10A NCAC 09 .2809 · Violation

Name of Operation: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 42 Completed Date: 10/22/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on May 6, 2025. Your facility’s compliance history score prior to today’s visit was 95%. You, Debra Stanley, Owner/Director, assisted me with today’s visit. I observed your Five Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, CPR/FA posters and evacuation plans posted as required. Children were adequately supervised during today’s visit, and enhanced staff-child ratios were maintained during today’s visit. I monitored permit restrictions. You stated there are currently no children enrolled in second or third shifts. I observed children engaged in centers, nap, and outdoor play. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. Toys and equipment were developmentally appropriate in all spaces. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. All over the counter medications and emergency prescription medications were monitored. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. Inspections/Drills/Log Sanitation Inspection- June 12, 2025, with a Superior rating and 13 demerits Fire Inspection- January 17, 2025 Playground Inspection- September 10, 2025 Fire Drill- October 15, 2025 Emergency Drill- August 1, 2025 Incident Log-Completed as required Transportation was monitored during the ACV in May 2025. Water/Lead/Asbestos-Ok I monitored Criminal Record Checks, and verified in the ABCMS data base, CPR & First Aid training, ITS-SIDS training (if applicable), BSAC training (if applicable), and Recognizing & Responding to Suspicions of Child Maltreatment training for all staff. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. There were four violations cited during this visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff with a hire dates of 8/27/21 and 5/12/25 did not have verification of valid First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff with hire dates of 8/27/25 and 5/21/25 did not have valid CPR training. .1102(d) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space 3, the capacity is measured at a maximum of 8 children, there were 9 children present in the room. 10A NCAC 09 .2809(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff with a hire date of 10/17/93 had a qualification letter which expired on 10/19/25. Fingerprints for an updated qualification letter were submitted on 9/29/25. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of 5/12/25 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until October 8, 2025. .1102(g) I provided technical assistance on the following: 1. Child Care Law GS 110-90.2(b)(d) and Child Care Rule .2073(e) require all staff to have a valid Criminal back ground check on file. I suggest using a white board to document time sensitive items with expiration dates to ensure things like CBC’s, CPR/FA, ITS SIDS, and Health and Safety training don’t lapse. 2. A white board can also be used to document time sensitive requirements for newly hired staff to ensure that compliance is met. 3. Refer to your space capacity worksheets when combining classrooms ensure you are not over capacity. If you need copies of approved space capacity for each room I can provide that to you. Consultation: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, February 27, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, February 27, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, training, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, February 27, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. 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 For assistance with WORKS please see the website below. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCDEE_WORKS_Instructions_for_Account_Updates_2023_MAY.pdf?ver=mIijBcLVToyge-YstO7BCA%3d%3d Compliance Plan: All violations cited 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. Your 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. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than November 5, 2025. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@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: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 42 Completed Date: 10/22/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on May 6, 2025. Your facility’s compliance history score prior to today’s visit was 95%. You, Debra Stanley, Owner/Director, assisted me with today’s visit. I observed your Five Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, CPR/FA posters and evacuation plans posted as required. Children were adequately supervised during today’s visit, and enhanced staff-child ratios were maintained during today’s visit. I monitored permit restrictions. You stated there are currently no children enrolled in second or third shifts. I observed children engaged in centers, nap, and outdoor play. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. Toys and equipment were developmentally appropriate in all spaces. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. All over the counter medications and emergency prescription medications were monitored. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. Inspections/Drills/Log Sanitation Inspection- June 12, 2025, with a Superior rating and 13 demerits Fire Inspection- January 17, 2025 Playground Inspection- September 10, 2025 Fire Drill- October 15, 2025 Emergency Drill- August 1, 2025 Incident Log-Completed as required Transportation was monitored during the ACV in May 2025. Water/Lead/Asbestos-Ok I monitored Criminal Record Checks, and verified in the ABCMS data base, CPR & First Aid training, ITS-SIDS training (if applicable), BSAC training (if applicable), and Recognizing & Responding to Suspicions of Child Maltreatment training for all staff. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. There were four violations cited during this visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff with a hire dates of 8/27/21 and 5/12/25 did not have verification of valid First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff with hire dates of 8/27/25 and 5/21/25 did not have valid CPR training. .1102(d) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space 3, the capacity is measured at a maximum of 8 children, there were 9 children present in the room. 10A NCAC 09 .2809(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff with a hire date of 10/17/93 had a qualification letter which expired on 10/19/25. Fingerprints for an updated qualification letter were submitted on 9/29/25. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of 5/12/25 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until October 8, 2025. .1102(g) I provided technical assistance on the following: 1. Child Care Law GS 110-90.2(b)(d) and Child Care Rule .2073(e) require all staff to have a valid Criminal back ground check on file. I suggest using a white board to document time sensitive items with expiration dates to ensure things like CBC’s, CPR/FA, ITS SIDS, and Health and Safety training don’t lapse. 2. A white board can also be used to document time sensitive requirements for newly hired staff to ensure that compliance is met. 3. Refer to your space capacity worksheets when combining classrooms ensure you are not over capacity. If you need copies of approved space capacity for each room I can provide that to you. Consultation: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, February 27, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, February 27, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, training, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, February 27, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. 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 For assistance with WORKS please see the website below. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCDEE_WORKS_Instructions_for_Account_Updates_2023_MAY.pdf?ver=mIijBcLVToyge-YstO7BCA%3d%3d Compliance Plan: All violations cited 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. Your 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. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than November 5, 2025. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@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

