10A NCAC 09 .0508 · Violation

Name of Operation: PRECIOUS HANDS CHILDCARE Facility ID: 52000039 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 14 Completed Date: 3/13/2024 Age: From 0 To 4 Total Minutes: 273 Time In: 08:56 AM Time Out: 01:29 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 compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star License issued December 13, 2021, The last annual compliance was conducted on March 22, 2023. The sanitation inspection was completed December 20, 2023, with a “Superior” classification. The last fire inspection was conducted on September 1, 2023. Your facility was approved for 1st and 2nd shift care and the facility meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent. The NC Secretary of State website was reviewed on March 13, 2024, and Precious Hands Childcare, LLC was listed as current-active. Twenty-five (25) children, between the ages of zero (0) and nine (9) years old are enrolled and fourteen (14) were present today. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were observed in group time. A staff member was reading the children a book. Infants and toddlers assigned to indoor space #2 were receiving care based on their individual needs. A staff member interacted with toddlers playing with soft toys on the floor. Younger preschoolers assigned to indoor space #3 transitioned from group time to coloring and decorating Easter eggs in the art center. All staff members were actively engaged with the children. Lunch consisted of peanut butter and jelly sandwiches, mangoes, mixed vegetables, and milk. Handwashing, toileting, and food service routines were monitored, and requirements were met. The covered outdoor space one (1) had a variety of gross motor equipment including stationary train with caboose, riding cars, push toys, drums, playhouse, and a small slide. Outdoor space two (2) had a variety of gross motor equipment including a medium slide with a stationary car attached, small basketball goal, music area, hula hoops, balls, two (2) art boards, ski ball, large connect four games, and a variety of games in a toy chest. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #1 did not have a current activity plan posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu for the facility was not posted. 10A NCAC 09 .0901(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 indoor space #3 had large, black, plastic bags on the side of the changing table accessible to children under three years of age .0604(q) 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. The child care administrator did not complete the ITS-SIDS training every three years. .1102(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, March 22, 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 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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ITS-SIDS On-Going Training Requirements: All adults who provide care for infants 12 months or younger are required to be trained in sudden infant death syndrome (SIDS) risk reduction practices. The Infant/Toddler Safe Sleep and SIDS Risk Reduction in Child Care (ITS-SIDS) is the approved training. It prepares child care providers to follow their facility’s safe sleep policy. Child care centers licensed to care for infants 12 months and younger shall require child care administrators and all staff scheduled to work with infants, including volunteers counted in staff/child ratios, meet the following training requirements: Complete the ITS-SIDS training within 2 months of assuming responsibilities in the infant room, or within 90 days of assuming responsibility as a child care administrator. Complete the ITS-SIDS training again no more than 3 years from their previous ITS-SIDS training. Activity Plan in Rule: Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (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. Plastic Bags For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Provider Access to the Background Check Management System: This access will allow providers to: • See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster • See the real-time background check status of staff members • Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Staff Reminders: • R. Eaton-ITS-SIDS due on or before 03/25/2024. CPR and First Aid due on or before 04/23/2024 • S. Hills-Staff Development Plan due on or before 05/2024. Eleven (11) on-going training hours due on or before 03/22/2024. • P. Ward-Update Emergency Information and Health Questionnaire on or before 03/22/2024. Seven (7) on-going training hours due on or before 03/22/2024. Facility Reminders: Annual EMC and EPR Plan reviews due on or before 03/22/2024. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies were printed, and you signed the visit summary. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: PRECIOUS HANDS CHILDCARE Facility ID: 52000039 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 14 Completed Date: 3/13/2024 Age: From 0 To 4 Total Minutes: 273 Time In: 08:56 AM Time Out: 01:29 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 compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star License issued December 13, 2021, The last annual compliance was conducted on March 22, 2023. The sanitation inspection was completed December 20, 2023, with a “Superior” classification. The last fire inspection was conducted on September 1, 2023. Your facility was approved for 1st and 2nd shift care and the facility meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent. The NC Secretary of State website was reviewed on March 13, 2024, and Precious Hands Childcare, LLC was listed as current-active. Twenty-five (25) children, between the ages of zero (0) and nine (9) years old are enrolled and fourteen (14) were present today. