10A NCAC 09 .1705 · Violation

Name of Operation: LI'L HANDS DAYCARE Facility ID: 13000388 Consultant: REBBECCA HAYES Operation Type: Family CC Home Case Number: Visit Date: 6/5/2025 Number Present: 2 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 190 Time In: 01:20 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home 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 during an Annual Compliance Visit. You, Paula Morrison, Owner/Operator, assisted me with today’s visit. The last annual compliance visit was conducted on June 11, 2024. The program’s compliance history was ninety-four percent prior to today’s visit. The center's one-star unrated license, NC Child Care law summary, emergency phone numbers, tobacco restriction, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed during rest time, toileting and handwashing routines, free choice activities, and afternoon snack. Infants were observed receiving care according to their individual needs. Fire drills were completed as required. The last fire drill documented was completed on January 29, 2025. Emergency drills are being completed. The last emergency drill documented was completed on January 27, 2025. Your outdoor play area meets child care safety standards. The last outdoor inspection was completed on May 31, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Your personnel file, household members current criminal background check qualification letter, and all children’s files were monitored during today’s visit. Your family child care home does not provide transportation to children in care. I monitored your fire extinguisher to be charged and easily accessible to you. I observed an electric smoke detector mounted on the wall. Pet records were monitored to be current and in compliance during today’s visit. The following violations were documented today: Violation Number Comment Rule 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. The last documented fire drill was completed on January 29, 2025. The last documented emergency drill was completed on January 27, 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Five hours of on-going training was not completed for the 2023-2024 fiscal year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. A child enrolled on 1/6/25 did not have the health care needs or concerns section completed on the application. .1721 (a ) (3)(D) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A child enrolled on 8/15/23 did not have documentation of receiving the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. A child enrolled on 8/15/23 did not have a physician or hospital preference listed on the application. 10A NCAC 09 .1721(a)(3)(G)(H) Technical Assistance was provided on the following: • We discussed when enrolling children to review all paperwork with parents to ensure that all documents are completed and received. Children birth through five (5) should have signed acknowledgement of reviewing and receiving the Shaken Baby Head Trauma policy and signed acknowledgement of reviewing and receiving the centers operational policies. Children’s application should have a hospital preference, and a physician listed. • The Health Care Needs section should be marked with “N/A” or “none” if the items do not apply to the child • We discussed setting reminders to complete fire drills monthly and emergency drill every three months. Please ensure that these are documented on the emergency drill log when they are completed. • We discussed writing the dates of the current monitoring year on your on-going training documentation log to keep track of the training that will count towards the fiscal year. You are required to complete 15 hours of on-going training each year. Please ensure that you print your certificates upon completion and add the training to your on-going training documentation log. Consultation was provided on the following: • During today’s visit we created an individual NCID for you. Please ensure that you are logging into your NCID accounts monthly to ensure that the password has not expired. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/ -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Navigating Moodle: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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) 814-6401 and someone will assist you. 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 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 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov 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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 .1721 · Violation

Name of Operation: LI'L HANDS DAYCARE Facility ID: 13000388 Consultant: REBBECCA HAYES Operation Type: Family CC Home Case Number: Visit Date: 6/5/2025 Number Present: 2 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 190 Time In: 01:20 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home 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 during an Annual Compliance Visit. You, Paula Morrison, Owner/Operator, assisted me with today’s visit. The last annual compliance visit was conducted on June 11, 2024. The program’s compliance history was ninety-four percent prior to today’s visit. The center's one-star unrated license, NC Child Care law summary, emergency phone numbers, tobacco restriction, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed during rest time, toileting and handwashing routines, free choice activities, and afternoon snack. Infants were observed receiving care according to their individual needs. Fire drills were completed as required. The last fire drill documented was completed on January 29, 2025. Emergency drills are being completed. The last emergency drill documented was completed on January 27, 2025. Your outdoor play area meets child care safety standards. The last outdoor inspection was completed on May 31, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Your personnel file, household members current criminal background check qualification letter, and all children’s files were monitored during today’s visit. Your family child care home does not provide transportation