleep policy was posted but not customized. A violation was cited. Safe Sleep Charts were monitored and found in compliance. In the rooms serving infants, toddlers and twos, Ms. Simmons assist4ed me as I monitored all diaper creams and found in compliance. All bottles were labeled and dated. Feeding charts for children under 15 months of age were posted and in compliance. The center currently has one (1) child requiring emergency medication. I monitored the medications and required forms and found in compliance. I monitored the storage of hazardous materials in all classrooms and found in compliance. I monitored all classrooms for general safety. In the room serving toddlers, I observed the laminate on cabinets peeling. In the room serving infants, the plastic mat under the highchairs was torn leaving a sharp edge accessible to children. In the rooms serving two- and three-year-olds, I observed torn books accessible to children, See the violations section of the visit summary. I reviewed staff files using the most current staff and training worksheets. The files for all new staff hired since the routine unannounced visit March 20, 2025 visit were reviewed. Ten (10) percent of veteran staff files were reviewed. Violations can be viewed in the violations section of this Visit Summary. I was provided the ABCMS roster and found the current staff in compliance. I reviewed all program records. The last Sanitation Inspection was completed February 21, 2025, with a superior rating and ten (10) demerits. The last fire inspection was completed on August 16, 2024. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and found in compliance. The last EPR plan is dated November 20, 2024. The ready-to-go file was in compliance. The following violations were cited: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In Space 4 and 5 the cabinets laminate was torn. In Space 1 and 11, area rugs were torn and frayed. In Space 10, a pillow was ripped and books were torn. In Space 6, a plastic carpet mat was torn with sharp areas accessible to children. 10A NCAC 09 .0601(a) 891 The safe sleep policy did not contain the required information. The center safe sleep policy was not customized by checking the boxes that applied to the procedures or policies specific to the center. 10A NCAC 09 .0606(a)(1-8) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One staff member hired 7-3-2023 did not complete ITS-SIDS training. .1102(f) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch under stationary equipment on three (3) outdoor play areas did not meet critical height requirements. The depth measured 3.25 inches or less . .0605(k)(1-4) 1898 Staff did not complete the health and safety training within one year of employment. Three (3) staff members did not complete health and safety training within one year of employment. Two (2) staff members completed health and safety training over a year from date of employment. .1102(a) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. Health and Safety Trainings We discussed all health and safety trainings must be competed within one year of employment date. Health and Safety Training cannot be over one year old from an employee’s date of hire. You can review the rules as follows: 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Safe Sleep Record Retention One of your staff members asked about retaining the SIDS Sleep Chart/Visual Check. The safe sleep checks shall me maintained at least 30 days after record recorded, revised or replaced. All record retention rules can be found 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION Toddler Teacher Resource We discussed supporting your toddler teachers serving children under by utilizing and enrolling the toddler teachers Healthy Social Behaviors Resources at //www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More information can be found here: https://www.childcareresourcesinc.org/technical-assistance DCDEE Website: I encourage you to utilize the DCDEE website on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. The most current Summary of Law can be found here. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. Getting Ready For Assessments We discussed training and equipping your teachers using the resources for Get Ready for the 3’s / QRIS: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—is being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. WORK Letters We discussed updating all staff WORKS letters For more information visit : https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 84 Completed Date: 3/20/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I rang the doorbell. I observed Colleen Quinn, Director in Training, pushing two children in a buggy and unable to come to the door. A parent allowed me entrance. Ms. Quinn came to the front with the buggy to greet an and to advise me that she was in a classroom. She shared that Alison Simmons, Director, would be to the facility in a few minutes. Ms. Simmons was attending a meeting this morning for directors. I began the walk through to get classroom enrollment for each classroom. Ms. Simons arrived and then assisted me with the visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 82%. The last annual compliance visit was conducted June 18, 2024. A walk-through of the facility was completed today, all indoor areas were monitored. I observed each learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, breakfast, activity areas, teacher directed activities, music and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. The files for five (5) new staff hired since the annual compliance visit were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment training. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety training. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children was adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS: Staff requiring ITS-SIDS certification were current and in compliance. Safe sleep policy and sleep charts: Safe sleep policy was posted and in compliance. Sleep Charts were monitored and found in compliance. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: All hazardous materials were stored properly and found in compliance. Storage of Medication: Diaper Creams were observed stored in compliance. General Safety: A violation was cited for plastic bags/small parts accessible to children and the laminate on cabinets peeling. See the violations and technical assistance section of the visit summary. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed February 21, 2025, with a superior rating and ten (10) demerits. The last fire inspection was completed August 16, 2024. The fire inspection report was not emailed to your consultant within one week of receipt. See violation section for details. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and a shelter in place drill due was not conducted in August, 2024. The last EPR plan is dated November 20, 2024. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection dated August 16, 2024 was not submitted to DCDEE within one week of the inspection. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 4, 5, 6 and 7 cabinets are peeling. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 6 a plastic bag for diapers was in a diaper bag accessible to children. In Space 7 a baggie with pacifiers was stored in a unlocked cubby drawer and a small bead in a teacher incentive was on a hook accessible to children. In Space 4, plastic baggies containing clothing were in a unlocked cubby accessible to children. In Space 9, construction paper wrapped in plastic and an easily opened sensory tube containing small beads was on top of a cubby less than five (5) feet accessible to children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not conducted at least every three months. The August, 2024 drill was not completed. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. We discussed supporting your teachers serving children under by utilizing Healthy Social Behaviors Resources and the Birth-to-Three Quality Initiative as follows: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits’ end? Help is available for these and other behavior challenges! More information can be found here: https://www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More inforamion can be found here: https://www.childcareresourcesinc.org/technical-assistance DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed training and equipping your teachers using the resources for Get Ready for the 3’s / QRIS: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—is being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. We discussed the I will review the following ABCMS (Criminal Background System) requirement at your annual compliance visit: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .0304 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 84 Completed Date: 3/20/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I rang the doorbell. I observed Colleen Quinn, Director in Training, pushing two children in a buggy and unable to come to the door. A parent allowed me entrance. Ms. Quinn came to the front with the buggy to greet an and to advise me that she was in a classroom. She shared that Alison Simmons, Director, would be to the facility in a few minutes. Ms. Simmons was attending a meeting this morning for directors. I began the walk through to get classroom enrollment for each classroom. Ms. Simons arrived and then assisted me with the visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 82%. The last annual compliance visit was conducted June 18, 2024. A walk-through of the facility was completed today, all indoor areas were monitored. I observed each learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, breakfast, activity areas, teacher directed activities, music and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. The files for five (5) new staff hired since the annual compliance visit were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment training. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety training. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children was adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS: Staff requiring ITS-SIDS certification were current and in compliance. Safe sleep policy and sleep charts: Safe sleep policy was posted and in compliance. Sleep Charts were monitored and found in compliance. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: All hazardous materials were stored properly and found in compliance. Storage of Medication: Diaper Creams were observed stored in compliance. General Safety: A violation was cited for plastic bags/small parts accessible to children and the laminate on cabinets peeling. See the violations and technical assistance section of the visit summary. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed February 21, 2025, with a superior rating and ten (10) demerits. The last fire inspection was completed August 16, 2024. The fire inspection report was not emailed to your consultant within one week of receipt. See violation section for details. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and a shelter in place drill due was not conducted in August, 2024. The last EPR plan is dated November 20, 2024. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection dated August 16, 2024 was not submitted to DCDEE within one week of the inspection. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 4, 5, 6 and 7 cabinets are peeling. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 6 a plastic bag for diapers was in a diaper bag accessible to children. In Space 7 a baggie with pacifiers was stored in a unlocked cubby drawer and a small bead in a teacher incentive was on a hook accessible to children. In Space 4, plastic baggies containing clothing were in a unlocked cubby accessible to children. In Space 9, construction paper wrapped in plastic and an easily opened sensory tube containing small beads was on top of a cubby less than five (5) feet accessible to children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not conducted at least every three months. The August, 2024 drill was not completed. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. We discussed supporting your teachers serving children under by utilizing Healthy Social Behaviors Resources and the Birth-to-Three Quality Initiative as follows: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits’ end? Help is available for these and other behavior challenges! More information can be found here: https://www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More inforamion can be found here: https://www.childcareresourcesinc.org/technical-assistance DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed training and equipping your teachers using the resources for Get Ready for the 3’s / QRIS: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—is being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. We discussed the I will review the following ABCMS (Criminal Background System) requirement at your annual compliance visit: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 84 Completed Date: 3/20/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I rang the doorbell. I observed Colleen Quinn, Director in Training, pushing two children in a buggy and unable to come to the door. A parent allowed me entrance. Ms. Quinn came to the front with the buggy to greet an and to advise me that she was in a classroom. She shared that Alison Simmons, Director, would be to the facility in a few minutes. Ms. Simmons was attending a meeting this morning for directors. I began the walk through to get classroom enrollment for each classroom. Ms. Simons arrived and then assisted me with the visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 82%. The last annual compliance visit was conducted June 18, 2024. A walk-through of the facility was completed today, all indoor areas were monitored. I observed each learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, breakfast, activity areas, teacher directed activities, music and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. The files for five (5) new staff hired since the annual compliance visit were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment training. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety training. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children was adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS: Staff requiring ITS-SIDS certification were current and in compliance. Safe sleep policy and sleep charts: Safe sleep policy was posted and in compliance. Sleep Charts were monitored and found in compliance. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: All hazardous materials were stored properly and found in compliance. Storage of Medication: Diaper Creams were observed stored in compliance. General Safety: A violation was cited for plastic bags/small parts accessible to children and the laminate on cabinets peeling. See the violations and technical assistance section of the visit summary. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed February 21, 2025, with a superior rating and ten (10) demerits. The last fire inspection was completed August 16, 2024. The fire inspection report was not emailed to your consultant within one week of receipt. See violation section for details. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and a shelter in place drill due was not conducted in August, 2024. The last EPR plan is dated November 20, 2024. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection dated August 16, 2024 was not submitted to DCDEE within one week of the inspection. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 4, 5, 6 and 7 cabinets are peeling. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 6 a plastic bag for diapers was in a diaper bag accessible to children. In Space 7 a baggie with pacifiers was stored in a unlocked cubby drawer and a small bead in a teacher incentive was on a hook accessible to children. In Space 4, plastic baggies containing clothing were in a unlocked cubby accessible to children. In Space 9, construction paper wrapped in plastic and an easily opened sensory tube containing small beads was on top of a cubby less than five (5) feet accessible to children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not conducted at least every three months. The August, 2024 drill was not completed. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. We discussed supporting your teachers serving children under by utilizing Healthy Social Behaviors Resources and the Birth-to-Three Quality Initiative as follows: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits’ end? Help is available for these and other behavior challenges! More information can be found here: https://www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More inforamion can be found here: https://www.childcareresourcesinc.org/technical-assistance DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed training and equipping your teachers using the resources for Get Ready for the 3’s / QRIS: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—is being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. We discussed the I will review the following ABCMS (Criminal Background System) requirement at your annual compliance visit: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 3/20/2025 Number Present: 84 Completed Date: 3/20/2025 Age: From 0 To 5 Total Minutes: 225 Time In: 09:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, I rang the doorbell. I observed Colleen Quinn, Director in Training, pushing two children in a buggy and unable to come to the door. A parent allowed me entrance. Ms. Quinn came to the front with the buggy to greet an and to advise me that she was in a classroom. She shared that Alison Simmons, Director, would be to the facility in a few minutes. Ms. Simmons was attending a meeting this morning for directors. I began the walk through to get classroom enrollment for each classroom. Ms. Simons arrived and then assisted me with the visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was 82%. The last annual compliance visit was conducted June 18, 2024. A walk-through of the facility was completed today, all indoor areas were monitored. I observed each learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in personal care routines, breakfast, activity areas, teacher directed activities, music and transitions. The caregivers were interacting and meeting the developmental needs for each of the children. The files for five (5) new staff hired since the annual compliance visit were reviewed verifying CBC Qualifying Letter, First Aid/ CPR certification, Recognizing and Responding to Child Maltreatment training. The Staff and Training Worksheets were also reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification and health and safety training. The following child care requirements were monitored during today’s visit: License Posted/Permit Restrictions: The license was posted, and restrictions were in compliance. Supervision: Each group of children was adequately supervised during the visit. Nurturing tones were heard when staff spoke with children. Staff/Child Ratio: The ratios were maintained during today’s visit. CPR: Each staff has current CPR. First Aid: Each staff has current First Aid. CBC Qualification: Staff were current with Criminal Background Check (CBC) qualification. ITS-SIDS: Staff requiring ITS-SIDS certification were current and in compliance. Safe sleep policy and sleep charts: Safe sleep policy was posted and in compliance. Sleep Charts were monitored and found in compliance. Emergency Medical Care Plan: The Emergency Care Plan was posted and in compliance. Administration of Medication: Diaper creams and Emergency Medications were monitored and found in compliance. Storage of Hazardous Substances: All hazardous materials were stored properly and found in compliance. Storage of Medication: Diaper Creams were observed stored in compliance. General Safety: A violation was cited for plastic bags/small parts accessible to children and the laminate on cabinets peeling. See the violations and technical assistance section of the visit summary. Discipline: There were no discipline concerns; appropriate discipline was provided. Adequate/Approved Space: Each group of children were observed in licensed approved space. Program Records: I reviewed all information required to be posted and found un compliance. The last Sanitation Inspection was completed February 21, 2025, with a superior rating and ten (10) demerits. The last fire inspection was completed August 16, 2024. The fire inspection report was not emailed to your consultant within one week of receipt. See violation section for details. The playground inspections were current and in compliance. The incident log was monitored and in compliance. The emergency drill log was monitored and a shelter in place drill due was not conducted in August, 2024. The last EPR plan is dated November 20, 2024. The following violations were cited: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection dated August 16, 2024 was not submitted to DCDEE within one week of the inspection. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. In Spaces 4, 5, 6 and 7 cabinets are peeling. 10A NCAC 09 .0601(a) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 6 a plastic bag for diapers was in a diaper bag accessible to children. In Space 7 a baggie with pacifiers was stored in a unlocked cubby drawer and a small bead in a teacher incentive was on a hook accessible to children. In Space 4, plastic baggies containing clothing were in a unlocked cubby accessible to children. In Space 9, construction paper wrapped in plastic and an easily opened sensory tube containing small beads was on top of a cubby less than five (5) feet accessible to children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not conducted at least every three months. The August, 2024 drill was not completed. .0604(u);.0302(d)(8) Compliance Statement: Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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. Email the information to: Lisa Eddins-Smith, Child Care Consultant Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. We discussed supporting your teachers serving children under by utilizing Healthy Social Behaviors Resources and the Birth-to-Three Quality Initiative as follows: Do you have children who bite? Do children struggle to focus during circle time? Do challenging behaviors cause difficult transitions? Do you spend all day managing behavior? Are you at your wits’ end? Help is available for these and other behavior challenges! More information can be found here: https://www.childcareresourcesinc.org/challenging-behaviors-helpline Specialists with the Birth-to-Three Quality Initiative partner with classroom teachers and administrators using PBC to help them set goals and accomplish what matters most to them for the benefit of the children and families they serve. More inforamion can be found here: https://www.childcareresourcesinc.org/technical-assistance DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed training and equipping your teachers using the resources for Get Ready for the 3’s / QRIS: On February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—is being used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. Understanding the New QRIS If you missed the information sessions on the QRIS Modernization, you can now watch recordings of the webinars for parents and providers, including one with live Spanish translation. Visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization for videos, new resources and updates. We discussed the I will review the following ABCMS (Criminal Background System) requirement at your annual compliance visit: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0225-174L Visit Date: 3/3/2025 Number Present: 85 Completed Date: 3/3/2025 Age: From 0 To 8 Total Minutes: 170 Time In: 03:20 PM Time Out: 06:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 81% prior to today’s visit. Upon my arrival, I rang the doorbell. A parent let me into the facility. Colleen Quinn, Director in Training greeted me from a classroom closest to the front door. I explained the purpose of the visit and shared the allegations with Ms. Quinn. Ms. Quinn arranged for another teacher to come to the classroom so she could assist me with the visit. Ms. Quinn called Alison Simmons, Director, to advise her of the allegations and the visit. I spoke with Ms. Simmons and shared the allegations and explained how I would complete the visit and the items required to be reviewed. Ms. Simmons had left the facility just before my arrival. She had the flu and shingles last week and is still recovering from illness. The allegation is that the appropriate ratios are not maintained. The reporter stated that a toddler (19 months) was in a room with fourteen (14) children and two (2) caregivers during afternoon pick-up. During today’s visit, I monitored all classrooms, interviewed one (1) administrator, interviewed six (6) infant/toddler teachers and spoke with all other staff present regarding ratio in the facility. I reviewed staff and children’s attendance records, sign in and sign out sheets and