GS 110-90 · Violation

Name of Operation: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 42 Completed Date: 10/22/2025 Age: From 0 To 5 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on May 6, 2025. Your facility’s compliance history score prior to today’s visit was 95%. You, Debra Stanley, Owner/Director, assisted me with today’s visit. I observed your Five Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, CPR/FA posters and evacuation plans posted as required. Children were adequately supervised during today’s visit, and enhanced staff-child ratios were maintained during today’s visit. I monitored permit restrictions. You stated there are currently no children enrolled in second or third shifts. I observed children engaged in centers, nap, and outdoor play. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. Toys and equipment were developmentally appropriate in all spaces. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. All over the counter medications and emergency prescription medications were monitored. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. Inspections/Drills/Log Sanitation Inspection- June 12, 2025, with a Superior rating and 13 demerits Fire Inspection- January 17, 2025 Playground Inspection- September 10, 2025 Fire Drill- October 15, 2025 Emergency Drill- August 1, 2025 Incident Log-Completed as required Transportation was monitored during the ACV in May 2025. Water/Lead/Asbestos-Ok I monitored Criminal Record Checks, and verified in the ABCMS data base, CPR & First Aid training, ITS-SIDS training (if applicable), BSAC training (if applicable), and Recognizing & Responding to Suspicions of Child Maltreatment training for all staff. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. There were four violations cited during this visit: Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Two staff with a hire dates of 8/27/21 and 5/12/25 did not have verification of valid First Aid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Two staff with hire dates of 8/27/25 and 5/21/25 did not have valid CPR training. .1102(d) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space 3, the capacity is measured at a maximum of 8 children, there were 9 children present in the room. 10A NCAC 09 .2809(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff with a hire date of 10/17/93 had a qualification letter which expired on 10/19/25. Fingerprints for an updated qualification letter were submitted on 9/29/25. G.S. 110-90.2(b) & (d) & .2703(e) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of 5/12/25 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training until October 8, 2025. .1102(g) I provided technical assistance on the following: 1. Child Care Law GS 110-90.2(b)(d) and Child Care Rule .2073(e) require all staff to have a valid Criminal back ground check on file. I suggest using a white board to document time sensitive items with expiration dates to ensure things like CBC’s, CPR/FA, ITS SIDS, and Health and Safety training don’t lapse. 2. A white board can also be used to document time sensitive requirements for newly hired staff to ensure that compliance is met. 3. Refer to your space capacity worksheets when combining classrooms ensure you are not over capacity. If you need copies of approved space capacity for each room I can provide that to you. Consultation: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, February 27, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, February 27, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, training, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than, February 27, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. 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 For assistance with WORKS please see the website below. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/D/DCDEE_WORKS_Instructions_for_Account_Updates_2023_MAY.pdf?ver=mIijBcLVToyge-YstO7BCA%3d%3d Compliance Plan: All violations cited 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. Your 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. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than November 5, 2025. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@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