to children in care. I monitored your fire extinguisher to be charged and easily accessible to you. I observed an electric smoke detector mounted on the wall. Pet records were monitored to be current and in compliance during today’s visit. The following violations were documented today: Violation Number Comment Rule 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. The last documented fire drill was completed on January 29, 2025. The last documented emergency drill was completed on January 27, 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Five hours of on-going training was not completed for the 2023-2024 fiscal year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. A child enrolled on 1/6/25 did not have the health care needs or concerns section completed on the application. .1721 (a ) (3)(D) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A child enrolled on 8/15/23 did not have documentation of receiving the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. A child enrolled on 8/15/23 did not have a physician or hospital preference listed on the application. 10A NCAC 09 .1721(a)(3)(G)(H) Technical Assistance was provided on the following: • We discussed when enrolling children to review all paperwork with parents to ensure that all documents are completed and received. Children birth through five (5) should have signed acknowledgement of reviewing and receiving the Shaken Baby Head Trauma policy and signed acknowledgement of reviewing and receiving the centers operational policies. Children’s application should have a hospital preference, and a physician listed. • The Health Care Needs section should be marked with “N/A” or “none” if the items do not apply to the child • We discussed setting reminders to complete fire drills monthly and emergency drill every three months. Please ensure that these are documented on the emergency drill log when they are completed. • We discussed writing the dates of the current monitoring year on your on-going training documentation log to keep track of the training that will count towards the fiscal year. You are required to complete 15 hours of on-going training each year. Please ensure that you print your certificates upon completion and add the training to your on-going training documentation log. Consultation was provided on the following: • During today’s visit we created an individual NCID for you. Please ensure that you are logging into your NCID accounts monthly to ensure that the password has not expired. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/ -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Navigating Moodle: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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) 814-6401 and someone will assist you. 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 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 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov 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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: LI'L HANDS DAYCARE Facility ID: 13000388 Consultant: REBBECCA HAYES Operation Type: Family CC Home Case Number: Visit Date: 6/5/2025 Number Present: 2 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 190 Time In: 01:20 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home 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 during an Annual Compliance Visit. You, Paula Morrison, Owner/Operator, assisted me with today’s visit. The last annual compliance visit was conducted on June 11, 2024. The program’s compliance history was ninety-four percent prior to today’s visit. The center's one-star unrated license, NC Child Care law summary, emergency phone numbers, tobacco restriction, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed during rest time, toileting and handwashing routines, free choice activities, and afternoon snack. Infants were observed receiving care according to their individual needs. Fire drills were completed as required. The last fire drill documented was completed on January 29, 2025. Emergency drills are being completed. The last emergency drill documented was completed on January 27, 2025. Your outdoor play area meets child care safety standards. The last outdoor inspection was completed on May 31, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Your personnel file, household members current criminal background check qualification letter, and all children’s files were monitored during today’s visit. Your family child care home does not provide transportation to children in care. I monitored your fire extinguisher to be charged and easily accessible to you. I observed an electric smoke detector mounted on the wall. Pet records were monitored to be current and in compliance during today’s visit. The following violations were documented today: Violation Number Comment Rule 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. The last documented fire drill was completed on January 29, 2025. The last documented emergency drill was completed on January 27, 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Five hours of on-going training was not completed for the 2023-2024 fiscal year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. A child enrolled on 1/6/25 did not have the health care needs or concerns section completed on the application. .1721 (a ) (3)(D) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A child enrolled on 8/15/23 did not have documentation of receiving the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. A child enrolled on 8/15/23 did not have a physician or hospital preference listed on the application. 