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were observed in group time. A staff member was reading the children a book. Infants and toddlers assigned to indoor space #2 were receiving care based on their individual needs. A staff member interacted with toddlers playing with soft toys on the floor. Younger preschoolers assigned to indoor space #3 transitioned from group time to coloring and decorating Easter eggs in the art center. All staff members were actively engaged with the children. Lunch consisted of peanut butter and jelly sandwiches, mangoes, mixed vegetables, and milk. Handwashing, toileting, and food service routines were monitored, and requirements were met. The covered outdoor space one (1) had a variety of gross motor equipment including stationary train with caboose, riding cars, push toys, drums, playhouse, and a small slide. Outdoor space two (2) had a variety of gross motor equipment including a medium slide with a stationary car attached, small basketball goal, music area, hula hoops, balls, two (2) art boards, ski ball, large connect four games, and a variety of games in a toy chest. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #1 did not have a current activity plan posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu for the facility was not posted. 10A NCAC 09 .0901(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 indoor space #3 had large, black, plastic bags on the side of the changing table accessible to children under three years of age .0604(q) 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. The child care administrator did not complete the ITS-SIDS training every three years. .1102(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, March 22, 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 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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ITS-SIDS On-Going Training Requirements: All adults who provide care for infants 12 months or younger are required to be trained in sudden infant death syndrome (SIDS) risk reduction practices. The Infant/Toddler Safe Sleep and SIDS Risk Reduction in Child Care (ITS-SIDS) is the approved training. It prepares child care providers to follow their facility’s safe sleep policy. Child care centers licensed to care for infants 12 months and younger shall require child care administrators and all staff scheduled to work with infants, including volunteers counted in staff/child ratios, meet the following training requirements: Complete the ITS-SIDS training within 2 months of assuming responsibilities in the infant room, or within 90 days of assuming responsibility as a child care administrator. Complete the ITS-SIDS training again no more than 3 years from their previous ITS-SIDS training. Activity Plan in Rule: Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (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. Plastic Bags For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Provider Access to the Background Check Management System: This access will allow providers to: • See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster • See the real-time background check status of staff members • Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Staff Reminders: • R. Eaton-ITS-SIDS due on or before 03/25/2024. CPR and First Aid due on or before 04/23/2024 • S. Hills-Staff Development Plan due on or before 05/2024. Eleven (11) on-going training hours due on or before 03/22/2024. • P. Ward-Update Emergency Information and Health Questionnaire on or before 03/22/2024. Seven (7) on-going training hours due on or before 03/22/2024. Facility Reminders: Annual EMC and EPR Plan reviews due on or before 03/22/2024. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies were printed, and you signed the visit summary. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: PRECIOUS HANDS CHILDCARE Facility ID: 52000039 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 14 Completed Date: 3/13/2024 Age: From 0 To 4 Total Minutes: 273 Time In: 08:56 AM Time Out: 01:29 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 compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star License issued December 13, 2021, The last annual compliance was conducted on March 22, 2023. The sanitation inspection was completed December 20, 2023, with a “Superior” classification. The last fire inspection was conducted on September 1, 2023. Your facility was approved for 1st and 2nd shift care and the facility meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent. The NC Secretary of State website was reviewed on March 13, 2024, and Precious Hands Childcare, LLC was listed as current-active. Twenty-five (25) children, between the ages of zero (0) and nine (9) years old are enrolled and fourteen (14) were present today. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were observed in group time. A staff member was reading the children a book. Infants and toddlers assigned to indoor space #2 were receiving care based on their individual needs. A staff member interacted with toddlers playing with soft toys on the floor. Younger preschoolers assigned to indoor space #3 transitioned from group time to coloring and decorating Easter eggs in the art center. All staff members were actively engaged with the children. Lunch consisted of peanut butter and jelly sandwiches, mangoes, mixed vegetables, and milk. Handwashing, toileting, and food service routines were monitored, and requirements were met. The covered outdoor space one (1) had a variety of gross motor equipment including stationary train with caboose, riding cars, push toys, drums, playhouse, and a small slide. Outdoor space two (2) had a variety of gross motor equipment including a medium slide with a stationary car attached, small basketball goal, music area, hula hoops, balls, two (2) art boards, ski ball, large connect four games, and a variety of games in a toy chest. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #1 did not have a current activity plan posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu for the facility was not posted. 