10A NCAC 09 .0701 · Violation

Name of Operation: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 38 Completed Date: 4/23/2025 Age: From 0 To 10 Total Minutes: 245 Time In: 09:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor all applicable child care requirements. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on May 16, 2024. Prior to today’s visit your compliance history was 95%. You, Debra Stanley, Director, assisted me with today’s visit. Your facility, owned by Almost Home Child Care, LLC was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. Today, children were adequately supervised, enhanced staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. Children were engaged in free play in activity areas, nap, diaper and toileting, and outdoor play. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. Activity plans were current and posted. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored medications both over the counter and prescription. General safety was monitored both indoors and outdoors on all playgrounds. Inspections/Drills/Logs Sanitation Inspection- December 13, 2024, with a Superior rating and four demerits. Fire Inspection- January 17, 2025 Playground Inspection- March 11, 2025 Transportation Inspections- Occurring as required for 1995 Ford van. Fire Drill-April 17, 2025 Emergency Drill- February 13, 2025 Incident Log-Completed as required. I will need to conduct a follow up visit to complete NC Pre-K Monitoring since Davie County Schools are on Spring Break today. I monitored a random selection of seven children’s files. I monitored four new staff files. I monitored one existing staff file. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission to administer form had expired. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff with hire dates of 12/2/24 and 10/28/24 did not have a medical report on file prior to their hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff with hire dates of 12/2/24, 10/28/24, and 1/9/25 did not have a tb skin test prior to their hire date. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A Burger King cup was on a shelf in the classroom for one year olds. .0901(i) Today, I provided technical assistance to you regarding the following topics: 1. Ensure that staff are not hired before receiving a Medical and TB skin test. You could advise staff who apply to begin the process of obtaining those required appointments. 2. Conduct a monthly monitoring of all medications to verify dates on meds and paperwork are still in compliance. 3. Remind staff that outside food and drink may not be consumed in the classrooms with children. Consultation was provided on the following: 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 Compliance Plan: All violations cited 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. Your 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. Provide any documentation that will show compliance with the violation. 7. Your signature For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than May 7, 2025. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today, and thank you for sending requested paperwork prior to the visit. 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 .0803 · Violation

Name of Operation: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 38 Completed Date: 4/23/2025 Age: From 0 To 10 Total Minutes: 245 Time In: 09:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor all applicable child care requirements. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on May 16, 2024. Prior to today’s visit your compliance history was 95%. You, Debra Stanley, Director, assisted me with today’s visit. Your facility, owned by Almost Home Child Care, LLC was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. Today, children were adequately supervised, enhanced staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. Children were engaged in free play in activity areas, nap, diaper and toileting, and outdoor play. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. Activity plans were current and posted. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored medications both over the counter and prescription. General safety was monitored both indoors and outdoors on all playgrounds. Inspections/Drills/Logs Sanitation Inspection- December 13, 2024, with a Superior rating and four demerits. Fire Inspection- January 17, 2025 Playground Inspection- March 11, 2025 Transportation Inspections- Occurring as required for 1995 Ford van. Fire Drill-April 17, 2025 Emergency Drill- February 13, 2025 Incident Log-Completed as required. I will need to conduct a follow up visit to complete NC Pre-K Monitoring since Davie County Schools are on Spring Break today. I monitored a random selection of seven children’s files. I monitored four new staff files. I monitored one existing staff file. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission to administer form had expired. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff with hire dates of 12/2/24 and 10/28/24 did not have a medical report on file prior to their hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff with hire dates of 12/2/24, 10/28/24, and 1/9/25 did not have a tb skin test prior to their hire date. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A Burger King cup was on a shelf in the classroom for one year olds. .0901(i) Today, I provided technical assistance to you regarding the following topics: 1. Ensure that staff are not hired before receiving a Medical and TB skin test. You could advise staff who apply to begin the process of obtaining those required appointments. 2. Conduct a monthly monitoring of all medications to verify dates on meds and paperwork are still in compliance. 3. Remind staff that outside food and drink may not be consumed in the classrooms with children. Consultation was provided on the following: 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 Compliance Plan: All violations cited 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. Your 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. Provide any documentation that will show compliance with the violation. 7. Your signature For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than May 7, 2025. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today, and thank you for sending requested paperwork prior to the visit. 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: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 38 Completed Date: 4/23/2025 Age: From 0 To 10 Total Minutes: 245 Time In: 09:25 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor all applicable child care requirements. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on May 16, 2024. Prior to today’s visit your compliance history was 95%. You, Debra Stanley, Director, assisted me with today’s visit. Your facility, owned by Almost Home Child Care, LLC was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. Today, children were adequately supervised, enhanced staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. Children were engaged in free play in activity areas, nap, diaper and toileting, and outdoor play. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. Activity plans were current and posted. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored medications both over the counter and prescription. General safety was monitored both indoors and outdoors on all playgrounds. Inspections/Drills/Logs Sanitation Inspection- December 13, 2024, with a Superior rating and four demerits. Fire Inspection- January 17, 2025 Playground Inspection- March 11, 2025 Transportation Inspections- Occurring as required for 1995 Ford van. Fire Drill-April 17, 2025 Emergency Drill- February 13, 2025 Incident Log-Completed as required. I will need to conduct a follow up visit to complete NC Pre-K Monitoring since Davie County Schools are on Spring Break today. I monitored a random selection of seven children’s files. I monitored four new staff files. I monitored one existing staff file. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. A permission to administer form had expired. 10A NCAC 09 .0803(1)(a & b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff with hire dates of 12/2/24 and 10/28/24 did not have a medical report on file prior to their hire date. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff with hire dates of 12/2/24, 10/28/24, and 1/9/25 did not have a tb skin test prior to their hire date. .0701(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A Burger King cup was on a shelf in the classroom for one year olds. .0901(i) Today, I provided technical assistance to you regarding the following topics: 1. Ensure that staff are not hired before receiving a Medical and TB skin test. You could advise staff who apply to begin the process of obtaining those required appointments. 2. Conduct a monthly monitoring of all medications to verify dates on meds and paperwork are still in compliance. 3. Remind staff that outside food and drink may not be consumed in the classrooms with children. Consultation was provided on the following: 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 Compliance Plan: All violations cited 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. Your 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. Provide any documentation that will show compliance with the violation. 7. Your signature For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than May 7, 2025. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any questions. Thank you for your time today, and thank you for sending requested paperwork prior to the visit. 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 .0604 · Violation

