Tutor Time Child Care / Learning Center

10A NCAC 09 .0302 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 68 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dameisha Torrence, Director, assisted me with today’s visit. I conducted your last annual compliance visit on February 21, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility, Tutor Time Learning Center, LLC. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 89 % as of January 13, 2026, and was reviewed with you today. Your program currently operates with a four-star license, issued on March 19, 2025, earning seven points in staff education, seven points in program standards, and one quality point. Your last sanitation inspection was today January 14, 2026, with a Superior classification and seven demerits Your last fire inspection was dated March 27, 2025. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, personal care routines, outside play, and children eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in each classroom. Today’s snack included Chicken sandwiches, mashed potatoes, sliced peaches, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I observed that in shelves that are used for storage of children had wood that was chipping off the shelf and toys need to be cleaned in this space. I observed that in infant two one child did not have the date on the bottle. I observed that in all classrooms the walls need to be painted because of chipping paint. I monitored that your last fire drill was dated January 13, 2026. I observed that your last emergency drill was dated November 26, 2025, and it was a Shelter-in-Place drill. I monitored program records, child record files, staff record files. I observed violations in children files, and staff files. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violations were observed and cited during today's visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Pre-K screen time was not logged for children. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In the space for Infant 2 one child did not have bottles labeled with the correct name and date. 15A NCAC 18A .2804(d) 604 Lavatories were not kept clean, in good repair and kept free of storage. Lavatories in classrooms were used for storage. Classroom materials clothing, chairs, cleaning materials, and other items were stored in the lavatories. 15A NCAC 18A .2818(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Wall in all classroom have chipped paint. Classroom walls need to be painted. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. In space Early Preschool 1 the table in the dramatic play had a broken leg. The Lego table had chipping paint and toy shelves need to be painted. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff with hire date 4/9/18 did not have current health questionnaire on file it was dated 1/9/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member with the hire date of 4/9/18 did not have a emergency information form on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff member with the hire date of 9/30/19 did not complete the qualification letter prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/30/19 did not have all the required training hours completed. .1103(a) 1314 Emergency information did not name child's health care professional. Child with date of birth 4/30/23 emergency information did not have a health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Child with date of birth 8/24/25 does not have medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Child DOB 8/24/25 does not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 4/9/18 did not have information that the EPR plan was reviewed annually. .0607(e) 1902 The professional development plan was not reviewed annually. Staff with the hire date of 4/9/18 did not have a annual development plan. .1104 Technical Assistance: 1.The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 2.Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with visual display, it should be: a. offered as a free choice activity; b. used to meet a developmental goal; c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your indoor classroom areas, I suggested you place work orders for repairs and maintenance as soon as you notice items need maintenance in the classroom. 4.When deciding the due date for the on-going training hours for your staff, you’ll have to look at each staff member and determine the due date for completion as follows: a) If the staff member had completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member will have until the next annual compliance date to complete the next annual requirement of on-going training hours. b) If the staff member had not completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member would be given until the annual compliance anniversary date to complete the on-going training requirement. c) If the staff member was newly hired since the last annual compliance visit, their on-going training hours would not be monitored the first year of employment with the assumption that they’ll complete the first-year training requirements for health & safety and other trainings which will account for the required number of hours. 5. It was discussed that each employee must renew their qualifying letter prior to its expiration date. Staff qualifying letters may not expire. A current, valid qualifying letter must be maintained on file at the facility for all staff. 6.It was discussed that all staff members are required to review the Emergency Preparedness and Response (EPR) Plan annually. The Professional Development Plan must be completed on an annual basis. The Health Questionnaire and Emergency Medical Information forms must be completed annually after the first year of employment. 7. It was discussed that infant bottles must be labeled daily with the child’s name and the date prior to being placed in the facility refrigerator in the classroom. 8.It was discussed that lavatories may not be used for storage. Classroom materials, clothing, chairs, cleaning supplies, brooms, or any other items may not be stored in bathroom areas. It was also discussed that children’s bathrooms must be cleaned regularly and fully stocked at all times. 9.It was discussed that walls throughout the facility must be kept clean and free of chipping paint. It was suggested that teachers wipe down classroom walls on a weekly basis and report any areas of chipping paint to administrative staff promptly. Consultation: During today’s visit, I assisted you in locating the following information on the DCDEE website: QRIS Modernization resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Chapter 110 General Statutes Child Care Facilities: https://www.ncleg.gov/enactedlegislation/statutes/pdf/byarticle/chapter_110/article_7.pdf Chapter 9 Child Care Rules: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_November 1,2024. NC Child Care Commission Approved Curricula: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment During today’s visit, I directed you to the North Carolina Rated License Assessment Project (NCRLAP) website for resources and trainings related to Environmental Rating Scales (ERS). As discussed today, this facility should consider the QRIS options and make a decision as to the option the facility wishes to pursue for their rated license reassessment. While this facility may begin their rated license reassessment process at any time, this facility should be prepared to submit their Application for Assessment for a Rated License no later than between April 1, 2026 and September 30, 2026. The following steps are how you can begin preparing for the Rated License process: 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, May 1, 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, April 1, 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, books. Prepare for Environmental Rating Scale (ERS) assessments. 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, May 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. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2)Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than January 28, 2026. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@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 .0601 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 68 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dameisha Torrence, Director, assisted me with today’s visit. I conducted your last annual compliance visit on February 21, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility, Tutor Time Learning Center, LLC. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 89 % as of January 13, 2026, and was reviewed with you today. Your program currently operates with a four-star license, issued on March 19, 2025, earning seven points in staff education, seven points in program standards, and one quality point. Your last sanitation inspection was today January 14, 2026, with a Superior classification and seven demerits Your last fire inspection was dated March 27, 2025. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, personal care routines, outside play, and children eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in each classroom. Today’s snack included Chicken sandwiches, mashed potatoes, sliced peaches, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I observed that in shelves that are used for storage of children had wood that was chipping off the shelf and toys need to be cleaned in this space. I observed that in infant two one child did not have the date on the bottle. I observed that in all classrooms the walls need to be painted because of chipping paint. I monitored that your last fire drill was dated January 13, 2026. I observed that your last emergency drill was dated November 26, 2025, and it was a Shelter-in-Place drill. I monitored program records, child record files, staff record files. I observed violations in children files, and staff files. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violations were observed and cited during today's visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Pre-K screen time was not logged for children. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In the space for Infant 2 one child did not have bottles labeled with the correct name and date. 15A NCAC 18A .2804(d) 604 Lavatories were not kept clean, in good repair and kept free of storage. Lavatories in classrooms were used for storage. Classroom materials clothing, chairs, cleaning materials, and other items were stored in the lavatories. 15A NCAC 18A .2818(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Wall in all classroom have chipped paint. Classroom walls need to be painted. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. In space Early Preschool 1 the table in the dramatic play had a broken leg. The Lego table had chipping paint and toy shelves need to be painted. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff with hire date 4/9/18 did not have current health questionnaire on file it was dated 1/9/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member with the hire date of 4/9/18 did not have a emergency information form on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff member with the hire date of 9/30/19 did not complete the qualification letter prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/30/19 did not have all the required training hours completed. .1103(a) 1314 Emergency information did not name child's health care professional. Child with date of birth 4/30/23 emergency information did not have a health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Child with date of birth 8/24/25 does not have medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Child DOB 8/24/25 does not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 4/9/18 did not have information that the EPR plan was reviewed annually. .0607(e) 1902 The professional development plan was not reviewed annually. Staff with the hire date of 4/9/18 did not have a annual development plan. .1104 Technical Assistance: 1.The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 2.Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with visual display, it should be: a. offered as a free choice activity; b. used to meet a developmental goal; c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your indoor classroom areas, I suggested you place work orders for repairs and maintenance as soon as you notice items need maintenance in the classroom. 4.When deciding the due date for the on-going training hours for your staff, you’ll have to look at each staff member and determine the due date for completion as follows: a) If the staff member had completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member will have until the next annual compliance date to complete the next annual requirement of on-going training hours. b) If the staff member had not completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member would be given until the annual compliance anniversary date to complete the on-going training requirement. c) If the staff member was newly hired since the last annual compliance visit, their on-going training hours would not be monitored the first year of employment with the assumption that they’ll complete the first-year training requirements for health & safety and other trainings which will account for the required number of hours. 5. It was discussed that each employee must renew their qualifying letter prior to its expiration date. Staff qualifying letters may not expire. A current, valid qualifying letter must be maintained on file at the facility for all staff. 6.It was discussed that all staff members are required to review the Emergency Preparedness and Response (EPR) Plan annually. The Professional Development Plan must be completed on an annual basis. The Health Questionnaire and Emergency Medical Information forms must be completed annually after the first year of employment. 