10A NCAC 09 .1721(a)(3)(G)(H) Technical Assistance was provided on the following: • We discussed when enrolling children to review all paperwork with parents to ensure that all documents are completed and received. Children birth through five (5) should have signed acknowledgement of reviewing and receiving the Shaken Baby Head Trauma policy and signed acknowledgement of reviewing and receiving the centers operational policies. Children’s application should have a hospital preference, and a physician listed. • The Health Care Needs section should be marked with “N/A” or “none” if the items do not apply to the child • We discussed setting reminders to complete fire drills monthly and emergency drill every three months. Please ensure that these are documented on the emergency drill log when they are completed. • We discussed writing the dates of the current monitoring year on your on-going training documentation log to keep track of the training that will count towards the fiscal year. You are required to complete 15 hours of on-going training each year. Please ensure that you print your certificates upon completion and add the training to your on-going training documentation log. Consultation was provided on the following: • During today’s visit we created an individual NCID for you. Please ensure that you are logging into your NCID accounts monthly to ensure that the password has not expired. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/ -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Navigating Moodle: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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) 814-6401 and someone will assist you. 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 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 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov 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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: LI'L HANDS DAYCARE Facility ID: 13000388 Consultant: REBBECCA HAYES Operation Type: Family CC Home Case Number: Visit Date: 6/5/2025 Number Present: 2 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 190 Time In: 01:20 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home 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 during an Annual Compliance Visit. You, Paula Morrison, Owner/Operator, assisted me with today’s visit. The last annual compliance visit was conducted on June 11, 2024. The program’s compliance history was ninety-four percent prior to today’s visit. The center's one-star unrated license, NC Child Care law summary, emergency phone numbers, tobacco restriction, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed during rest time, toileting and handwashing routines, free choice activities, and afternoon snack. Infants were observed receiving care according to their individual needs. Fire drills were completed as required. The last fire drill documented was completed on January 29, 2025. Emergency drills are being completed. The last emergency drill documented was completed on January 27, 2025. Your outdoor play area meets child care safety standards. The last outdoor inspection was completed on May 31, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Your personnel file, household members current criminal background check qualification letter, and all children’s files were monitored during today’s visit. Your family child care home does not provide transportation to children in care. I monitored your fire extinguisher to be charged and easily accessible to you. I observed an electric smoke detector mounted on the wall. Pet records were monitored to be current and in compliance during today’s visit. The following violations were documented today: Violation Number Comment Rule 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. The last documented fire drill was completed on January 29, 2025. The last documented emergency drill was completed on January 27, 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Five hours of on-going training was not completed for the 2023-2024 fiscal year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. A child enrolled on 1/6/25 did not have the health care needs or concerns section completed on the application. .1721 (a ) (3)(D) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A child enrolled on 8/15/23 did not have documentation of receiving the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. A child enrolled on 8/15/23 did not have a physician or hospital preference listed on the application. 10A NCAC 09 .1721(a)(3)(G)(H) Technical Assistance was provided on the following: • We discussed when enrolling children to review all paperwork with parents to ensure that all documents are completed and received. Children birth through five (5) should have signed acknowledgement of reviewing and receiving the Shaken Baby Head Trauma policy and signed acknowledgement of reviewing and receiving the centers operational policies. Children’s application should have a hospital preference, and a physician listed. • The Health Care Needs section should be marked with “N/A” or “none” if the items do not apply to the child • We discussed setting reminders to complete fire drills monthly and emergency drill every three months. Please ensure that these are documented on the emergency drill log when they are completed. • We discussed writing the dates of the current monitoring year on your on-going training documentation log to keep track of the training that will count towards the fiscal year. You are required to complete 15 hours of on-going training each year. Please ensure that you print your certificates upon completion and add the training to your on-going training documentation log. Consultation was provided on the following: • During today’s visit we created an individual NCID for you. Please ensure that you are logging into your NCID accounts monthly to ensure that the password has not expired. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/ -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Navigating Moodle: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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) 814-6401 and someone will assist you. 