Name of Operation: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: JACLYN FLOWE Operation Type: Center Case Number: 0924-150A Visit Date: 11/5/2024 Number Present: 30 Completed Date: 11/5/2024 Age: From 0 To 5 Total Minutes: 60 Time In: 01:15 PM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow up regarding allegations of violations of child care requirements at this child care facility. Debra Stanley, administrator/owner, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Stanley and an additional staff member. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 819 Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage. A lighter was found in the classroom for 3-year-old children, that was not in locked storage. 10A NCAC 09 .0604(g) 821 Smoking materials were not kept in locked storage. On the evening of April 24, 2024, an electronic nicotine smoking device was found on the floor of the bathroom in the classroom for 1-and 2-year-old children. 10A NCAC 09 .0604(h) All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by (11/12/24), describing how and when the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed or mailed to at jaclyn.flowe@dhhs.nc.gov. You may contact me, Jaclyn Flowe, Investigations Consultant, at phone number 704-495-5363, email at jaclyn.flowe@dhhs.nc.gov, or you may contact Elizabeth Nichols, North Central Investigations Team Supervisor, at elizabeth.nichols@dhhs.nc.gov. Thank you for your time. 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 .0302 · Violation

Name of Operation: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 5/16/2024 Number Present: 29 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor all applicable child care requirements. I used the "Annual Compliance Monitoring Visit Checklist for Child Care Centers" during today's visit. Your last annual compliance visit was conducted on June 16, 2023. Prior to today’s visit your compliance history was 89%. You, Debra Stanley, Director, assisted me with today’s visit. Your facility, owned by Almost Home Child Care, LLC was current/active as viewed on the North Carolina Secretary of State website. I observed your Five (5) Star License, NC Child Care Summary of the Law, Safe Procedures for Arrival & Departure, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid poster, tobacco free facility signage and evacuation plans posted as required. Today, children were adequately supervised, enhanced staff-child ratios were maintained, adequate approved space was in use and permit restrictions were maintained during today’s visit. Children were engaged in free play in activity areas, and outdoor play. I observed activity areas including books, blocks, manipulatives, dramatic play, art, science, music, writing, and cozy/quiet areas. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. Activity plans were current and posted. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I monitored medication both over the counter and prescription. General safety was monitored both indoors and outdoors on all playgrounds. Inspections/Drills/Logs Sanitation Inspection- December 14, 2023 with a Superior rating and four demerits. Fire Inspection- December 19, 2023 Playground Inspection- May 12, 2024 Transportation Inspections- Occurring as required for 1995 Ford van. Fire Drill-May 1, 2024 Emergency Drill- May 2, 2024 Incident Log-Completed as required. NC Pre-K Monitoring took place today. I observed the administrator does not serve as the classroom teacher. The classroom operates with a staff to child ratio of 1:9. Parent involvement activities this year have included a family field trip to a ballgame, a class published art book, and parent occupation day. The screening tool used is Dial-4, the assessment tool is Teaching Strategies, and Creative Curriculum is the chosen curriculum. I monitored a random selection of six children’s files. I monitored two new staff files. I monitored one existing staff file. Your signature on all forms served and will serve as verification the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. A child with an enrollment date of April 8, 2024 did not have an immunization report on file. 10A NCAC 09 .0302(d)(2) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff with a hire date of September 11, 2023 did not have a record of completing Recognizing and Responding to Suspicions to Child Maltreatment in their file. .1102(g) Today, I provided technical assistance to you regarding the following topics: 1. Use a white board to mark the staff/children who have outstanding time sensitive documents needed for their files, so they don’t get forgotten. Give the family/staff a deadline a week prior to when the item is due and consider not allowing them to return to work/care until they have what is needed to complete the file. Compliance Plan: All violations cited 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. Your 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. Provide any documentation that will show compliance with the violation. 7. Your signature For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than May 30, 2024. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have any 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 .0304 · Violation