7. It was discussed that infant bottles must be labeled daily with the child’s name and the date prior to being placed in the facility refrigerator in the classroom. 8.It was discussed that lavatories may not be used for storage. Classroom materials, clothing, chairs, cleaning supplies, brooms, or any other items may not be stored in bathroom areas. It was also discussed that children’s bathrooms must be cleaned regularly and fully stocked at all times. 9.It was discussed that walls throughout the facility must be kept clean and free of chipping paint. It was suggested that teachers wipe down classroom walls on a weekly basis and report any areas of chipping paint to administrative staff promptly. Consultation: During today’s visit, I assisted you in locating the following information on the DCDEE website: QRIS Modernization resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Chapter 110 General Statutes Child Care Facilities: https://www.ncleg.gov/enactedlegislation/statutes/pdf/byarticle/chapter_110/article_7.pdf Chapter 9 Child Care Rules: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_November 1,2024. NC Child Care Commission Approved Curricula: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment During today’s visit, I directed you to the North Carolina Rated License Assessment Project (NCRLAP) website for resources and trainings related to Environmental Rating Scales (ERS). As discussed today, this facility should consider the QRIS options and make a decision as to the option the facility wishes to pursue for their rated license reassessment. While this facility may begin their rated license reassessment process at any time, this facility should be prepared to submit their Application for Assessment for a Rated License no later than between April 1, 2026 and September 30, 2026. The following steps are how you can begin preparing for the Rated License process: 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, May 1, 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, April 1, 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, books. Prepare for Environmental Rating Scale (ERS) assessments. 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, May 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. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2)Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than January 28, 2026. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@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 .2508 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 68 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dameisha Torrence, Director, assisted me with today’s visit. I conducted your last annual compliance visit on February 21, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility, Tutor Time Learning Center, LLC. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 89 % as of January 13, 2026, and was reviewed with you today. Your program currently operates with a four-star license, issued on March 19, 2025, earning seven points in staff education, seven points in program standards, and one quality point. Your last sanitation inspection was today January 14, 2026, with a Superior classification and seven demerits Your last fire inspection was dated March 27, 2025. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, personal care routines, outside play, and children eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in each classroom. Today’s snack included Chicken sandwiches, mashed potatoes, sliced peaches, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I observed that in shelves that are used for storage of children had wood that was chipping off the shelf and toys need to be cleaned in this space. I observed that in infant two one child did not have the date on the bottle. I observed that in all classrooms the walls need to be painted because of chipping paint. I monitored that your last fire drill was dated January 13, 2026. I observed that your last emergency drill was dated November 26, 2025, and it was a Shelter-in-Place drill. I monitored program records, child record files, staff record files. I observed violations in children files, and staff files. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violations were observed and cited during today's visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Pre-K screen time was not logged for children. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In the space for Infant 2 one child did not have bottles labeled with the correct name and date. 15A NCAC 18A .2804(d) 604 Lavatories were not kept clean, in good repair and kept free of storage. Lavatories in classrooms were used for storage. Classroom materials clothing, chairs, cleaning materials, and other items were stored in the lavatories. 15A NCAC 18A .2818(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Wall in all classroom have chipped paint. Classroom walls need to be painted. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. In space Early Preschool 1 the table in the dramatic play had a broken leg. The Lego table had chipping paint and toy shelves need to be painted. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff with hire date 4/9/18 did not have current health questionnaire on file it was dated 1/9/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member with the hire date of 4/9/18 did not have a emergency information form on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff member with the hire date of 9/30/19 did not complete the qualification letter prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/30/19 did not have all the required training hours completed. .1103(a) 1314 Emergency information did not name child's health care professional. Child with date of birth 4/30/23 emergency information did not have a health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Child with date of birth 8/24/25 does not have medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Child DOB 8/24/25 does not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 4/9/18 did not have information that the EPR plan was reviewed annually. .0607(e) 1902 The professional development plan was not reviewed annually. Staff with the hire date of 4/9/18 did not have a annual development plan. .1104 Technical Assistance: 1.The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 2.Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with visual display, it should be: a. offered as a free choice activity; b. used to meet a developmental goal; c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your indoor classroom areas, I suggested you place work orders for repairs and maintenance as soon as you notice items need maintenance in the classroom. 4.When deciding the due date for the on-going training hours for your staff, you’ll have to look at each staff member and determine the due date for completion as follows: a) If the staff member had completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member will have until the next annual compliance date to complete the next annual requirement of on-going training hours. b) If the staff member had not completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member would be given until the annual compliance anniversary date to complete the on-going training requirement. c) If the staff member was newly hired since the last annual compliance visit, their on-going training hours would not be monitored the first year of employment with the assumption that they’ll complete the first-year training requirements for health & safety and other trainings which will account for the required number of hours. 5. It was discussed that each employee must renew their qualifying letter prior to its expiration date. Staff qualifying letters may not expire. A current, valid qualifying letter must be maintained on file at the facility for all staff. 6.It was discussed that all staff members are required to review the Emergency Preparedness and Response (EPR) Plan annually. The Professional Development Plan must be completed on an annual basis. The Health Questionnaire and Emergency Medical Information forms must be completed annually after the first year of employment. 7. It was discussed that infant bottles must be labeled daily with the child’s name and the date prior to being placed in the facility refrigerator in the classroom. 8.It was discussed that lavatories may not be used for storage. Classroom materials, clothing, chairs, cleaning supplies, brooms, or any other items may not be stored in bathroom areas. It was also discussed that children’s bathrooms must be cleaned regularly and fully stocked at all times. 9.It was discussed that walls throughout the facility must be kept clean and free of chipping paint. It was suggested that teachers wipe down classroom walls on a weekly basis and report any areas of chipping paint to administrative staff promptly. Consultation: During today’s visit, I assisted you in locating the following information on the DCDEE website: QRIS Modernization resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Chapter 110 General Statutes Child Care Facilities: https://www.ncleg.gov/enactedlegislation/statutes/pdf/byarticle/chapter_110/article_7.pdf Chapter 9 Child Care Rules: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_November 1,2024. NC Child Care Commission Approved Curricula: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment During today’s visit, I directed you to the North Carolina Rated License Assessment Project (NCRLAP) website for resources and trainings related to Environmental Rating Scales (ERS). As discussed today, this facility should consider the QRIS options and make a decision as to the option the facility wishes to pursue for their rated license reassessment. While this facility may begin their rated license reassessment process at any time, this facility should be prepared to submit their Application for Assessment for a Rated License no later than between April 1, 2026 and September 30, 2026. The following steps are how you can begin preparing for the Rated License process: 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, May 1, 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, April 1, 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, books. Prepare for Environmental Rating Scale (ERS) assessments. 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, May 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. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2)Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than January 28, 2026. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@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: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 68 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dameisha Torrence, Director, assisted me with today’s visit. I conducted your last annual compliance visit on February 21, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility, Tutor Time Learning Center, LLC. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 89 % as of January 13, 2026, and was reviewed with you today. Your program currently operates with a four-star license, issued on March 19, 2025, earning seven points in staff education, seven points in program standards, and one quality point. Your last sanitation inspection was today January 14, 2026, with a Superior classification and seven demerits Your last fire inspection was dated March 27, 2025. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, personal care routines, outside play, and children eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in each classroom. Today’s snack included Chicken sandwiches, mashed potatoes, sliced peaches, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I observed that in shelves that are used for storage of children had wood that was chipping off the shelf and toys need to be cleaned in this space. I observed that in infant two one child did not have the date on the bottle. I observed that in all classrooms the walls need to be painted because of chipping paint. I monitored that your last fire drill was dated January 13, 2026. I observed that your last emergency drill was dated November 26, 2025, and it was a Shelter-in-Place drill. I monitored program records, child record files, staff record files. I observed violations in children files, and staff files. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violations were observed and cited during today's visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Pre-K screen time was not logged for children. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In the space for Infant 2 one child did not have bottles labeled with the correct name and date. 15A NCAC 18A .2804(d) 604 Lavatories were not kept clean, in good repair and kept free of storage. Lavatories in classrooms were used for storage. Classroom materials clothing, chairs, cleaning materials, and other items were stored in the lavatories. 15A NCAC 18A .2818(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Wall in all classroom have chipped paint. Classroom walls need to be painted. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. In space Early Preschool 1 the table in the dramatic play had a broken leg. The Lego table had chipping paint and toy shelves need to be painted. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff with hire date 4/9/18 did not have current health questionnaire on file it was dated 1/9/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member with the hire date of 4/9/18 did not have a emergency information form on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff member with the hire date of 9/30/19 did not complete the qualification letter prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/30/19 did not have all the required training hours completed. .1103(a) 1314 Emergency information did not name child's health care professional. Child with date of birth 4/30/23 emergency information did not have a health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Child with date of birth 8/24/25 does not have medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Child DOB 8/24/25 does not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 4/9/18 did not have information that the EPR plan was reviewed annually. .0607(e) 1902 The professional development plan was not reviewed annually. Staff with the hire date of 4/9/18 did not have a annual development plan. .1104 Technical Assistance: 1.The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 2.Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with visual display, it should be: a. offered as a free choice activity; b. used to meet a developmental goal; c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your indoor classroom areas, I suggested you place work orders for repairs and maintenance as soon as you notice items need maintenance in the classroom. 4.When deciding the due date for the on-going training hours for your staff, you’ll have to look at each staff member and determine the due date for completion as follows: a) If the staff member had completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member will have until the next annual compliance date to complete the next annual requirement of on-going training hours. b) If the staff member had not completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member would be given until the annual compliance anniversary date to complete the on-going training requirement. c) If the staff member was newly hired since the last annual compliance visit, their on-going training hours would not be monitored the first year of employment with the assumption that they’ll complete the first-year training requirements for health & safety and other trainings which will account for the required number of hours. 5. It was discussed that each employee must renew their qualifying letter prior to its expiration date. Staff qualifying letters may not expire. A current, valid qualifying letter must be maintained on file at the facility for all staff. 6.It was discussed that all staff members are required to review the Emergency Preparedness and Response (EPR) Plan annually. The Professional Development Plan must be completed on an annual basis. The Health Questionnaire and Emergency Medical Information forms must be completed annually after the first year of employment. 7. It was discussed that infant bottles must be labeled daily with the child’s name and the date prior to being placed in the facility refrigerator in the classroom. 8.It was discussed that lavatories may not be used for storage. Classroom materials, clothing, chairs, cleaning supplies, brooms, or any other items may not be stored in bathroom areas. It was also discussed that children’s bathrooms must be cleaned regularly and fully stocked at all times. 9.It was discussed that walls throughout the facility must be kept clean and free of chipping paint. It was suggested that teachers wipe down classroom walls on a weekly basis and report any areas of chipping paint to administrative staff promptly. Consultation: During today’s visit, I assisted you in locating the following information on the DCDEE website: QRIS Modernization resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Chapter 110 General Statutes Child Care Facilities: https://www.ncleg.gov/enactedlegislation/statutes/pdf/byarticle/chapter_110/article_7.pdf Chapter 9 Child Care Rules: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_November 1,2024. NC Child Care Commission Approved Curricula: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment During today’s visit, I directed you to the North Carolina Rated License Assessment Project (NCRLAP) website for resources and trainings related to Environmental Rating Scales (ERS). As discussed today, this facility should consider the QRIS options and make a decision as to the option the facility wishes to pursue for their rated license reassessment. While this facility may begin their rated license reassessment process at any time, this facility should be prepared to submit their Application for Assessment for a Rated License no later than between April 1, 2026 and September 30, 2026. The following steps are how you can begin preparing for the Rated License process: 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, May 1, 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, April 1, 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, books. Prepare for Environmental Rating Scale (ERS) assessments. 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, May 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. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2)Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than January 28, 2026. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@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. 110-91 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 68 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dameisha Torrence, Director, assisted me with today’s visit. I conducted your last annual compliance visit on February 21, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility, Tutor Time Learning Center, LLC. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 89 % as of January 13, 2026, and was reviewed with you today. Your program currently operates with a four-star license, issued on March 19, 2025, earning seven points in staff education, seven points in program standards, and one quality point. Your last sanitation inspection was today January 14, 2026, with a Superior classification and seven demerits Your last fire inspection was dated March 27, 2025. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, personal care routines, outside play, and children eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in each classroom. Today’s snack included Chicken sandwiches, mashed potatoes, sliced peaches, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I observed that in shelves that are used for storage of children had wood that was chipping off the shelf and toys need to be cleaned in this space. I observed that in infant two one child did not have the date on the bottle. I observed that in all classrooms the walls need to be painted because of chipping paint. I monitored that your last fire drill was dated January 13, 2026. I observed that your last emergency drill was dated November 26, 2025, and it was a Shelter-in-Place drill. I monitored program records, child record files, staff record files. I observed violations in children files, and staff files. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violations were observed and cited during today's visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Pre-K screen time was not logged for children. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In the space for Infant 2 one child did not have bottles labeled with the correct name and date. 15A NCAC 18A .2804(d) 604 Lavatories were not kept clean, in good repair and kept free of storage. Lavatories in classrooms were used for storage. Classroom materials clothing, chairs, cleaning materials, and other items were stored in the lavatories. 15A NCAC 18A .2818(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Wall in all classroom have chipped paint. Classroom walls need to be painted. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. In space Early Preschool 1 the table in the dramatic play had a broken leg. The Lego table had chipping paint and toy shelves need to be painted. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff with hire date 4/9/18 did not have current health questionnaire on file it was dated 1/9/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member with the hire date of 4/9/18 did not have a emergency information form on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff member with the hire date of 9/30/19 did not complete the qualification letter prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/30/19 did not have all the required training hours completed. .1103(a) 1314 Emergency information did not name child's health care professional. Child with date of birth 4/30/23 emergency information did not have a health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Child with date of birth 8/24/25 does not have medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Child DOB 8/24/25 does not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 4/9/18 did not have information that the EPR plan was reviewed annually. .0607(e) 1902 The professional development plan was not reviewed annually. Staff with the hire date of 4/9/18 did not have a annual development plan. .1104 Technical Assistance: 1.The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 2.Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with visual display, it should be: a. offered as a free choice activity; b. used to meet a developmental goal; c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your indoor classroom areas, I suggested you place work orders for repairs and maintenance as soon as you notice items need maintenance in the classroom. 4.When deciding the due date for the on-going training hours for your staff, you’ll have to look at each staff member and determine the due date for completion as follows: a) If the staff member had completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member will have until the next annual compliance date to complete the next annual requirement of on-going training hours. b) If the staff member had not completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member would be given until the annual compliance anniversary date to complete the on-going training requirement. c) If the staff member was newly hired since the last annual compliance visit, their on-going training hours would not be monitored the first year of employment with the assumption that they’ll complete the first-year training requirements for health & safety and other trainings which will account for the required number of hours. 5. It was discussed that each employee must renew their qualifying letter prior to its expiration date. Staff qualifying letters may not expire. A current, valid qualifying letter must be maintained on file at the facility for all staff. 6.It was discussed that all staff members are required to review the Emergency Preparedness and Response (EPR) Plan annually. The Professional Development Plan must be completed on an annual basis. The Health Questionnaire and Emergency Medical Information forms must be completed annually after the first year of employment. 7. It was discussed that infant bottles must be labeled daily with the child’s name and the date prior to being placed in the facility refrigerator in the classroom. 8.It was discussed that lavatories may not be used for storage. Classroom materials, clothing, chairs, cleaning supplies, brooms, or any other items may not be stored in bathroom areas. It was also discussed that children’s bathrooms must be cleaned regularly and fully stocked at all times. 9.It was discussed that walls throughout the facility must be kept clean and free of chipping paint. It was suggested that teachers wipe down classroom walls on a weekly basis and report any areas of chipping paint to administrative staff promptly. Consultation: During today’s visit, I assisted you in locating the following information on the DCDEE website: QRIS Modernization resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Chapter 110 General Statutes Child Care Facilities: https://www.ncleg.gov/enactedlegislation/statutes/pdf/byarticle/chapter_110/article_7.pdf Chapter 9 Child Care Rules: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_November 1,2024. NC Child Care Commission Approved Curricula: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment During today’s visit, I directed you to the North Carolina Rated License Assessment Project (NCRLAP) website for resources and trainings related to Environmental Rating Scales (ERS). As discussed today, this facility should consider the QRIS options and make a decision as to the option the facility wishes to pursue for their rated license reassessment. While this facility may begin their rated license reassessment process at any time, this facility should be prepared to submit their Application for Assessment for a Rated License no later than between April 1, 2026 and September 30, 2026. The following steps are how you can begin preparing for the Rated License process: 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, May 1, 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, April 1, 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, books. Prepare for Environmental Rating Scale (ERS) assessments. 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, May 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. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2)Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than January 28, 2026. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@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 110-91 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 68 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 345 Time In: 09:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Dameisha Torrence, Director, assisted me with today’s visit. I conducted your last annual compliance visit on February 21, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the facility, Tutor Time Learning Center, LLC. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 89 % as of January 13, 2026, and was reviewed with you today. Your program currently operates with a four-star license, issued on March 19, 2025, earning seven points in staff education, seven points in program standards, and one quality point. Your last sanitation inspection was today January 14, 2026, with a Superior classification and seven demerits Your last fire inspection was dated March 27, 2025. I visited each licensed indoor and outdoor space with you today. I observed students playing in activity areas, personal care routines, outside play, and children eating lunch. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Lunch was prepared in the kitchen and served in each classroom. Today’s snack included Chicken sandwiches, mashed potatoes, sliced peaches, and milk. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 36 degrees Fahrenheit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline practices. I observed that in shelves that are used for storage of children had wood that was chipping off the shelf and toys need to be cleaned in this space. I observed that in infant two one child did not have the date on the bottle. I observed that in all classrooms the walls need to be painted because of chipping paint. I monitored that your last fire drill was dated January 13, 2026. I observed that your last emergency drill was dated November 26, 2025, and it was a Shelter-in-Place drill. I monitored program records, child record files, staff record files. I observed violations in children files, and staff files. I monitored health and safety requirements. I monitored supervision of children, staff-child ratios and group sizes, approved space use, space capacities, and permit restrictions. I completed the “Annual Compliance Monitoring Checklist for Child Care Centers” during today’s visit. The following violations were observed and cited during today's visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Pre-K screen time was not logged for children. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In the space for Infant 2 one child did not have bottles labeled with the correct name and date. 15A NCAC 18A .2804(d) 604 Lavatories were not kept clean, in good repair and kept free of storage. Lavatories in classrooms were used for storage. Classroom materials clothing, chairs, cleaning materials, and other items were stored in the lavatories. 15A NCAC 18A .2818(a) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Wall in all classroom have chipped paint. Classroom walls need to be painted. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. In space Early Preschool 1 the table in the dramatic play had a broken leg. The Lego table had chipping paint and toy shelves need to be painted. G.S. 110-91(6); .0601(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff with hire date 4/9/18 did not have current health questionnaire on file it was dated 1/9/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member with the hire date of 4/9/18 did not have a emergency information form on file. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Staff member with the hire date of 9/30/19 did not complete the qualification letter prior to the expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/30/19 did not have all the required training hours completed. .1103(a) 1314 Emergency information did not name child's health care professional. Child with date of birth 4/30/23 emergency information did not have a health care professional listed. .0802(c)(2) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Child with date of birth 8/24/25 does not have medical exam on file. GS 110-91(1);.0302(d)(2); .0304(g) 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. Child DOB 8/24/25 does not have an immunization record on file. 10A NCAC 09 .0302(d)(2) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 4/9/18 did not have information that the EPR plan was reviewed annually. .0607(e) 1902 The professional development plan was not reviewed annually. Staff with the hire date of 4/9/18 did not have a annual development plan. .1104 Technical Assistance: 1.The Emergency Preparedness Response (EPR) Plan and the Ready to Go file should be reviewed annually and when changes are made in the plan. The EPR Plan should be reviewed and updated by the person in the facility who has completed the Emergency Preparedness and Response Planning training using the emergency management portal. 2.Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with visual display, it should be: a. offered as a free choice activity; b. used to meet a developmental goal; c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3.Per child care rule 10A NCAC 09 .0601(a), safe indoor and outdoor environment shall be provided for the children in care including providing equipment and furnishings that are in good repair, sturdy, stable, and free of hazards. To maintain this child care requirement in your indoor classroom areas, I suggested you place work orders for repairs and maintenance as soon as you notice items need maintenance in the classroom. 4.When deciding the due date for the on-going training hours for your staff, you’ll have to look at each staff member and determine the due date for completion as follows: a) If the staff member had completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member will have until the next annual compliance date to complete the next annual requirement of on-going training hours. b) If the staff member had not completed their on-going training hour requirement by the annual compliance anniversary date, then that staff member would be given until the annual compliance anniversary date to complete the on-going training requirement. c) If the staff member was newly hired since the last annual compliance visit, their on-going training hours would not be monitored the first year of employment with the assumption that they’ll complete the first-year training requirements for health & safety and other trainings which will account for the required number of hours. 5. It was discussed that each employee must renew their qualifying letter prior to its expiration date. Staff qualifying letters may not expire. A current, valid qualifying letter must be maintained on file at the facility for all staff. 6.It was discussed that all staff members are required to review the Emergency Preparedness and Response (EPR) Plan annually. The Professional Development Plan must be completed on an annual basis. The Health Questionnaire and Emergency Medical Information forms must be completed annually after the first year of employment. 7. It was discussed that infant bottles must be labeled daily with the child’s name and the date prior to being placed in the facility refrigerator in the classroom. 8.It was discussed that lavatories may not be used for storage. Classroom materials, clothing, chairs, cleaning supplies, brooms, or any other items may not be stored in bathroom areas. It was also discussed that children’s bathrooms must be cleaned regularly and fully stocked at all times. 9.It was discussed that walls throughout the facility must be kept clean and free of chipping paint. It was suggested that teachers wipe down classroom walls on a weekly basis and report any areas of chipping paint to administrative staff promptly. Consultation: During today’s visit, I assisted you in locating the following information on the DCDEE website: QRIS Modernization resources: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization Chapter 110 General Statutes Child Care Facilities: https://www.ncleg.gov/enactedlegislation/statutes/pdf/byarticle/chapter_110/article_7.pdf Chapter 9 Child Care Rules: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_November 1,2024. NC Child Care Commission Approved Curricula: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Approved-Curricula NC Child Care Commission Approved Formative Assessments: https://ncchildcare.ncdhhs.gov/Services/NC-Pre-K-Program/Formative-Assessment During today’s visit, I directed you to the North Carolina Rated License Assessment Project (NCRLAP) website for resources and trainings related to Environmental Rating Scales (ERS). As discussed today, this facility should consider the QRIS options and make a decision as to the option the facility wishes to pursue for their rated license reassessment. While this facility may begin their rated license reassessment process at any time, this facility should be prepared to submit their Application for Assessment for a Rated License no later than between April 1, 2026 and September 30, 2026. The following steps are how you can begin preparing for the Rated License process: 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, May 1, 2026. Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than, April 1, 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, books. Prepare for Environmental Rating Scale (ERS) assessments. 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, May 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. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature 2)Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than January 28, 2026. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@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 .0803 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 7/29/2025 Number Present: 88 Completed Date: 7/29/2025 Age: From 0 To 12 Total Minutes: 285 Time In: 09:30 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Tiffany Holland, Team Lead, assisted me with today’s visit. I conducted your last annual compliance visit on February 21, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address. You stated that there has been a change for the corporate contact for the facility. The paperwork for this change has been submitted to the consultant. You stated there has been no change with the corporate owner, Tutor Time Learning Centers LLC, that owns your facility. I reviewed the facility’s permit with you today including the restrictions, capacity, and age range and observed these being maintained today. Your center's compliance history was 85% as of July 28, 2025, and was reviewed with you today. Your program currently operates with a Four-star license, issued on March 19, 2025, earning five points in staff education, six points in program standards, and one quality point. Your most recent fire inspection was dated March 27, 2025. Your most recent sanitation inspection was dated December 13, 2024, with a Superior classification and thirteen demerits. You and I completed a walk-through of the indoor licensed spaces today. I observed children throughout the facility participating in free play in activity areas, transitions, and personal care routines. You and I completed a walk-through of the outdoor licensed spaces today. A current menu was posted, documented appropriate nutritious snacks and meals, showed a variety of foods, and complied with Meal Patterns for Children in Child Care Programs. Meals were prepared in the kitchen and served in each classroom. Cold food and milk were stored in a commercial refrigerator in the kitchen at a temperature of 44 degrees Fahrenheit. I observed that today’s lunch consisted of chicken sandwiches, pineapples, baked beans, and milk. I observed that in space three (3) an energy drink was on the counter open. One sippy cup in space 5 was not labeled with name and date this was corrected by the teacher during visit. I monitored hazardous product storage, medication storage, medication administration, general safety, and discipline. I observed that in space 3, 5, and space 7 during my medication checks, medications forms ( a total of five(5)) were out dated or not completed in full by the parent. In space 10 paperwork for emergency medication was in the office and provided in the emergency backpack with the medicine. I monitored program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan. I reviewed staff record files for nineteen returning staff members to verify current and valid Criminal Background Check qualification letters ( all Criminal Background Check qualification letters were checked in the ABCMS System) , valid CPR and First Aid training, completion of Basic School Age Care training, completion of the Recognizing and Responding to Suspicions of Child Maltreatment training, completion of Playground Safety training by at least one staff member, and completion of Emergency Preparedness and Response training by at least one staff member. I completed a full file review for four new staff members. I monitored health and safety requirements. I reviewed your written operational, administrative, and personnel policies and your parent participation plan at a routine unannounced visit on May 09, 2024. You stated your written policies and procedures had not changed. I monitored supervision, staff-child ratios, group sizes, approved space use, space capacities, and permit restrictions. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One sippy cup in space 5 was not labeled with the name of the child and the current date. 15A NCAC 18A .2804(d) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space 10 medication authorization form was not with the medication and medication was given to student with out instructions from the health professional. 10A NCAC 09 .0803(1)(a & b) 847 Parent's medication authorization did not include required information. In space 3, 5, and 7 medication forms were on completed with the required information by the parent. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 5 one left over medication was not returned to parent after course of treatment. .0803(12) 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. Staff had an open energy drink on the counter. .0901(i) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted every three months. The last drill was conducted 3/4/25. .0604(u);.0302(d)(8) TECHNICAL ASSISTANCE: 1)Per child care rule 10A NCAC 09 .0803(4), over-the-counter diaper creams and sunscreens should be labeled with the name of the child and the parent should complete the permission to administer form leaving no spaces blank. To maintain compliance with this child care requirement, I suggested you review the permission to administer form when received from the parent and prior to the parent leaving the facility. 