10A NCAC 09 .0901(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 indoor space #3 had large, black, plastic bags on the side of the changing table accessible to children under three years of age .0604(q) 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. The child care administrator did not complete the ITS-SIDS training every three years. .1102(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, March 22, 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 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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ITS-SIDS On-Going Training Requirements: All adults who provide care for infants 12 months or younger are required to be trained in sudden infant death syndrome (SIDS) risk reduction practices. The Infant/Toddler Safe Sleep and SIDS Risk Reduction in Child Care (ITS-SIDS) is the approved training. It prepares child care providers to follow their facility’s safe sleep policy. Child care centers licensed to care for infants 12 months and younger shall require child care administrators and all staff scheduled to work with infants, including volunteers counted in staff/child ratios, meet the following training requirements: Complete the ITS-SIDS training within 2 months of assuming responsibilities in the infant room, or within 90 days of assuming responsibility as a child care administrator. Complete the ITS-SIDS training again no more than 3 years from their previous ITS-SIDS training. Activity Plan in Rule: Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (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. Plastic Bags For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Provider Access to the Background Check Management System: This access will allow providers to: • See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster • See the real-time background check status of staff members • Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Staff Reminders: • R. Eaton-ITS-SIDS due on or before 03/25/2024. CPR and First Aid due on or before 04/23/2024 • S. Hills-Staff Development Plan due on or before 05/2024. Eleven (11) on-going training hours due on or before 03/22/2024. • P. Ward-Update Emergency Information and Health Questionnaire on or before 03/22/2024. Seven (7) on-going training hours due on or before 03/22/2024. Facility Reminders: Annual EMC and EPR Plan reviews due on or before 03/22/2024. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies were printed, and you signed the visit summary. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PRECIOUS HANDS CHILDCARE Facility ID: 52000039 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 14 Completed Date: 3/13/2024 Age: From 0 To 4 Total Minutes: 273 Time In: 08:56 AM Time Out: 01:29 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 compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star License issued December 13, 2021, The last annual compliance was conducted on March 22, 2023. The sanitation inspection was completed December 20, 2023, with a “Superior” classification. The last fire inspection was conducted on September 1, 2023. Your facility was approved for 1st and 2nd shift care and the facility meets enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent. The NC Secretary of State website was reviewed on March 13, 2024, and Precious Hands Childcare, LLC was listed as current-active. Twenty-five (25) children, between the ages of zero (0) and nine (9) years old are enrolled and fourteen (14) were present today. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older preschool children assigned to indoor space #1 were observed in group time. A staff member was reading the children a book. Infants and toddlers assigned to indoor space #2 were receiving care based on their individual needs. A staff member interacted with toddlers playing with soft toys on the floor. Younger preschoolers assigned to indoor space #3 transitioned from group time to coloring and decorating Easter eggs in the art center. All staff members were actively engaged with the children. Lunch consisted of peanut butter and jelly sandwiches, mangoes, mixed vegetables, and milk. Handwashing, toileting, and food service routines were monitored, and requirements were met. The covered outdoor space one (1) had a variety of gross motor equipment including stationary train with caboose, riding cars, push toys, drums, playhouse, and a small slide. Outdoor space two (2) had a variety of gross motor equipment including a medium slide with a stationary car attached, small basketball goal, music area, hula hoops, balls, two (2) art boards, ski ball, large connect four games, and a variety of games in a toy chest. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Space #1 did not have a current activity plan posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu for the facility was not posted. 10A NCAC 09 .0901(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 indoor space #3 had large, black, plastic bags on the side of the changing table accessible to children under three years of age .0604(q) 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. The child care administrator did not complete the ITS-SIDS training every three years. .1102(f) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, March 22, 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 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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: ITS-SIDS On-Going Training Requirements: All adults who provide care for infants 12 months or younger are required to be trained in sudden infant death syndrome (SIDS) risk reduction practices. The Infant/Toddler Safe Sleep and SIDS Risk Reduction in Child Care (ITS-SIDS) is the approved training. It prepares child care providers to follow their facility’s safe sleep policy. Child care centers licensed to care for infants 12 months and younger shall require child care administrators and all staff scheduled to work with infants, including volunteers counted in staff/child ratios, meet the following training requirements: Complete the ITS-SIDS training within 2 months of assuming responsibilities in the infant room, or within 90 days of assuming responsibility as a child care administrator. Complete the ITS-SIDS training again no more than 3 years from their previous ITS-SIDS training. Activity Plan in Rule: Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (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. Plastic Bags For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Provider Access to the Background Check Management System: This access will allow providers to: • See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster • See the real-time background check status of staff members • Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Staff Reminders: • R. Eaton-ITS-SIDS due on or before 03/25/2024. CPR and First Aid due on or before 04/23/2024 • S. Hills-Staff Development Plan due on or before 05/2024. Eleven (11) on-going training hours due on or before 03/22/2024. • P. Ward-Update Emergency Information and Health Questionnaire on or before 03/22/2024. Seven (7) on-going training hours due on or before 03/22/2024. Facility Reminders: Annual EMC and EPR Plan reviews due on or before 03/22/2024. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies were printed, and you signed the visit summary. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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 .0902 · Violation