eight (8) name to face transition sheets from February 11-27, 2025 including February 13, 2025. During the walkthrough I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review it was determined that the appropriate ratios are not maintained is unsubstantiated. All staff interviewed stated that ratio is always met, and name-to-face transition sheets are completed as required. All staff interviewed stated they understand required ratio and administrative staff are called to assist when children are transitioned or if a room is out of ratio. I interviewed Ms. Quinn regarding the procedures to combine rooms. She stated that on the days the children are combined she will take children on a buggy ride to meet ratio if the ratio is not met with the staff in the classroom. She stated that on February 13, 2025, at approximately 4:30 pm the two rooms were combined. Ms. Quinn took two (2) children on a buggy ride and she moved one (1) toddler to the classroom serving infants with four (4) children and one staff present. She left the two rooms serving toddlers combined with 12 children and two staff. I observed name to face sheets and interviewed the teachers present who were documented in the classroom. Both stated that the room is only combined with 12 children and 2 teachers. One teacher stated that she is a floater and is used in classroom daily to maintain ratio. She was assigned to the toddler room the afternoon of February 13, 2025, and stated the room was in ratio. I reviewed sign out times for all children February 13, 2025. One (1) child was signed out by staff at 5:50 pm. Ms. Quinn stated the parent had not signed out the child at dismissal. A violation was cited. From my review of name to face transition sheets from eight (8) days between February 11- February 27, 2025, ratio was observed to be in compliance throughout the day. The following violation was cited today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for one (1) child was not documented at the time of departure February 13, 2025. 10A NCAC 09 .0302(d)(4) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before March 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed importance of accurate record keeping and departure records. We discussed signing out children at the time they leave. we discussed using a name to face transition sheet for the buggy. We discussed the following rules: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 0A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: 0225-174L Visit Date: 3/3/2025 Number Present: 85 Completed Date: 3/3/2025 Age: From 0 To 8 Total Minutes: 170 Time In: 03:20 PM Time Out: 06:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. The facility currently operates with a four-star license, issued August 19, 2019, earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The compliance history was 81% prior to today’s visit. Upon my arrival, I rang the doorbell. A parent let me into the facility. Colleen Quinn, Director in Training greeted me from a classroom closest to the front door. I explained the purpose of the visit and shared the allegations with Ms. Quinn. Ms. Quinn arranged for another teacher to come to the classroom so she could assist me with the visit. Ms. Quinn called Alison Simmons, Director, to advise her of the allegations and the visit. I spoke with Ms. Simmons and shared the allegations and explained how I would complete the visit and the items required to be reviewed. Ms. Simmons had left the facility just before my arrival. She had the flu and shingles last week and is still recovering from illness. The allegation is that the appropriate ratios are not maintained. The reporter stated that a toddler (19 months) was in a room with fourteen (14) children and two (2) caregivers during afternoon pick-up. During today’s visit, I monitored all classrooms, interviewed one (1) administrator, interviewed six (6) infant/toddler teachers and spoke with all other staff present regarding ratio in the facility. I reviewed staff and children’s attendance records, sign in and sign out sheets and eight (8) name to face transition sheets from February 11-27, 2025 including February 13, 2025. During the walkthrough I observed children engaged in center play, circle time, outdoor play, teacher directed activities, and personal care routines. Nurturing and caring tones were heard with the children throughout the facility. Supervision and staff child ratios were observed in compliance. Findings: Based on interviews, observations, and records review it was determined that the appropriate ratios are not maintained is unsubstantiated. All staff interviewed stated that ratio is always met, and name-to-face transition sheets are completed as required. All staff interviewed stated they understand required ratio and administrative staff are called to assist when children are transitioned or if a room is out of ratio. I interviewed Ms. Quinn regarding the procedures to combine rooms. She stated that on the days the children are combined she will take children on a buggy ride to meet ratio if the ratio is not met with the staff in the classroom. She stated that on February 13, 2025, at approximately 4:30 pm the two rooms were combined. Ms. Quinn took two (2) children on a buggy ride and she moved one (1) toddler to the classroom serving infants with four (4) children and one staff present. She left the two rooms serving toddlers combined with 12 children and two staff. I observed name to face sheets and interviewed the teachers present who were documented in the classroom. Both stated that the room is only combined with 12 children and 2 teachers. One teacher stated that she is a floater and is used in classroom daily to maintain ratio. She was assigned to the toddler room the afternoon of February 13, 2025, and stated the room was in ratio. I reviewed sign out times for all children February 13, 2025. One (1) child was signed out by staff at 5:50 pm. Ms. Quinn stated the parent had not signed out the child at dismissal. A violation was cited. From my review of name to face transition sheets from eight (8) days between February 11- February 27, 2025, ratio was observed to be in compliance throughout the day. The following violation was cited today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for one (1) child was not documented at the time of departure February 13, 2025. 10A NCAC 09 .0302(d)(4) Compliance Statement Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. A follow-up visit will be conducted to monitor staff child ratios. On or before March 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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 will be conducted. Email the information to: Email the information to: Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, 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 We discussed importance of accurate record keeping and departure records. We discussed signing out children at the time they leave. we discussed using a name to face transition sheet for the buggy. We discussed the following rules: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; 0A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns regarding today’s visit, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .0508 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 93 Completed Date: 6/18/2024 Age: From 0 To 9 Total Minutes: 415 Time In: 09:25 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A. Simmons, the Director, assisted me with the visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was ninety percent. The last annual compliance visit was conducted June 29, 2023. A sanitation inspection was completed February 23, 2024 with a “Superior” classification. The last fire inspection was conducted July 27, 2023 and your facility was approved for daytime care only. The last fire drill was conducted on May 3, 2024 and a lockdown drill was conducted on June 4, 2024. The NC Secretary of State website was reviewed on June 17, 2024, and Tutor Time Learning Centers, LLC was listed as current- active. A walk-through of the facility was completed today, 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 personal care routines, free play of indoor and outdoor activity areas, group time, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been three new staff hired since a routine unannounced visit was conducted on November 20, 2023. Files for the new staff were monitored as well as ten percent of existing staff files. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #10, the activity plan posted was dated for the week of June 3, 2024. GS 110-91(12); .0508(a) 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space #3, the school age children were observed participating in screen time. The screen time was not listed on the activity plan and there was no screen time log. .2508(e)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In spaces #2, #3, #5, #6, #8, #9, and #10, paint was peeling from walls in several places. 15A NCAC 18A .2825(a) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe arrival and departure procedures were not posted. .1003(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, a bottle of Benadryl was stored in an unlocked cabinet. In space #5 and #11, diaper creams and ointments were located in a drawer less than five feet above the floor. These items are required to be stored at least five feet above the floor. 15A NCAC 18A .2820(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid was completed via Distance Learning. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR was completed via Distance Learning. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured on all four playgrounds did not measure at least six inches in depth. The mulch measured one inches to five inches in the fall zones. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before July 2, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: - A discussion was held with the Director regarding transportation. The facility currently has two buses however, the Director stated that only one bus has been in use but both will be used for summer camp. While monitoring the bus that has not been used, I observed a tire in the back of the van attached to a metal piece bolted to the floor of the bus by a rope. The tire was not secured as I could move it. The bus cannot be used until the tire has been secured by manufacturer’s guidelines or either removed if not needed. I suggested the Director contact another sister school to inquire about borrowing a bus since a field trip is planned for tomorrow. The rule is included for your reference. 10A NCAC 09 .1002 SAFE VEHICLES (a) Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. -A discussion was held with the Director regarding outdoor learning environment. I recommend replacing old borders surrounding the equipment to protect the mulch and keep it from washing away. Mulch must be maintained in all fall zones. Based on equipment the facility has, the mulch must always measure at least 6 inches in depth in the fall zones. I also recommend adding additional shading to the playground used by the children two years of age. The area is currently shaded by the building but only a small portion in the morning. - It’s recommended to inspect all linens weekly to ensure all are intact and in good repair. -All walls and ceiling must be free of peeling/chipping paint. I reminded the Director that peeling paint must be repaired unless something can be placed over the peeling paint that would prevent access by the children. -Current lesson plans must be posted. It is recommended to have staff post lesson plans for the next week at the end of closing on Fridays. -When school age children are offered screen time, is must be offered as a free choice activity, used to meet a developmental goal, limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child, documented on a cumulative log or activity plan, available for review by the Child Care Consultant. Time periods may be extended for school assigned homework. A conversation was held with the Director regarding North Carolina Foundations for Early Learning and Development. The rule is included for your reference. -10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. -Infants must have at least 30 minutes of outdoor time daily, weather permitting. The schedule can vary since infants are cared for on an individual basis for routines such as meals, napping and diapering. -First Aid and CPR must be completed within 90 days of hire date and renewed before the expiration date. Distance Learning shall not be permitted for either course. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .1002 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 93 Completed Date: 6/18/2024 Age: From 0 To 9 Total Minutes: 415 Time In: 09:25 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A. Simmons, the Director, assisted me with the visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was ninety percent. The last annual compliance visit was conducted June 29, 2023. A sanitation inspection was completed February 23, 2024 with a “Superior” classification. The last fire inspection was conducted July 27, 2023 and your facility was approved for daytime care only. The last fire drill was conducted on May 3, 2024 and a lockdown drill was conducted on June 4, 2024. The NC Secretary of State website was reviewed on June 17, 2024, and Tutor Time Learning Centers, LLC was listed as current- active. A walk-through of the facility was completed today, 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 personal care routines, free play of indoor and outdoor activity areas, group time, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been three new staff hired since a routine unannounced visit was conducted on November 20, 2023. Files for the new staff were monitored as well as ten percent of existing staff files. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #10, the activity plan posted was dated for the week of June 3, 2024. GS 110-91(12); .0508(a) 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space #3, the school age children were observed participating in screen time. The screen time was not listed on the activity plan and there was no screen time log. .2508(e)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In spaces #2, #3, #5, #6, #8, #9, and #10, paint was peeling from walls in several places. 15A NCAC 18A .2825(a) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe arrival and departure procedures were not posted. .1003(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, a bottle of Benadryl was stored in an unlocked cabinet. In space #5 and #11, diaper creams and ointments were located in a drawer less than five feet above the floor. These items are required to be stored at least five feet above the floor. 15A NCAC 18A .2820(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid was completed via Distance Learning. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR was completed via Distance Learning. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured on all four playgrounds did not measure at least six inches in depth. The mulch measured one inches to five inches in the fall zones. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before July 2, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: - A discussion was held with the Director regarding transportation. The facility currently has two buses however, the Director stated that only one bus has been in use but both will be used for summer camp. While monitoring the bus that has not been used, I observed a tire in the back of the van attached to a metal piece bolted to the floor of the bus by a rope. The tire was not secured as I could move it. The bus cannot be used until the tire has been secured by manufacturer’s guidelines or either removed if not needed. I suggested the Director contact another sister school to inquire about borrowing a bus since a field trip is planned for tomorrow. The rule is included for your reference. 