2)Per child care rule 10A NCAC 09 .0803(4)&(6-9), the medication permission to administer form should include the directions for how to administer the medication is to be administered and the valid dates the medication may be administered. To maintain compliance with this child care requirement, I suggested you review all medication permission to administer forms when received from the parent and before the parent leaves the facility at the time of receiving the medication. CONSULTATION: 1 Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. 2 Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. 3 The Change of Information form for CBC is listed in law. When a new staff member starts working at a facility and gives the administrator a CBC qualification letter that was previously completed while working at another facility, but is still current, the administrator must send a Change of Information form for that new staff member to the CBC unit or connect the new employee to the facility through the ABCMS portal. The Change of Information form can be found on DCDEE’s website under Provider Documents and Forms. Administrators may take the ABCMS training through DCDEE MOODLE to gain access codes necessary to complete the process in ABCMS. COMPLIANCE PLAN: No compliance documentation is needed for those violations corrected during today’s visit. In the visit summary, I documented the corrective actions taken today to correct those violations. All violations cited and not corrected today must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your compliance letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature Supporting documentation including the following: Please send supporting documentation such as training certificates, CBC letters, acknowledgement statements, and photographs for me to use to verify compliance. Please DO NOT send staff or child medical documents or documentation for verification as this is a violation of HIPPA protocol. If needed I will verify these documents at the next monitoring visit. I must receive your compliance letter no later than August 12, 2025. Please be aware any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. 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. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Your letter may be mailed to me at: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your compliance letter may be sent by email to: toni.washington@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included in the body of the email: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@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 .0601 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: JACLYN FLOWE Operation Type: Center Case Number: 0625-094A Visit Date: 6/18/2025 Number Present: 78 Completed Date: 6/18/2025 Age: From 0 To 10 Total Minutes: 260 Time In: 11:00 AM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Tonya Mesimer, support staff, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Mesimer, and additional staff members. 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 807 A safe indoor and outdoor environment was not provided for the children. A 1-year-old child sustained injuries that were unable to be explained by the staff members who provided care to the child. 10A NCAC 09 .0601(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Incident reports were completed for injuries sustained by a one-year-old child on 6/10/25 but did not include all required information. .0802 (e) Violations must be corrected immediately. Within one week (6/25/25), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me 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

10A NCAC 09 .0601 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: 0325-076L Visit Date: 3/10/2025 Number Present: 80 Completed Date: 3/10/2025 Age: From 0 To 12 Total Minutes: 135 Time In: 08:45 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: 1.There is a concern that children were cared for in an unsafe environment. 2. There are concerns that children are not being adequately supervised. You, Tammy Southers, Director, assisted me with the visit today. You were given a chance to respond to the allegations. Your program currently operates with a Special Provisional license, issued on September 18,2024 to March 18, 2025. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, and the outdoor environment were monitored. The license and emergency care plan were posted. Fire drills, and storage of hazardous products were also monitored. Additionally, I observed the indoor and outdoor space used by the children. I observed the teachers’ engagement with students in large group activities. I observed children in small group activities, center play, personal care routines, and children eating lunch. Regarding the allegation there is a concern that children were cared for in an unsafe environment. I observed that teachers were walking around the classroom and interacting with the children, therefore, adequately supervising children. I observed positive interactions between the children and teachers. I interviewed four staff members. I interviewed the director and the assistant director, and it was stated by both that bleach was sprayed on the changing table, and the staff member forgot to wipe it off before changing a child resulting in bleach water getting on the child’s shirt. I observed pictures that were taken of the child’s shirt and I observed what appeared to be bleach on the child’s shirt. I interviewed staff members about incidents of biting in the classroom, both teachers stated that there were some incidents of biting in the classroom. I reviewed incident reports, and three were not signed by the parent and one incident report was not written for an incident that occurred. I observed three incident reports filed in children files that were not logged on the incident log. Based on staff interviews, pictures shared with consultant, and review of incident reports, the concern regarding children were cared for in an unsafe environment was substantiated. Regarding the allegation there is a concern that children are not being adequately supervised. I observed the teachers properly supervising children by walking around the classroom and interacting with children. Children were observed participating in free play and small group activities. I interviewed five teachers to see if there were concerns about supervision in the classroom. When interviewing the five teachers no one had concerns about the supervision of children in the classroom. Based on today’s observations and staff interviews, the concern regarding children not being adequately supervised was unconfirmed, therefore, the allegation was unsubstantiated. The following violations were observed and cited during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Staff left bleach water on changing table and child was laid on the wet table. 10A NCAC 09 .0601(a) 853 Incident logs were not completed and maintained as required. The incident log was not current and incident reports that were on file were not logged on the incident log. .0802(g)(1-6) 1952 A copy of the incident report was not given to the parent. An incident occurring on 3/5/25 in space seven (7) and an incident report was not written by the teacher or administrative staff. .0802(e) Technical Assistance: 1.It was suggested that the director reach out to the Iredell Partnership for Children for technical assistance concerning biting in the classroom. It was also suggested that the teachers keep a log of the events that happen before the incidents of biting to see if they can help defuse situations that may occur. It was suggested that staff complete incident reports each time a child is bit and make sure the parent signs the report when picking up the child. 2.It was suggested that teachers check and double check when changing children that the changing table is dry and free of wet spots. 3.Make sure incident reports are completed each time a child in the facility has an incident. The Director needs to explain the importance of having the incident report signed by the parent at the time of pick-up. If the parent refuses to sign the form, please indicate it on the form and have the parent to initial the statement. 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: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than March 24, 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. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/21/2025 Number Present: 120 Completed Date: 2/24/2025 Age: From 0 To 5 Total Minutes: 480 Time In: 09:00 AM Time Out: 02:30 PM Time In: 09:30 AM Time Out: 12:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Tammy Southers, Director, assisted me with the visit today. Your last annual compliance visit was conducted on May 28,2024. Your program currently operates with a Special Provisional license, issued on September 18, 2024 to March 18, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the Tutor Time Child Care/ Learning Center. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 87% as of February 20, 2025, and was reviewed with you today. I observed your sanitation inspection dated December 11, 2024, with a superior classification and 13 demerits. I observed your last fire inspection was dated April 30, 2024. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised, staff-child ratio maintained in all classroom except space 1, and adequate approved space use maintained during today’s visit. The staff-child ratio was out of compliance for 15 minutes in space one and was correct while I was observing the classroom. I observed children engaged in free play activities, small group activities, and large group activities indoor and outdoor, lunch, and rest time. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials in activity areas were not enough for children to have a choice of materials and sufficient quantity of toys. Materials need to be added to activity areas in all classrooms so that children will have a variety of toys and materials. I reviewed children’s records today and observed no violations regarding children’s records. I reviewed staff records today and observed violations regarding staff records. I observed and monitored medications and medical action plans in all classrooms I observed the outdoor play environments. I observed the equipment and materials to be in good repair. I observed that the playgrounds for the toddlers and pre-school was closed. I observed that all children had a scheduled time to play on the playground for the after schooler. This schedule was approved by the consultant due to repairs to take place on the other two playgrounds. The playground area that was added is not yet approved by DCDEE. The added playground, when approved by the fire inspector, the DCDEE consultant will be called out for a visit to approve the new playground. Children are not allowed on this playground until approved by the consultant. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection dated February 4, 2025. It was noted that the Playgrounds for preschoolers and toddlers were closed at this time. It was noted that the after-school area is in use for all children and each classroom has a set time to play in this area. I observed your monthly fire drill log documented for the past twelve (12) months. I observed your last fire drill was January 03,2025. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Lockdown drill and was dated November 26, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on January 13, 2025. I observed menus posted and current. I observed today’s lunch consisting of grilled chicken nuggets, cinnamon carrots, mashed potatoes, and milk. I observed your Incident Log to be current for the year. I observed your buses for transportation. I observed the bus registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1 classroom for the 3 year-olds when I entered the classroom the ratio was 11 children to one teacher. The ratio for this classroom is 10 children to one teacher. GS 110-91(7);.0713(a-d) 404 All staff did not wash their hands thoroughly after diapering each child. In space 2 teacher was not using the proper diapering procedure concerning washing hands between each change. 15A NCAC 18A .2803(a) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Infant A and B has not been taking the children outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. In space 1, and space 7 activity plans were not current. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space 1, 9,10,and 11 materials in activity areas were not of sufficient quantity for children to have a choice of activities. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In spaces 2, 3, 5, 7,and 8 there was not a sufficient quantity of toys in the activity areas. .0510(e)(3) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space 10 for the four and five year old's the screen chart were not completed for screen time in this classroom. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Infant B 2 bottles were not labeled with name and date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Door to space 11 the handle to open the door was broken and coming off the door. 15A NCAC 18A .2825(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space for the infants A & B sleep logs were not current for the week of February 17-21. .0606(g) 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. Employee hire date 6/5/24 did not have a medical report on file. One on file was dated 03/07/23. 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 hire date 06/05/24 did not have a TB screening on file. The one on file was dated 03/09/23 and was expired. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Employee with the hire date 9/9/24 does not have a current First Aid card/certificate on file. .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. Employee with the hire date 9/9/24 does not have a current CPR certificate/card on file. .1102(d) Technical Assistance: 1. An individualized written activity plan should be created, posted, and followed for each i group or classroom. 2. Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with a visual display, it should be: a. offered as a free choice activity. b. used to meet a developmental goal. c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week per child. d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3. Minimum staff/child ratios and group sizes for the number and ages of children in care must be always met. Remind teachers that when they are out of ratio to call the administrative staff and let them know. Also, remind teachers not to accept other children when they are out of ratio. Make sure all staff report to work on time and to their classroom to make sure everyone stays in ratio. 4. It was discussed with the administrative staff that all children bottles and cups shall be labeled with the name and date of the child. It was also discussed that the teacher should check the bottles each morning before placing them in the refrigerator in the classroom. 5. All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. It was suggested that administrative staff have teachers checking their classrooms each day for repairs. All repair issues should be reported and corrected immediately. 6. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within ninety days of employment and maintain documentation in their staff record file as verification that the employee has completed First Aid and CPR training. 7. It was discussed that when hiring a new employee that all documents that are received by the employee must be current in order for the company to use them for the hiring process. All medical statements and TB test must be no older than a year to date of hire. Consultation: 1. 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. 2. 2. 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. 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: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than March 10, 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. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/21/2025 Number Present: 120 Completed Date: 2/24/2025 Age: From 0 To 5 Total Minutes: 480 Time In: 09:00 AM Time Out: 02:30 PM Time In: 09:30 AM Time Out: 12:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Tammy Southers, Director, assisted me with the visit today. Your last annual compliance visit was conducted on May 28,2024. Your program currently operates with a Special Provisional license, issued on September 18, 2024 to March 18, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the Tutor Time Child Care/ Learning Center. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 87% as of February 20, 2025, and was reviewed with you today. I observed your sanitation inspection dated December 11, 2024, with a superior classification and 13 demerits. I observed your last fire inspection was dated April 30, 2024. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised, staff-child ratio maintained in all classroom except space 1, and adequate approved space use maintained during today’s visit. The staff-child ratio was out of compliance for 15 minutes in space one and was correct while I was observing the classroom. I observed children engaged in free play activities, small group activities, and large group activities indoor and outdoor, lunch, and rest time. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials in activity areas were not enough for children to have a choice of materials and sufficient quantity of toys. Materials need to be added to activity areas in all classrooms so that children will have a variety of toys and materials. I reviewed children’s records today and observed no violations regarding children’s records. I reviewed staff records today and observed violations regarding staff records. I observed and monitored medications and medical action plans in all classrooms I observed the outdoor play environments. I observed the equipment and materials to be in good repair. I observed that the playgrounds for the toddlers and pre-school was closed. I observed that all children had a scheduled time to play on the playground for the after schooler. This schedule was approved by the consultant due to repairs to take place on the other two playgrounds. The playground area that was added is not yet approved by DCDEE. The added playground, when approved by the fire inspector, the DCDEE consultant will be called out for a visit to approve the new playground. Children are not allowed on this playground until approved by the consultant. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection dated February 4, 2025. It was noted that the Playgrounds for preschoolers and toddlers were closed at this time. It was noted that the after-school area is in use for all children and each classroom has a set time to play in this area. I observed your monthly fire drill log documented for the past twelve (12) months. I observed your last fire drill was January 03,2025. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Lockdown drill and was dated November 26, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on January 13, 2025. I observed menus posted and current. I observed today’s lunch consisting of grilled chicken nuggets, cinnamon carrots, mashed potatoes, and milk. I observed your Incident Log to be current for the year. I observed your buses for transportation. I observed the bus registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1 classroom for the 3 year-olds when I entered the classroom the ratio was 11 children to one teacher. The ratio for this classroom is 10 children to one teacher. GS 110-91(7);.0713(a-d) 404 All staff did not wash their hands thoroughly after diapering each child. In space 2 teacher was not using the proper diapering procedure concerning washing hands between each change. 15A NCAC 18A .2803(a) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Infant A and B has not been taking the children outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. In space 1, and space 7 activity plans were not current. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space 1, 9,10,and 11 materials in activity areas were not of sufficient quantity for children to have a choice of activities. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In spaces 2, 3, 5, 7,and 8 there was not a sufficient quantity of toys in the activity areas. .0510(e)(3) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space 10 for the four and five year old's the screen chart were not completed for screen time in this classroom. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Infant B 2 bottles were not labeled with name and date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Door to space 11 the handle to open the door was broken and coming off the door. 15A NCAC 18A .2825(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space for the infants A & B sleep logs were not current for the week of February 17-21. .0606(g) 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. Employee hire date 6/5/24 did not have a medical report on file. One on file was dated 03/07/23. 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 hire date 06/05/24 did not have a TB screening on file. The one on file was dated 03/09/23 and was expired. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Employee with the hire date 9/9/24 does not have a current First Aid card/certificate on file. .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. Employee with the hire date 9/9/24 does not have a current CPR certificate/card on file. .1102(d) Technical Assistance: 1. An individualized written activity plan should be created, posted, and followed for each i group or classroom. 2. Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with a visual display, it should be: a. offered as a free choice activity. b. used to meet a developmental goal. c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week per child. d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3. Minimum staff/child ratios and group sizes for the number and ages of children in care must be always met. Remind teachers that when they are out of ratio to call the administrative staff and let them know. Also, remind teachers not to accept other children when they are out of ratio. Make sure all staff report to work on time and to their classroom to make sure everyone stays in ratio. 4. It was discussed with the administrative staff that all children bottles and cups shall be labeled with the name and date of the child. It was also discussed that the teacher should check the bottles each morning before placing them in the refrigerator in the classroom. 5. All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. It was suggested that administrative staff have teachers checking their classrooms each day for repairs. All repair issues should be reported and corrected immediately. 6. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within ninety days of employment and maintain documentation in their staff record file as verification that the employee has completed First Aid and CPR training. 7. It was discussed that when hiring a new employee that all documents that are received by the employee must be current in order for the company to use them for the hiring process. All medical statements and TB test must be no older than a year to date of hire. Consultation: 1. 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. 2. 2. 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. 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: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than March 10, 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. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2508 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/21/2025 Number Present: 120 Completed Date: 2/24/2025 Age: From 0 To 5 Total Minutes: 480 Time In: 09:00 AM Time Out: 02:30 PM Time In: 09:30 AM Time Out: 12:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Tammy Southers, Director, assisted me with the visit today. Your last annual compliance visit was conducted on May 28,2024. Your program currently operates with a Special Provisional license, issued on September 18, 2024 to March 18, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the Tutor Time Child Care/ Learning Center. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 87% as of February 20, 2025, and was reviewed with you today. I observed your sanitation inspection dated December 11, 2024, with a superior classification and 13 demerits. I observed your last fire inspection was dated April 30, 2024. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised, staff-child ratio maintained in all classroom except space 1, and adequate approved space use maintained during today’s visit. The staff-child ratio was out of compliance for 15 minutes in space one and was correct while I was observing the classroom. I observed children engaged in free play activities, small group activities, and large group activities indoor and outdoor, lunch, and rest time. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials in activity areas were not enough for children to have a choice of materials and sufficient quantity of toys. Materials need to be added to activity areas in all classrooms so that children will have a variety of toys and materials. I reviewed children’s records today and observed no violations regarding children’s records. I reviewed staff records today and observed violations regarding staff records. I observed and monitored medications and medical action plans in all classrooms I observed the outdoor play environments. I observed the equipment and materials to be in good repair. I observed that the playgrounds for the toddlers and pre-school was closed. I observed that all children had a scheduled time to play on the playground for the after schooler. This schedule was approved by the consultant due to repairs to take place on the other two playgrounds. The playground area that was added is not yet approved by DCDEE. The added playground, when approved by the fire inspector, the DCDEE consultant will be called out for a visit to approve the new playground. Children are not allowed on this playground until approved by the consultant. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection dated February 4, 2025. It was noted that the Playgrounds for preschoolers and toddlers were closed at this time. It was noted that the after-school area is in use for all children and each classroom has a set time to play in this area. I observed your monthly fire drill log documented for the past twelve (12) months. I observed your last fire drill was January 03,2025. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Lockdown drill and was dated November 26, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on January 13, 2025. I observed menus posted and current. I observed today’s lunch consisting of grilled chicken nuggets, cinnamon carrots, mashed potatoes, and milk. I observed your Incident Log to be current for the year. I observed your buses for transportation. I observed the bus registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1 classroom for the 3 year-olds when I entered the classroom the ratio was 11 children to one teacher. The ratio for this classroom is 10 children to one teacher. GS 110-91(7);.0713(a-d) 404 All staff did not wash their hands thoroughly after diapering each child. In space 2 teacher was not using the proper diapering procedure concerning washing hands between each change. 15A NCAC 18A .2803(a) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Infant A and B has not been taking the children outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. In space 1, and space 7 activity plans were not current. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space 1, 9,10,and 11 materials in activity areas were not of sufficient quantity for children to have a choice of activities. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In spaces 2, 3, 5, 7,and 8 there was not a sufficient quantity of toys in the activity areas. .0510(e)(3) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space 10 for the four and five year old's the screen chart were not completed for screen time in this classroom. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Infant B 2 bottles were not labeled with name and date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Door to space 11 the handle to open the door was broken and coming off the door. 15A NCAC 18A .2825(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space for the infants A & B sleep logs were not current for the week of February 17-21. .0606(g) 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. Employee hire date 6/5/24 did not have a medical report on file. One on file was dated 03/07/23. 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 hire date 06/05/24 did not have a TB screening on file. The one on file was dated 03/09/23 and was expired. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Employee with the hire date 9/9/24 does not have a current First Aid card/certificate on file. .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. Employee with the hire date 9/9/24 does not have a current CPR certificate/card on file. .1102(d) Technical Assistance: 1. An individualized written activity plan should be created, posted, and followed for each i group or classroom. 2. Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with a visual display, it should be: a. offered as a free choice activity. b. used to meet a developmental goal. c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week per child. d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3. Minimum staff/child ratios and group sizes for the number and ages of children in care must be always met. Remind teachers that when they are out of ratio to call the administrative staff and let them know. Also, remind teachers not to accept other children when they are out of ratio. Make sure all staff report to work on time and to their classroom to make sure everyone stays in ratio. 4. It was discussed with the administrative staff that all children bottles and cups shall be labeled with the name and date of the child. It was also discussed that the teacher should check the bottles each morning before placing them in the refrigerator in the classroom. 5. All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. It was suggested that administrative staff have teachers checking their classrooms each day for repairs. All repair issues should be reported and corrected immediately. 6. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within ninety days of employment and maintain documentation in their staff record file as verification that the employee has completed First Aid and CPR training. 7. It was discussed that when hiring a new employee that all documents that are received by the employee must be current in order for the company to use them for the hiring process. All medical statements and TB test must be no older than a year to date of hire. Consultation: 1. 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. 2. 2. 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. 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: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than March 10, 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. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/21/2025 Number Present: 120 Completed Date: 2/24/2025 Age: From 0 To 5 Total Minutes: 480 Time In: 09:00 AM Time Out: 02:30 PM Time In: 09:30 AM Time Out: 12:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Tammy Southers, Director, assisted me with the visit today. Your last annual compliance visit was conducted on May 28,2024. Your program currently operates with a Special Provisional license, issued on September 18, 2024 to March 18, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the Tutor Time Child Care/ Learning Center. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 87% as of February 20, 2025, and was reviewed with you today. I observed your sanitation inspection dated December 11, 2024, with a superior classification and 13 demerits. I observed your last fire inspection was dated April 30, 2024. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised, staff-child ratio maintained in all classroom except space 1, and adequate approved space use maintained during today’s visit. The staff-child ratio was out of compliance for 15 minutes in space one and was correct while I was observing the classroom. I observed children engaged in free play activities, small group activities, and large group activities indoor and outdoor, lunch, and rest time. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials in activity areas were not enough for children to have a choice of materials and sufficient quantity of toys. Materials need to be added to activity areas in all classrooms so that children will have a variety of toys and materials. I reviewed children’s records today and observed no violations regarding children’s records. I reviewed staff records today and observed violations regarding staff records. I observed and monitored medications and medical action plans in all classrooms I observed the outdoor play environments. I observed the equipment and materials to be in good repair. I observed that the playgrounds for the toddlers and pre-school was closed. I observed that all children had a scheduled time to play on the playground for the after schooler. This schedule was approved by the consultant due to repairs to take place on the other two playgrounds. The playground area that was added is not yet approved by DCDEE. The added playground, when approved by the fire inspector, the DCDEE consultant will be called out for a visit to approve the new playground. Children are not allowed on this playground until approved by the consultant. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection dated February 4, 2025. It was noted that the Playgrounds for preschoolers and toddlers were closed at this time. It was noted that the after-school area is in use for all children and each classroom has a set time to play in this area. I observed your monthly fire drill log documented for the past twelve (12) months. I observed your last fire drill was January 03,2025. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Lockdown drill and was dated November 26, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on January 13, 2025. I observed menus posted and current. I observed today’s lunch consisting of grilled chicken nuggets, cinnamon carrots, mashed potatoes, and milk. I observed your Incident Log to be current for the year. I observed your buses for transportation. I observed the bus registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1 classroom for the 3 year-olds when I entered the classroom the ratio was 11 children to one teacher. The ratio for this classroom is 10 children to one teacher. GS 110-91(7);.0713(a-d) 404 All staff did not wash their hands thoroughly after diapering each child. In space 2 teacher was not using the proper diapering procedure concerning washing hands between each change. 15A NCAC 18A .2803(a) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Infant A and B has not been taking the children outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. In space 1, and space 7 activity plans were not current. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space 1, 9,10,and 11 materials in activity areas were not of sufficient quantity for children to have a choice of activities. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In spaces 2, 3, 5, 7,and 8 there was not a sufficient quantity of toys in the activity areas. .0510(e)(3) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space 10 for the four and five year old's the screen chart were not completed for screen time in this classroom. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Infant B 2 bottles were not labeled with name and date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Door to space 11 the handle to open the door was broken and coming off the door. 15A NCAC 18A .2825(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space for the infants A & B sleep logs were not current for the week of February 17-21. .0606(g) 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. Employee hire date 6/5/24 did not have a medical report on file. One on file was dated 03/07/23. 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 hire date 06/05/24 did not have a TB screening on file. The one on file was dated 03/09/23 and was expired. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Employee with the hire date 9/9/24 does not have a current First Aid card/certificate on file. .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. Employee with the hire date 9/9/24 does not have a current CPR certificate/card on file. .1102(d) Technical Assistance: 1. An individualized written activity plan should be created, posted, and followed for each i group or classroom. 2. Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with a visual display, it should be: a. offered as a free choice activity. b. used to meet a developmental goal. c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week per child. d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3. Minimum staff/child ratios and group sizes for the number and ages of children in care must be always met. Remind teachers that when they are out of ratio to call the administrative staff and let them know. Also, remind teachers not to accept other children when they are out of ratio. Make sure all staff report to work on time and to their classroom to make sure everyone stays in ratio. 4. It was discussed with the administrative staff that all children bottles and cups shall be labeled with the name and date of the child. It was also discussed that the teacher should check the bottles each morning before placing them in the refrigerator in the classroom. 5. All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. It was suggested that administrative staff have teachers checking their classrooms each day for repairs. All repair issues should be reported and corrected immediately. 6. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within ninety days of employment and maintain documentation in their staff record file as verification that the employee has completed First Aid and CPR training. 7. It was discussed that when hiring a new employee that all documents that are received by the employee must be current in order for the company to use them for the hiring process. All medical statements and TB test must be no older than a year to date of hire. Consultation: 1. 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. 2. 2. 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. 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: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than March 10, 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. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 2/21/2025 Number Present: 120 Completed Date: 2/24/2025 Age: From 0 To 5 Total Minutes: 480 Time In: 09:00 AM Time Out: 02:30 PM Time In: 09:30 AM Time Out: 12:00 PM List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Tammy Southers, Director, assisted me with the visit today. Your last annual compliance visit was conducted on May 28,2024. Your program currently operates with a Special Provisional license, issued on September 18, 2024 to March 18, 2025. I reviewed with you today the facility information found in our system. You stated there have been no changes to your phone number, email address, mailing address, or corporate contact for the Tutor Time Child Care/ Learning Center. I reviewed the facility’s permit with you today. I reviewed with you today the restrictions on your license, capacity, and age range on your permit and observed these being maintained. Your program’s compliance history was 87% as of February 20, 2025, and was reviewed with you today. I observed your sanitation inspection dated December 11, 2024, with a superior classification and 13 demerits. I observed your last fire inspection was dated April 30, 2024. I visited each license indoor space and each outdoor space with you today. I observed children adequately supervised, staff-child ratio maintained in all classroom except space 1, and adequate approved space use maintained during today’s visit. The staff-child ratio was out of compliance for 15 minutes in space one and was correct while I was observing the classroom. I observed children engaged in free play activities, small group activities, and large group activities indoor and outdoor, lunch, and rest time. I observed toys, materials, and equipment to be child-sized, developmentally appropriate, and in good repair. I observed materials in activity areas were not enough for children to have a choice of materials and sufficient quantity of toys. Materials need to be added to activity areas in all classrooms so that children will have a variety of toys and materials. I reviewed children’s records today and observed no violations regarding children’s records. I reviewed staff records today and observed violations regarding staff records. I observed and monitored medications and medical action plans in all classrooms I observed the outdoor play environments. I observed the equipment and materials to be in good repair. I observed that the playgrounds for the toddlers and pre-school was closed. I observed that all children had a scheduled time to play on the playground for the after schooler. This schedule was approved by the consultant due to repairs to take place on the other two playgrounds. The playground area that was added is not yet approved by DCDEE. The added playground, when approved by the fire inspector, the DCDEE consultant will be called out for a visit to approve the new playground. Children are not allowed on this playground until approved by the consultant. I observed monthly outdoor inspections documented for the past twelve months. I observed the last outdoor inspection dated February 4, 2025. It was noted that the Playgrounds for preschoolers and toddlers were closed at this time. It was noted that the after-school area is in use for all children and each classroom has a set time to play in this area. I observed your monthly fire drill log documented for the past twelve (12) months. I observed your last fire drill was January 03,2025. I observed your quarterly shelter-in-place and lock-down drill log. I observed your last drill was a Lockdown drill and was dated November 26, 2024. I observed your Emergency Preparedness Response (EPR) Plan was last updated on January 13, 2025. I observed menus posted and current. I observed today’s lunch consisting of grilled chicken nuggets, cinnamon carrots, mashed potatoes, and milk. I observed your Incident Log to be current for the year. I observed your buses for transportation. I observed the bus registration, insurance, emergency information for students, first aid kit, fire extinguisher, and all transportation requirements. I reviewed your completed Staff and Training worksheet. The visit summary packet was discussed at the end of you visit. The following violations were observed and cited during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1 classroom for the 3 year-olds when I entered the classroom the ratio was 11 children to one teacher. The ratio for this classroom is 10 children to one teacher. GS 110-91(7);.0713(a-d) 404 All staff did not wash their hands thoroughly after diapering each child. In space 2 teacher was not using the proper diapering procedure concerning washing hands between each change. 