Name of Operation: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 27 Completed Date: 12/6/2023 Age: From 0 To 5 Total Minutes: 185 Time In: 12:25 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on June 16, 2023. Your facility’s compliance history score prior to today’s visit was 88%. You, Debra Stanley, Owner/Director, assisted me with today’s visit. I observed your Five (5) Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, CPR/FA posters and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space used during today’s visit. I observed permit restrictions including “enhanced space”, “enhanced ratios”, Reduced ratios by one, Capacity upstairs is 49, May care for children up to age 21, and children under 2 ½ in rooms with direct exits only, maintained during today’s visit. I observed children engaged in transitions, snack, routine toileting practices, and washing hands. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. I observed topical ointments stored above five feet in all classrooms. I monitored a total of seven diaper creams and permission to administer forms. You stated there are no prescription medications on site at this time. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. Sanitation inspections are occurring as required. Your last fire inspection was conducted on September 19, 2022. You called today to request a fire inspection. Outdoor playground inspections are occurring as required. Monthly fire drills occur as required. I observed your last Emergency Drill to be documented on August 15, 2023. Emergency drills are to be conducted every three months. Transportation was monitored during the ACV in June. During today’s visit, I monitored two files for staff hired since the last ACV. I monitored CPR & First Aid training, ITS-SIDS training, BSAC training, and Recognizing & Responding to Suspicions of Child Maltreatment training for all remaining staff. I observed all staff to have the required trainings. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on September 22, 2022. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members, with hire dates of September 11, 2023 and November 30, 2023, did not have medical reports completed until after their dates of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a hire date of 9/11/23 did not have documentation of a tb skin test until after their date of hire. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff with a hire date of September 11, 2023 did not have a Qualifying letter prior to employment. The qualifying letter for the staff was dated September 26, 2023. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented Emergency Drill was August 15, 2023. .0604(u);.0302(d)(8) I provided technical assistance regarding the following topics: 1. The following items are to be obtained on or before the first day of employment: Medical, tb skin test, Health questionnaire, CBC and qualifying letter. Once these items are received the medical information is then placed in the medical file which is separated from the personnel file. You had questions regarding this rule, and it was reviewed with you today. 2. Emergency drills are to be conducted every three months, utilize the calendar on your phone to set a reminder. 3. Consider utilizing a white board in your office to document important information or due dates so in your absence other staff will be able to ensure that time sensitive actions take place like fire inspections, drills, inspections, etc. Compliance Plan: All violations cited 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. Your 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 I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 20, 2023. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@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.