10A NCAC 09 .1002 SAFE VEHICLES (a) Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. -A discussion was held with the Director regarding outdoor learning environment. I recommend replacing old borders surrounding the equipment to protect the mulch and keep it from washing away. Mulch must be maintained in all fall zones. Based on equipment the facility has, the mulch must always measure at least 6 inches in depth in the fall zones. I also recommend adding additional shading to the playground used by the children two years of age. The area is currently shaded by the building but only a small portion in the morning. - It’s recommended to inspect all linens weekly to ensure all are intact and in good repair. -All walls and ceiling must be free of peeling/chipping paint. I reminded the Director that peeling paint must be repaired unless something can be placed over the peeling paint that would prevent access by the children. -Current lesson plans must be posted. It is recommended to have staff post lesson plans for the next week at the end of closing on Fridays. -When school age children are offered screen time, is must be offered as a free choice activity, used to meet a developmental goal, limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child, documented on a cumulative log or activity plan, available for review by the Child Care Consultant. Time periods may be extended for school assigned homework. A conversation was held with the Director regarding North Carolina Foundations for Early Learning and Development. The rule is included for your reference. -10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. -Infants must have at least 30 minutes of outdoor time daily, weather permitting. The schedule can vary since infants are cared for on an individual basis for routines such as meals, napping and diapering. -First Aid and CPR must be completed within 90 days of hire date and renewed before the expiration date. Distance Learning shall not be permitted for either course. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 93 Completed Date: 6/18/2024 Age: From 0 To 9 Total Minutes: 415 Time In: 09:25 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A. Simmons, the Director, assisted me with the visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was ninety percent. The last annual compliance visit was conducted June 29, 2023. A sanitation inspection was completed February 23, 2024 with a “Superior” classification. The last fire inspection was conducted July 27, 2023 and your facility was approved for daytime care only. The last fire drill was conducted on May 3, 2024 and a lockdown drill was conducted on June 4, 2024. The NC Secretary of State website was reviewed on June 17, 2024, and Tutor Time Learning Centers, LLC was listed as current- active. A walk-through of the facility was completed today, 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 personal care routines, free play of indoor and outdoor activity areas, group time, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been three new staff hired since a routine unannounced visit was conducted on November 20, 2023. Files for the new staff were monitored as well as ten percent of existing staff files. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #10, the activity plan posted was dated for the week of June 3, 2024. GS 110-91(12); .0508(a) 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space #3, the school age children were observed participating in screen time. The screen time was not listed on the activity plan and there was no screen time log. .2508(e)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In spaces #2, #3, #5, #6, #8, #9, and #10, paint was peeling from walls in several places. 15A NCAC 18A .2825(a) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe arrival and departure procedures were not posted. .1003(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, a bottle of Benadryl was stored in an unlocked cabinet. In space #5 and #11, diaper creams and ointments were located in a drawer less than five feet above the floor. These items are required to be stored at least five feet above the floor. 15A NCAC 18A .2820(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid was completed via Distance Learning. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR was completed via Distance Learning. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured on all four playgrounds did not measure at least six inches in depth. The mulch measured one inches to five inches in the fall zones. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before July 2, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: - A discussion was held with the Director regarding transportation. The facility currently has two buses however, the Director stated that only one bus has been in use but both will be used for summer camp. While monitoring the bus that has not been used, I observed a tire in the back of the van attached to a metal piece bolted to the floor of the bus by a rope. The tire was not secured as I could move it. The bus cannot be used until the tire has been secured by manufacturer’s guidelines or either removed if not needed. I suggested the Director contact another sister school to inquire about borrowing a bus since a field trip is planned for tomorrow. The rule is included for your reference. 10A NCAC 09 .1002 SAFE VEHICLES (a) Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. -A discussion was held with the Director regarding outdoor learning environment. I recommend replacing old borders surrounding the equipment to protect the mulch and keep it from washing away. Mulch must be maintained in all fall zones. Based on equipment the facility has, the mulch must always measure at least 6 inches in depth in the fall zones. I also recommend adding additional shading to the playground used by the children two years of age. The area is currently shaded by the building but only a small portion in the morning. - It’s recommended to inspect all linens weekly to ensure all are intact and in good repair. -All walls and ceiling must be free of peeling/chipping paint. I reminded the Director that peeling paint must be repaired unless something can be placed over the peeling paint that would prevent access by the children. -Current lesson plans must be posted. It is recommended to have staff post lesson plans for the next week at the end of closing on Fridays. -When school age children are offered screen time, is must be offered as a free choice activity, used to meet a developmental goal, limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child, documented on a cumulative log or activity plan, available for review by the Child Care Consultant. Time periods may be extended for school assigned homework. A conversation was held with the Director regarding North Carolina Foundations for Early Learning and Development. The rule is included for your reference. -10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. -Infants must have at least 30 minutes of outdoor time daily, weather permitting. The schedule can vary since infants are cared for on an individual basis for routines such as meals, napping and diapering. -First Aid and CPR must be completed within 90 days of hire date and renewed before the expiration date. Distance Learning shall not be permitted for either course. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 93 Completed Date: 6/18/2024 Age: From 0 To 9 Total Minutes: 415 Time In: 09:25 AM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A. Simmons, the Director, assisted me with the visit. The facility currently operates with a four-star license, issued August 19, 2019 earning 4 points in the education component, 5 points in the program standards component meeting enhanced space and enhanced ratios and 1 quality point by staff benefits and an infrastructure for parent involvement. The facility’s 18-month compliance history before today’s visit was ninety percent. The last annual compliance visit was conducted June 29, 2023. A sanitation inspection was completed February 23, 2024 with a “Superior” classification. The last fire inspection was conducted July 27, 2023 and your facility was approved for daytime care only. The last fire drill was conducted on May 3, 2024 and a lockdown drill was conducted on June 4, 2024. The NC Secretary of State website was reviewed on June 17, 2024, and Tutor Time Learning Centers, LLC was listed as current- active. A walk-through of the facility was completed today, 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 personal care routines, free play of indoor and outdoor activity areas, group time, and transitions. The caregivers were observed supervising activities and assisting with personal care routines. Ten percent of children’s records were monitored. The Staff and Training Worksheets were received today. There have been three new staff hired since a routine unannounced visit was conducted on November 20, 2023. Files for the new staff were monitored as well as ten percent of existing staff files. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space #10, the activity plan posted was dated for the week of June 3, 2024. GS 110-91(12); .0508(a) 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space #3, the school age children were observed participating in screen time. The screen time was not listed on the activity plan and there was no screen time log. .2508(e)(1-5) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In spaces #2, #3, #5, #6, #8, #9, and #10, paint was peeling from walls in several places. 