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 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 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov 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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: LI'L HANDS DAYCARE Facility ID: 13000388 Consultant: REBBECCA HAYES Operation Type: Family CC Home Case Number: Visit Date: 6/5/2025 Number Present: 2 Completed Date: 6/5/2025 Age: From 0 To 3 Total Minutes: 190 Time In: 01:20 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Family CC Home 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 during an Annual Compliance Visit. You, Paula Morrison, Owner/Operator, assisted me with today’s visit. The last annual compliance visit was conducted on June 11, 2024. The program’s compliance history was ninety-four percent prior to today’s visit. The center's one-star unrated license, NC Child Care law summary, emergency phone numbers, tobacco restriction, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed during rest time, toileting and handwashing routines, free choice activities, and afternoon snack. Infants were observed receiving care according to their individual needs. Fire drills were completed as required. The last fire drill documented was completed on January 29, 2025. Emergency drills are being completed. The last emergency drill documented was completed on January 27, 2025. Your outdoor play area meets child care safety standards. The last outdoor inspection was completed on May 31, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. Your personnel file, household members current criminal background check qualification letter, and all children’s files were monitored during today’s visit. Your family child care home does not provide transportation to children in care. I monitored your fire extinguisher to be charged and easily accessible to you. I observed an electric smoke detector mounted on the wall. Pet records were monitored to be current and in compliance during today’s visit. The following violations were documented today: Violation Number Comment Rule 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. The last documented fire drill was completed on January 29, 2025. The last documented emergency drill was completed on January 27, 2025. .1721 (e)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. Five hours of on-going training was not completed for the 2023-2024 fiscal year. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1895 Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. A child enrolled on 1/6/25 did not have the health care needs or concerns section completed on the application. .1721 (a ) (3)(D) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A child enrolled on 8/15/23 did not have documentation of receiving the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) 2041 Application did not include the names and the phone numbers of the child's physician and the persons to be contacted in an emergency situation. A child enrolled on 8/15/23 did not have a physician or hospital preference listed on the application. 10A NCAC 09 .1721(a)(3)(G)(H) Technical Assistance was provided on the following: • We discussed when enrolling children to review all paperwork with parents to ensure that all documents are completed and received. Children birth through five (5) should have signed acknowledgement of reviewing and receiving the Shaken Baby Head Trauma policy and signed acknowledgement of reviewing and receiving the centers operational policies. Children’s application should have a hospital preference, and a physician listed. • The Health Care Needs section should be marked with “N/A” or “none” if the items do not apply to the child • We discussed setting reminders to complete fire drills monthly and emergency drill every three months. Please ensure that these are documented on the emergency drill log when they are completed. • We discussed writing the dates of the current monitoring year on your on-going training documentation log to keep track of the training that will count towards the fiscal year. You are required to complete 15 hours of on-going training each year. Please ensure that you print your certificates upon completion and add the training to your on-going training documentation log. Consultation was provided on the following: • During today’s visit we created an individual NCID for you. Please ensure that you are logging into your NCID accounts monthly to ensure that the password has not expired. NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/ -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Navigating Moodle: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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) 814-6401 and someone will assist you. 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 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 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov 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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: LI'L HANDS DAYCARE Facility ID: 13000388 Consultant: BRITTANY ADAMS Operation Type: Family CC Home Case Number: Visit Date: 1/24/2025 Number Present: 3 Completed Date: 1/24/2025 Age: From 0 To 3 Total Minutes: 67 Time In: 10:38 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Family CC Home 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. You, Paula Morrison, Owner/Operator, assisted me with today’s visit. Your last annual compliance visit on June 11, 2024. We reviewed the facility permit to ensure that there were no changes to your facility’s operation. The facility is owned/operated by Paula Morrison. As the owner/operator, you are required by Child Care Rule .0102 (19) to reside in the home where the license is issued and according to General Statute 110-91(8) to be the full-time caregiver to the children enrolled at the family child care home. You stated you live in the home and are the person working full-time to care for the children enrolled at your family child care home. We reviewed the restrictions on your family child care home license as well as the capacity, shifts of care, and the age range of the children served at your facility. You stated that you did not have any questions regarding the information reviewed with you regarding your license. Your program’s compliance history was 93% as of January 23, 2025 and was reviewed with you today. Your program currently operates with a one-star license, issued on October 20, 2009. I observed children engaging