10A NCAC 09 .0701 · Violation

Name of Operation: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 27 Completed Date: 12/6/2023 Age: From 0 To 5 Total Minutes: 185 Time In: 12:25 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on June 16, 2023. Your facility’s compliance history score prior to today’s visit was 88%. You, Debra Stanley, Owner/Director, assisted me with today’s visit. I observed your Five (5) Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, CPR/FA posters and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space used during today’s visit. I observed permit restrictions including “enhanced space”, “enhanced ratios”, Reduced ratios by one, Capacity upstairs is 49, May care for children up to age 21, and children under 2 ½ in rooms with direct exits only, maintained during today’s visit. I observed children engaged in transitions, snack, routine toileting practices, and washing hands. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. I observed topical ointments stored above five feet in all classrooms. I monitored a total of seven diaper creams and permission to administer forms. You stated there are no prescription medications on site at this time. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. Sanitation inspections are occurring as required. Your last fire inspection was conducted on September 19, 2022. You called today to request a fire inspection. Outdoor playground inspections are occurring as required. Monthly fire drills occur as required. I observed your last Emergency Drill to be documented on August 15, 2023. Emergency drills are to be conducted every three months. Transportation was monitored during the ACV in June. During today’s visit, I monitored two files for staff hired since the last ACV. I monitored CPR & First Aid training, ITS-SIDS training, BSAC training, and Recognizing & Responding to Suspicions of Child Maltreatment training for all remaining staff. I observed all staff to have the required trainings. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on September 22, 2022. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members, with hire dates of September 11, 2023 and November 30, 2023, did not have medical reports completed until after their dates of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a hire date of 9/11/23 did not have documentation of a tb skin test until after their date of hire. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff with a hire date of September 11, 2023 did not have a Qualifying letter prior to employment. The qualifying letter for the staff was dated September 26, 2023. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented Emergency Drill was August 15, 2023. .0604(u);.0302(d)(8) I provided technical assistance regarding the following topics: 1. The following items are to be obtained on or before the first day of employment: Medical, tb skin test, Health questionnaire, CBC and qualifying letter. Once these items are received the medical information is then placed in the medical file which is separated from the personnel file. You had questions regarding this rule, and it was reviewed with you today. 2. Emergency drills are to be conducted every three months, utilize the calendar on your phone to set a reminder. 3. Consider utilizing a white board in your office to document important information or due dates so in your absence other staff will be able to ensure that time sensitive actions take place like fire inspections, drills, inspections, etc. Compliance Plan: All violations cited 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. Your 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 I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 20, 2023. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@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

G.S. 110-90 · Violation

Name of Operation: ALMOST HOME CHILD CARE, LLC Facility ID: 30000024 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 12/6/2023 Number Present: 27 Completed Date: 12/6/2023 Age: From 0 To 5 Total Minutes: 185 Time In: 12:25 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during a Routine Unannounced (RU) visit. I conducted your last ACV on June 16, 2023. Your facility’s compliance history score prior to today’s visit was 88%. You, Debra Stanley, Owner/Director, assisted me with today’s visit. I observed your Five (5) Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, CPR/FA posters and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios maintained during today’s visit. I observed adequate approved space used during today’s visit. I observed permit restrictions including “enhanced space”, “enhanced ratios”, Reduced ratios by one, Capacity upstairs is 49, May care for children up to age 21, and children under 2 ½ in rooms with direct exits only, maintained during today’s visit. I observed children engaged in transitions, snack, routine toileting practices, and washing hands. I observed activity areas including books, blocks, manipulatives, dramatic play, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. I observed topical ointments stored above five feet in all classrooms. I monitored a total of seven diaper creams and permission to administer forms. You stated there are no prescription medications on site at this time. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. Sanitation inspections are occurring as required. Your last fire inspection was conducted on September 19, 2022. You called today to request a fire inspection. Outdoor playground inspections are occurring as required. Monthly fire drills occur as required. I observed your last Emergency Drill to be documented on August 15, 2023. Emergency drills are to be conducted every three months. Transportation was monitored during the ACV in June. During today’s visit, I monitored two files for staff hired since the last ACV. I monitored CPR & First Aid training, ITS-SIDS training, BSAC training, and Recognizing & Responding to Suspicions of Child Maltreatment training for all remaining staff. I observed all staff to have the required trainings. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on September 22, 2022. 10A NCAC 09 .0304(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two staff members, with hire dates of September 11, 2023 and November 30, 2023, did not have medical reports completed until after their dates of hire. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One staff member with a hire date of 9/11/23 did not have documentation of a tb skin test until after their date of hire. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff with a hire date of September 11, 2023 did not have a Qualifying letter prior to employment. The qualifying letter for the staff was dated September 26, 2023. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented Emergency Drill was August 15, 2023. .0604(u);.0302(d)(8) I provided technical assistance regarding the following topics: 1. The following items are to be obtained on or before the first day of employment: Medical, tb skin test, Health questionnaire, CBC and qualifying letter. Once these items are received the medical information is then placed in the medical file which is separated from the personnel file. You had questions regarding this rule, and it was reviewed with you today. 2. Emergency drills are to be conducted every three months, utilize the calendar on your phone to set a reminder. 3. Consider utilizing a white board in your office to document important information or due dates so in your absence other staff will be able to ensure that time sensitive actions take place like fire inspections, drills, inspections, etc. Compliance Plan: All violations cited 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. Your 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 I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell Post Office Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than December 20, 2023. Please Note: If you state in your 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. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You 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 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. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@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