15A NCAC 18A .2825(a) 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe arrival and departure procedures were not posted. .1003(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #2, a bottle of Benadryl was stored in an unlocked cabinet. In space #5 and #11, diaper creams and ointments were located in a drawer less than five feet above the floor. These items are required to be stored at least five feet above the floor. 15A NCAC 18A .2820(d) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid was completed via Distance Learning. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR was completed via Distance Learning. .1102(d) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Mulch measured on all four playgrounds did not measure at least six inches in depth. The mulch measured one inches to five inches in the fall zones. .0605(k)(1-4) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before July 2, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant PO Box 627 Matthews, NC 28106 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: - A discussion was held with the Director regarding transportation. The facility currently has two buses however, the Director stated that only one bus has been in use but both will be used for summer camp. While monitoring the bus that has not been used, I observed a tire in the back of the van attached to a metal piece bolted to the floor of the bus by a rope. The tire was not secured as I could move it. The bus cannot be used until the tire has been secured by manufacturer’s guidelines or either removed if not needed. I suggested the Director contact another sister school to inquire about borrowing a bus since a field trip is planned for tomorrow. The rule is included for your reference. 10A NCAC 09 .1002 SAFE VEHICLES (a) Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. -A discussion was held with the Director regarding outdoor learning environment. I recommend replacing old borders surrounding the equipment to protect the mulch and keep it from washing away. Mulch must be maintained in all fall zones. Based on equipment the facility has, the mulch must always measure at least 6 inches in depth in the fall zones. I also recommend adding additional shading to the playground used by the children two years of age. The area is currently shaded by the building but only a small portion in the morning. - It’s recommended to inspect all linens weekly to ensure all are intact and in good repair. -All walls and ceiling must be free of peeling/chipping paint. I reminded the Director that peeling paint must be repaired unless something can be placed over the peeling paint that would prevent access by the children. -Current lesson plans must be posted. It is recommended to have staff post lesson plans for the next week at the end of closing on Fridays. -When school age children are offered screen time, is must be offered as a free choice activity, used to meet a developmental goal, limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child, documented on a cumulative log or activity plan, available for review by the Child Care Consultant. Time periods may be extended for school assigned homework. A conversation was held with the Director regarding North Carolina Foundations for Early Learning and Development. The rule is included for your reference. -10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. -Infants must have at least 30 minutes of outdoor time daily, weather permitting. The schedule can vary since infants are cared for on an individual basis for routines such as meals, napping and diapering. -First Aid and CPR must be completed within 90 days of hire date and renewed before the expiration date. Distance Learning shall not be permitted for either course. Thank you for your time today. If you have questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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 .0701 · Violation

Name of Operation: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 71 Completed Date: 11/20/2023 Age: From 0 To 4 Total Minutes: 235 Time In: 09:45 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates a Four Star Rated License with an effective date of August 19, 2019. The program’s 18-month compliance history before today’s visit was 92%. The NC Secretary of State website was reviewed today and Tutor Time Learning Centers, LLC as listed as current- active. Upon arrival, I was greeted by the Director, A. Simmons, and Associate Director, C. Jackson, and stated the reason for the visit. A walk-through of the facility was completed today with the Director. The license was posted, and the restrictions were in compliance. During the walk-through, 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 choice of indoor and outdoor activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The Staff and Training Worksheets from the annual compliance visit conducted on June 29, 2023 was reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. Five new staff files were reviewed today. The last fire inspection was conducted on July 27, 2023. The last sanitation inspection was conducted on September 7, 2023, with twenty-six demerits and an “Approved” rating. The last fire drill was conducted on October 31, 2023. A lockdown drill was last conducted March 1, 2023. There were six violations cited and one corrected today. Item # 618- Diaper changing surfaces were not kept free of storage. Items not required for diapering were placed on diaper changing surfaces. This is a violation of rule 15A NCAC.2819(b). In spaces #5, #6, and #9, items such as paperwork, art supplies, etc. were being stored on the diaper changing tables. Item #841- Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. This is a violation of rule 15A NCAC 18A.2820(d). In space #9, the drawer where diaper creams are stored was not locked. The drawer was also less than five feet above the finished floor. This was corrected during the visit. Item #1811- Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. This is a violation of rule .0604(u); .0302(d)(8). The last shelter-in-place or lockdown drill was conducted March 1, 2023. Item #1048- All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. This is a violation of rule .1102(c). One staff member’s First Aid expired September 9, 2023, one new staff member did not complete First Aid training within 90 days of hire date. One staff member’s First Aid was not completed by an approved organization. Item #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This is a violation of rule .1102(d). One staff member’s CPR expired September 9, 2023, one new staff member did not complete CPR training within 90 days of hire date. One staff member’s CPR was not completed by an approved organization. Item #1032- Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. This is a violation of rule .0701(a). One new staff member with a hire date of August 7, 2023 did not have a medical report on file. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. In spaces #5, #6, #9, items such as paperwork, art supplies, etc. were being stored on the diaper changing tables. 15A NCAC 18A .2819(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, the drawer where diaper creams are stored was not locked. The drawer was also less than five feet above the finished floor. 15A NCAC 18A .2820(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member with a hire date of August 7, 2023 did not have a medical report on file. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid expired September 9, 2023. One new staff member did not complete First Aid training within 90 days of hire date. One staff member's First Aid was not completed by an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR expired September 9, 2023. One new staff member did not complete CPR training within 90 days of hire date. One staff member's CPR was not completed by an approved organization. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on March 1, 2023. .0604(u);.0302(d)(8) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before December 4, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant 3109 Wyntree Court Matthews, NC 28104 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A Lockdown or a shelter-in-place drill must be conducted every three months and documented on the Emergency Drill Log. -Items shall not be placed on the diapering changing surface except for items required for diapering and the child whose diaper will be changed. -Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. Inaccessible is at least five feet above the finished floor. All new staff are required to complete First Aid and CPR training within 90 days of hire date from an approved training organization. I emailed the Director a copy of the approved training list of organizations. First Aid and CPR must be renewed before the expiration date of cards or certificate. -All new staff are required to have a medical report prior to employment. The medical report shall not be older than twelve months. - If electrical fans will used while children are present, they must be mounted out of the reach of children or have a mesh guard on each fan. -Annual licensing fees are due December 31, 2023. Invoices will be emailed by December 1, 2023. Payments must be submitted online only through DCDEE’s website using a Mastercard or Visa debit or credit card or by e-check. Providers will need their facility ID number and their 2023 invoice number to complete the process. -Annual licensing fees are due December 31, 2023. Invoices will be emailed by December 1, 2023. Payments must be submitted online only through DCDEE’s website using a Mastercard or Visa debit or credit card or by e-check. Providers will need their facility ID number and their 2023 invoice number to complete the process. The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. 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. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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: TUTOR TIME CHILD CARE/ LEARNING CENTER Facility ID: 60002735 Consultant: KAYE DUNLAP Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 71 Completed Date: 11/20/2023 Age: From 0 To 4 Total Minutes: 235 Time In: 09:45 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates a Four Star Rated License with an effective date of August 19, 2019. The program’s 18-month compliance history before today’s visit was 92%. The NC Secretary of State website was reviewed today and Tutor Time Learning Centers, LLC as listed as current- active. Upon arrival, I was greeted by the Director, A. Simmons, and Associate Director, C. Jackson, and stated the reason for the visit. A walk-through of the facility was completed today with the Director. The license was posted, and the restrictions were in compliance. During the walk-through, 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 choice of indoor and outdoor activity areas, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The Staff and Training Worksheets from the annual compliance visit conducted on June 29, 2023 was reviewed to verify existing staff were current with criminal background checks, ITS-SIDS training, First Aid and CPR certification. Five new staff files were reviewed today. The last fire inspection was conducted on July 27, 2023. The last sanitation inspection was conducted on September 7, 2023, with twenty-six demerits and an “Approved” rating. The last fire drill was conducted on October 31, 2023. A lockdown drill was last conducted March 1, 2023. There were six violations cited and one corrected today. Item # 618- Diaper changing surfaces were not kept free of storage. Items not required for diapering were placed on diaper changing surfaces. This is a violation of rule 15A NCAC.2819(b). In spaces #5, #6, and #9, items such as paperwork, art supplies, etc. were being stored on the diaper changing tables. Item #841- Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. This is a violation of rule 15A NCAC 18A.2820(d). In space #9, the drawer where diaper creams are stored was not locked. The drawer was also less than five feet above the finished floor. This was corrected during the visit. Item #1811- Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. This is a violation of rule .0604(u); .0302(d)(8). The last shelter-in-place or lockdown drill was conducted March 1, 2023. Item #1048- All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. This is a violation of rule .1102(c). One staff member’s First Aid expired September 9, 2023, one new staff member did not complete First Aid training within 90 days of hire date. One staff member’s First Aid was not completed by an approved organization. Item #1049- All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. This is a violation of rule .1102(d). One staff member’s CPR expired September 9, 2023, one new staff member did not complete CPR training within 90 days of hire date. One staff member’s CPR was not completed by an approved organization. Item #1032- Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. This is a violation of rule .0701(a). One new staff member with a hire date of August 7, 2023 did not have a medical report on file. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. In spaces #5, #6, #9, items such as paperwork, art supplies, etc. were being stored on the diaper changing tables. 15A NCAC 18A .2819(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #9, the drawer where diaper creams are stored was not locked. The drawer was also less than five feet above the finished floor. 15A NCAC 18A .2820(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new staff member with a hire date of August 7, 2023 did not have a medical report on file. 10A NCAC 09 .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member's First Aid expired September 9, 2023. One new staff member did not complete First Aid training within 90 days of hire date. One staff member's First Aid was not completed by an approved organization. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member's CPR expired September 9, 2023. One new staff member did not complete CPR training within 90 days of hire date. One staff member's CPR was not completed by an approved organization. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was conducted on March 1, 2023. .0604(u);.0302(d)(8) 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before December 4, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Kaye Dunlap, Child Care Consultant 3109 Wyntree Court Matthews, NC 28104 Kaye.Dunlap@dhhs.nc.gov The following technical assistance was provided: -A Lockdown or a shelter-in-place drill must be conducted every three months and documented on the Emergency Drill Log. -Items shall not be placed on the diapering changing surface except for items required for diapering and the child whose diaper will be changed. -Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. Inaccessible is at least five feet above the finished floor. All new staff are required to complete First Aid and CPR training within 90 days of hire date from an approved training organization. I emailed the Director a copy of the approved training list of organizations. First Aid and CPR must be renewed before the expiration date of cards or certificate. -All new staff are required to have a medical report prior to employment. The medical report shall not be older than twelve months. - If electrical fans will used while children are present, they must be mounted out of the reach of children or have a mesh guard on each fan. -Annual licensing fees are due December 31, 2023. Invoices will be emailed by December 1, 2023. Payments must be submitted online only through DCDEE’s website using a Mastercard or Visa debit or credit card or by e-check. Providers will need their facility ID number and their 2023 invoice number to complete the process. -Annual licensing fees are due December 31, 2023. Invoices will be emailed by December 1, 2023. Payments must be submitted online only through DCDEE’s website using a Mastercard or Visa debit or credit card or by e-check. Providers will need their facility ID number and their 2023 invoice number to complete the process. The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. 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. The facility is in cohort #2 which means their preparation year will begin July 1, 2024, to June 30, 2025, with a reassessment year of July 1, 2025 to June 30, 2026. Thank you for your time today. If you have any questions or concerns, please contact me at 704-594-0152 or by email at kaye.dunlap@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