in meal time, free choice activities indoors, and staff/child interactions. Food was stored in cabinets in the kitchen and dining area and in a residential refrigerator. I monitored hazardous product storage, medication storage, general safety, and discipline practices. I monitored program records, and staff record files. I monitored health and safety requirements. I monitored supervision of children, capacity, approved space use, and permit restrictions. The following violation was observed and cited during today’s visit. Violation Number Comment Rule 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. Operator did not have a current ITS/SIDS certification available for review. .1703(a)(4) TECHNICAL ASSISTANCE: We discussed reviewing staff files monthly to ensure all trainings are up to date. Owner has scheduled an ITS/SIDS in person class on February 3, 2025. COMPLIANCE PLAN: All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3.The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2. Supporting documentation including the following: Please send supporting documentation such as first aid and CPR certificates, training certificates, qualification letters. I should receive your compliance letter no later than February 7, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. An administrative action may be issued based on child care requirements outlined in Child Care Rule .2200 ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Brittany Adams Post Office Box 470753 Charlotte, NC 28247 For your convenience, your compliance letter may be sent by email to: brittany.j.adams@dhhs.nc.gov. 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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: LI'L HANDS DAYCARE Facility ID: 13000388 Consultant: BRITTANY ADAMS Operation Type: Family CC Home Case Number: Visit Date: 6/11/2024 Number Present: 2 Completed Date: 6/11/2024 Age: From 2 To 2 Total Minutes: 175 Time In: 09:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Paula Morrison, Owner/Operator, assisted me with today’s visit. Your last annual compliance visit on June 27, 2023. You stated there were no changes to the facility information. We reviewed the facility permit to ensure that there were no changes to your facility’s operation. The facility is owned/operated by Paula Morrison. As the owner/operator, you are required by Child Care Rule .0102 (19) to reside in the home where the license is issued and according to General Statute 110-91(8) to be the full-time caregiver to the children enrolled at the family child care home. You stated you live in the home and are the person working full-time to care for the children enrolled at your family child care home. We reviewed the restrictions on your family child care home license as well as the capacity, shifts of care, and the age range of the children served at your facility. You stated that you did not have any questions regarding the information reviewed with you regarding your license. Your program’s compliance history was 83% as of June 10, 2024 and was reviewed with you today. Your program currently operates with a one-star license, issued on October 20, 2009. I verified that you have completed the well water testing required to be completed every three years. Today, I verified that those test results indicated that your facilities drinking water is absent of E. coli and coliform bacteria. I visited indoor and outdoor spaces today. I observed meal time, free play, staff/child interactions and caretaking routines. Food was stored in cabinets in the kitchen and dining area and in a residential refrigerator in the kitchen at a temperature of 40 degrees Fahrenheit. I monitored hazardous product storage, medication storage, general safety, and discipline practices. I monitored program records, child record files, staff record files. I monitored health and safety requirements. I monitored supervision of children, capacity, approved space use, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Family Child Care Homes” during today’s visit. The following violation(s) were observed and cited during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. Operator's First-Aid certification expired. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. Operator's CPR certification expired. .1703(a)(3) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Operator and operator's daughter do not have current criminal background checks on file. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. Operator and operator's daughter do not have current qualification letters on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) TECHNICAL ASSISTANCE: We discussed operator completing first aid and CPR within 2 weeks from today’s visit and keeping those certifications current. We discussed operator completing the past due Health & Safety trainings within 2 weeks from today's visit and keeping those trainings current. We discussed operator and operator’s daughter receiving up to date qualification letters within 2 weeks from today's visit and keeping those qualification letters up to date. COMPLIANCE PLAN: All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. 1) Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2) Supporting documentation including the following: Please send supporting documentation such as first aid and CPR certificates, training certificates, qualification letters. I should receive your compliance letter no later than June 25, 2024. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. 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. An administrative action may be issued based on child care requirements outlined in Child Care Rule .2200 ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Brittany Adams Post Office Box 470753 Charlotte, NC 28247 For your convenience, your compliance letter may be sent by email to: brittany.j.adams@dhhs.nc.gov. 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 in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 594-0049 or by email at brittany.j.adams@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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.