Name of Operation: PRECIOUS HANDS CHILDCARE Facility ID: 52000039 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 14 Completed Date: 9/7/2023 Age: From 0 To 3 Total Minutes: 172 Time In: 10:08 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. Your program currently operates with a 3-Star license effective December 13, 2021. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of September 7, 2023. The license was posted, and the restrictions were in compliance. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. Twenty-seven (27) children between the ages of zero (0) and nine (9) are enrolled and fourteen (14) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Young preschool children assigned to indoor space one (1) were transitioning from the indoor to the outdoor space. A staff member sang songs with the children as they washed their hands after free play activities. The children were observed running, sliding, riding cars, and pushing toys in the outdoor space. Infants assigned to indoor space two (2) were receiving routine care based on their individual needs. Toddlers were engaged in a variety of activities including reading books, manipulatives, and stacking toys. Lunch consisted of hotdogs, buns, corn, grapes, and milk. Handwashing, toileting, and food service procedures were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment including riding cars, small stationary slides, push toys, hula hoops, a ski ball game, and a small basketball goal. Other outdoor activities available included water tables, stationary trains, music area, a small playhouse, art easels, and picnic tables. The sanitation and fire inspections remain current. Health and Safety trainings were monitored today, and requirements were met. Violation Number Comment Rule 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space two (2) five (5) infant formula bottles were identified with the child's name; however, the bottles did not have a date on them. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. One (1) out of two (2) infants did not have an individual written feeding plan. 10A NCAC 09 .0902(a) 853 Incident logs were not completed and maintained as required. Incident logs have not been completed and maintained as required. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not available for review. .0605(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The center’s safe sleep policy was not posted. .0606(b) 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. Any violations documented must be corrected immediately. On or before Monday, September 18, 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 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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Ensuring Correct Bottle for Each Child: Each infant shall be served only formula, breast milk, and bottles labeled with their individual name, and bottles should be dated for the current date. Before feeding a bottle to an infant, use name to face recognition to ensure you are giving the correct bottle to the correct child. A current date will ensure that an infant is not receiving old/expired formula. Incident Log An incident log should be completed any time an incident report is completed. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who complete the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. You may access and use the incident report and incident log forms by visiting the DCDEE website ncchildcare.ncdhhs.gov, looking under the Provider tab for Provider Documents and Forms, and then selecting Incident Report or Incident Log. Menus/Meal Patterns Nutrition rules require that meals and snacks are planned at least 1 week in advance and menus are posted. I suggest you post and date menus weekly, even if you are rotating them. If an unusual circumstance arises and you must change your plans for what to serve, it must be documented on the menu what was actually served. You must also comply with Meal Patterns for Children in Child Care Programs. I suggest you review these requirements as they were revised October 1, 2017. A link to these meal patterns can be found in Child Care Rule 10A NCAC 09 .0901. Training Modules Available in DCDEE Moodle The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Building Bright Futures: Gov. Cooper announced the Building Bright Futures (BBF) early childhood education pre-apprenticeship-to-apprenticeship program. This program is a partnership between the North Carolina Business Committee for Education (NCBCE) and the NCDHHS' Division of Child Development and Early Education to pilot new pathways to entering the early childhood profession. BBF creates supportive pathways for high school and postsecondary students to earn credentials, while also obtaining hands-on, work-based learning experiences in the early childhood education field. BBF offers a variety of benefits to participating early child care providers and students including mentorship, professional development, career awareness, and other enrichment activities. Further, the program provides monetary support for transportation, books and materials, a 50 percent wage match reimbursement to providers for work-based learning hours, and other items and services. Learn more about the Building Bright Futures program and how it can support you. Reminders: Upcoming Facility Requirements: A shelter in place or lockdown drill must be conducted in September 2023. Your facility’s Emergency Medical Care Plan is due to be reviewed/updated in September 2023. Please set reminders on your calendar for these required items. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, signed and printed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: PRECIOUS HANDS CHILDCARE Facility ID: 52000039 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 14 Completed Date: 9/7/2023 Age: From 0 To 3 Total Minutes: 172 Time In: 10:08 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. Your program currently operates with a 3-Star license effective December 13, 2021. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of September 7, 2023. The license was posted, and the restrictions were in compliance. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. Twenty-seven (27) children between the ages of zero (0) and nine (9) are enrolled and fourteen (14) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Young preschool children assigned to indoor space one (1) were transitioning from the indoor to the outdoor space. A staff member sang songs with the children as they washed their hands after free play activities. The children were observed running, sliding, riding cars, and pushing toys in the outdoor space. Infants assigned to indoor space two (2) were receiving routine care based on their individual needs. Toddlers were engaged in a variety of activities including reading books, manipulatives, and stacking toys. Lunch consisted of hotdogs, buns, corn, grapes, and milk. Handwashing, toileting, and food service procedures were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment including riding cars, small stationary slides, push toys, hula hoops, a ski ball game, and a small basketball goal. Other outdoor activities available included water tables, stationary trains, music area, a small playhouse, art easels, and picnic tables. The sanitation and fire inspections remain current. Health and Safety trainings were monitored today, and requirements were met. Violation Number Comment Rule 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space two (2) five (5) infant formula bottles were identified with the child's name; however, the bottles did not have a date on them. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. One (1) out of two (2) infants did not have an individual written feeding plan. 10A NCAC 09 .0902(a) 853 Incident logs were not completed and maintained as required. Incident logs have not been completed and maintained as required. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not available for review. .0605(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The center’s safe sleep policy was not posted. .0606(b) 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. Any violations documented must be corrected immediately. On or before Monday, September 18, 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 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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Ensuring Correct Bottle for Each Child: Each infant shall be served only formula, breast milk, and bottles labeled with their individual name, and bottles should be dated for the current date. Before feeding a bottle to an infant, use name to face recognition to ensure you are giving the correct bottle to the correct child. A current date will ensure that an infant is not receiving old/expired formula. Incident Log An incident log should be completed any time an incident report is completed. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who complete the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. You may access and use the incident report and incident log forms by visiting the DCDEE website ncchildcare.ncdhhs.gov, looking under the Provider tab for Provider Documents and Forms, and then selecting Incident Report or Incident Log. Menus/Meal Patterns Nutrition rules require that meals and snacks are planned at least 1 week in advance and menus are posted. I suggest you post and date menus weekly, even if you are rotating them. If an unusual circumstance arises and you must change your plans for what to serve, it must be documented on the menu what was actually served. You must also comply with Meal Patterns for Children in Child Care Programs. I suggest you review these requirements as they were revised October 1, 2017. A link to these meal patterns can be found in Child Care Rule 10A NCAC 09 .0901. Training Modules Available in DCDEE Moodle The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Building Bright Futures: Gov. Cooper announced the Building Bright Futures (BBF) early childhood education pre-apprenticeship-to-apprenticeship program. This program is a partnership between the North Carolina Business Committee for Education (NCBCE) and the NCDHHS' Division of Child Development and Early Education to pilot new pathways to entering the early childhood profession. BBF creates supportive pathways for high school and postsecondary students to earn credentials, while also obtaining hands-on, work-based learning experiences in the early childhood education field. BBF offers a variety of benefits to participating early child care providers and students including mentorship, professional development, career awareness, and other enrichment activities. Further, the program provides monetary support for transportation, books and materials, a 50 percent wage match reimbursement to providers for work-based learning hours, and other items and services. Learn more about the Building Bright Futures program and how it can support you. Reminders: Upcoming Facility Requirements: A shelter in place or lockdown drill must be conducted in September 2023. Your facility’s Emergency Medical Care Plan is due to be reviewed/updated in September 2023. Please set reminders on your calendar for these required items. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, signed and printed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: PRECIOUS HANDS CHILDCARE Facility ID: 52000039 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 14 Completed Date: 9/7/2023 Age: From 0 To 3 Total Minutes: 172 Time In: 10:08 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. Your program currently operates with a 3-Star license effective December 13, 2021. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of September 7, 2023. The license was posted, and the restrictions were in compliance. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. Twenty-seven (27) children between the ages of zero (0) and nine (9) are enrolled and fourteen (14) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Young preschool children assigned to indoor space one (1) were transitioning from the indoor to the outdoor space. A staff member sang songs with the children as they washed their hands after free play activities. The children were observed running, sliding, riding cars, and pushing toys in the outdoor space. Infants assigned to indoor space two (2) were receiving routine care based on their individual needs. Toddlers were engaged in a variety of activities including reading books, manipulatives, and stacking toys. Lunch consisted of hotdogs, buns, corn, grapes, and milk. Handwashing, toileting, and food service procedures were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment including riding cars, small stationary slides, push toys, hula hoops, a ski ball game, and a small basketball goal. Other outdoor activities available included water tables, stationary trains, music area, a small playhouse, art easels, and picnic tables. The sanitation and fire inspections remain current. Health and Safety trainings were monitored today, and requirements were met. Violation Number Comment Rule 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space two (2) five (5) infant formula bottles were identified with the child's name; however, the bottles did not have a date on them. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. One (1) out of two (2) infants did not have an individual written feeding plan. 10A NCAC 09 .0902(a) 853 Incident logs were not completed and maintained as required. Incident logs have not been completed and maintained as required. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not available for review. .0605(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The center’s safe sleep policy was not posted. .0606(b) 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. Any violations documented must be corrected immediately. On or before Monday, September 18, 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 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. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Ensuring Correct Bottle for Each Child: Each infant shall be served only formula, breast milk, and bottles labeled with their individual name, and bottles should be dated for the current date. Before feeding a bottle to an infant, use name to face recognition to ensure you are giving the correct bottle to the correct child. A current date will ensure that an infant is not receiving old/expired formula. Incident Log An incident log should be completed any time an incident report is completed. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who complete the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. You may access and use the incident report and incident log forms by visiting the DCDEE website ncchildcare.ncdhhs.gov, looking under the Provider tab for Provider Documents and Forms, and then selecting Incident Report or Incident Log. Menus/Meal Patterns Nutrition rules require that meals and snacks are planned at least 1 week in advance and menus are posted. I suggest you post and date menus weekly, even if you are rotating them. If an unusual circumstance arises and you must change your plans for what to serve, it must be documented on the menu what was actually served. You must also comply with Meal Patterns for Children in Child Care Programs. I suggest you review these requirements as they were revised October 1, 2017. A link to these meal patterns can be found in Child Care Rule 10A NCAC 09 .0901. Training Modules Available in DCDEE Moodle The Division of Child Development and Early Education (DCDEE) is excited to share information about the July 2023 child care rule changes. The Child Care Commission revised rules related to staff/child ratios for multi-age groups; cooperative arrangements; and enhanced space requirements. These rule changes may or may not impact your facility. The multi-age group staff/child ratio changes support a previous rule change submitted by Early Head Start and the new rule for defining cooperative arrangements provides clarification to a previous change in statute. Consultants will assist facilities impacted by the changes to the enhanced space requirements. A summary of the changes can be accessed here, but for specific details regarding these changes, please ensure you are using the updated July 1, 2023, rules, and enroll, if necessary, and view information in the DCDEE Moodle. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle, learn how to navigate Moodle. To access Moodle, you will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, register for an individual NCID at https://ncid.nc.gov/ncidsspr/. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Building Bright Futures: Gov. Cooper announced the Building Bright Futures (BBF) early childhood education pre-apprenticeship-to-apprenticeship program. This program is a partnership between the North Carolina Business Committee for Education (NCBCE) and the NCDHHS' Division of Child Development and Early Education to pilot new pathways to entering the early childhood profession. BBF creates supportive pathways for high school and postsecondary students to earn credentials, while also obtaining hands-on, work-based learning experiences in the early childhood education field. BBF offers a variety of benefits to participating early child care providers and students including mentorship, professional development, career awareness, and other enrichment activities. Further, the program provides monetary support for transportation, books and materials, a 50 percent wage match reimbursement to providers for work-based learning hours, and other items and services. Learn more about the Building Bright Futures program and how it can support you. Reminders: Upcoming Facility Requirements: A shelter in place or lockdown drill must be conducted in September 2023. Your facility’s Emergency Medical Care Plan is due to be reviewed/updated in September 2023. Please set reminders on your calendar for these required items. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, signed and printed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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