15A NCAC 18A .2803(a) 410 Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Infant A and B has not been taking the children outside daily. GS 110-91(2);.0508(c) 428 A current activity plan was not posted for each group of children for reference. In space 1, and space 7 activity plans were not current. GS 110-91(12); .0508(a) 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space 1, 9,10,and 11 materials in activity areas were not of sufficient quantity for children to have a choice of activities. .0510(d)(1) 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In spaces 2, 3, 5, 7,and 8 there was not a sufficient quantity of toys in the activity areas. .0510(e)(3) 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space 10 for the four and five year old's the screen chart were not completed for screen time in this classroom. .0510(d)(2)(A-C) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Infant B 2 bottles were not labeled with name and date. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Door to space 11 the handle to open the door was broken and coming off the door. 15A NCAC 18A .2825(a) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space for the infants A & B sleep logs were not current for the week of February 17-21. .0606(g) 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. Employee hire date 6/5/24 did not have a medical report on file. One on file was dated 03/07/23. 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 hire date 06/05/24 did not have a TB screening on file. The one on file was dated 03/09/23 and was expired. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Employee with the hire date 9/9/24 does not have a current First Aid card/certificate on file. .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. Employee with the hire date 9/9/24 does not have a current CPR certificate/card on file. .1102(d) Technical Assistance: 1. An individualized written activity plan should be created, posted, and followed for each i group or classroom. 2. Per child care rule 10A NCAC 09 .2508(e)(1-5), when screen time is provided on any electronic device with a visual display, it should be: a. offered as a free choice activity. b. used to meet a developmental goal. c. limited to a maximum of 30 minutes per day and no more than two and a half hours per week per child. d. documented on a cumulative log or activity plan, available for review by a representative of the Division; and e. usage time periods may be extended for school assigned homework. To maintain compliance with this child care requirement, I suggested teachers log whole group screen time activities on the activity plan and log individual screen time usage on the screen time log provided by DCDEE. 3. Minimum staff/child ratios and group sizes for the number and ages of children in care must be always met. Remind teachers that when they are out of ratio to call the administrative staff and let them know. Also, remind teachers not to accept other children when they are out of ratio. Make sure all staff report to work on time and to their classroom to make sure everyone stays in ratio. 4. It was discussed with the administrative staff that all children bottles and cups shall be labeled with the name and date of the child. It was also discussed that the teacher should check the bottles each morning before placing them in the refrigerator in the classroom. 5. All walls and ceilings, including doors and windows, were not kept clean, free of visible fungal growth, and in good repair. It was suggested that administrative staff have teachers checking their classrooms each day for repairs. All repair issues should be reported and corrected immediately. 6. Per child care rule 10A NCAC 09 .1102(c)(d), each employee should complete First Aid and CPR training within ninety days of employment and maintain documentation in their staff record file as verification that the employee has completed First Aid and CPR training. 7. It was discussed that when hiring a new employee that all documents that are received by the employee must be current in order for the company to use them for the hiring process. All medical statements and TB test must be no older than a year to date of hire. Consultation: 1. 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. 2. 2. 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. 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: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than March 10, 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. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for having your Staff & Training Worksheet complete and available for review prior to today’s visit. The most up to date Staff & Training Worksheet form is available on the DCDEE website under the Provider tab and “Provider Documents and Forms”. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 11/4/2024 Number Present: 76 Completed Date: 11/4/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Tammy Southers, Center Director, assisted me with the visit. Your program currently operates with a Special Provisional license dated September 18, 2024. Your last ACV was on May 28, 2024. I observed your Special Provisional License, NC Child Care Summary of the Law, current menu, Sanitation placard, Emergency Medical Care Plan, daily schedule, activity plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratio maintained during today’s visit. I observed adequate approved space used during today’s visit. I observed permit restrictions maintained during today’s visit. I observed a menu posted for the week of November 4-8th, 2024. Today’s lunch consisted of Bezant Cheese, Tex Mex Burrito, Mexican Red beans and rice, Broccoli, sliced mangos, and milk. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. I observed children throughout the child care facility were participating in group time, free play in activity areas, transitions, and personal care routines. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. I observed and monitored medications in every classroom. In the classrooms for the two-year-old's, one medication authorization form was not complete, and one medication did not have a medication authorization form on file, and cream was used on child. In the infant 2 classroom one medication was not in the original container. Your sanitation inspection was conducted on May 03, 2024, with a Approved classification and 18 demerits. Your last Fire Inspection was conducted on April 30, 2024. I observed your monthly Fire Drill Log, a drill was conducted on October 15, 2024. Fire drill log is current and in compliance. I monitored you Playground Inspections and the last inspection was done October 31, 2024. Playground inspections are to be conducted every month. I observed your Emergency Drill Log, and a Lockdown drill was conducted on August 10, 2024. Emergency drills are to be conducted every three months. I monitored all staff criminal background letters in the ABCMS criminal background system. I monitored all staff CPR & First Aid trainings, ITS-SIDS, BASC, and Recognizing & Responding to Suspicious of Child Maltreatment training today. I observed that staff with the hire dates of 6/03/24, 4/19/2021, 06/10/2024, 12/26/2023, 05/13/2024, 05/16/2022, 01/20/2020, and 06/17/2024 did not have current CPR and First Aid cards or certificates on file for monitoring. The following violations were observed and cited during today’s 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. Diaper Cream was administered without written authorization. 10A NCAC 09 .0803(1)(a & b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Cream used for child was not in the original container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Parent authorization form for diaper cream did not contain all required information. 10A NCAC 09 .0803(4)(6-9) 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. 8 staff members with the hire dates of 6/03/24, 4/19/2021, 06/10/2024, 12/26/2023, 05/13/2024, 05/16/2022, 01/20/2020, and 06/17/2024 did not have a current First Aid certificate on file for view. .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. Eight staff members with the hire dates of 6/03/24, 4/19/2021, 06/10/2024, 12/26/2023, 05/13/2024, 05/16/2022, 01/20/2020, and 06/17/2024 did not have a current CPR certificate on file for view. .1102(d) Technical Assistance: 1. It was discussed that all medications authorization forms and medications need to be checked at the front office before teachers take the medication in the classroom. The front office will check the forms and then they will be given to teacher. 2. It was discussed that all CPR and First Aid certificates will be put in the staff files by the current administrative staff. 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: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than November 18, 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. 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. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. 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 .0803 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: Visit Date: 11/4/2024 Number Present: 76 Completed Date: 11/4/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 09:15 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Tammy Southers, Center Director, assisted me with the visit. Your program currently operates with a Special Provisional license dated September 18, 2024. Your last ACV was on May 28, 2024. I observed your Special Provisional License, NC Child Care Summary of the Law, current menu, Sanitation placard, Emergency Medical Care Plan, daily schedule, activity plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratio maintained during today’s visit. I observed adequate approved space used during today’s visit. I observed permit restrictions maintained during today’s visit. I observed a menu posted for the week of November 4-8th, 2024. Today’s lunch consisted of Bezant Cheese, Tex Mex Burrito, Mexican Red beans and rice, Broccoli, sliced mangos, and milk. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. I observed children throughout the child care facility were participating in group time, free play in activity areas, transitions, and personal care routines. I observed no hazardous materials or equipment to be accessible to the children during today’s visit. I observed and monitored medications in every classroom. In the classrooms for the two-year-old's, one medication authorization form was not complete, and one medication did not have a medication authorization form on file, and cream was used on child. In the infant 2 classroom one medication was not in the original container. Your sanitation inspection was conducted on May 03, 2024, with a Approved classification and 18 demerits. Your last Fire Inspection was conducted on April 30, 2024. I observed your monthly Fire Drill Log, a drill was conducted on October 15, 2024. Fire drill log is current and in compliance. I monitored you Playground Inspections and the last inspection was done October 31, 2024. Playground inspections are to be conducted every month. I observed your Emergency Drill Log, and a Lockdown drill was conducted on August 10, 2024. Emergency drills are to be conducted every three months. I monitored all staff criminal background letters in the ABCMS criminal background system. I monitored all staff CPR & First Aid trainings, ITS-SIDS, BASC, and Recognizing & Responding to Suspicious of Child Maltreatment training today. I observed that staff with the hire dates of 6/03/24, 4/19/2021, 06/10/2024, 12/26/2023, 05/13/2024, 05/16/2022, 01/20/2020, and 06/17/2024 did not have current CPR and First Aid cards or certificates on file for monitoring. The following violations were observed and cited during today’s 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. Diaper Cream was administered without written authorization. 10A NCAC 09 .0803(1)(a & b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Cream used for child was not in the original container. 10A NCAC 09 .0803(4) 847 Parent's medication authorization did not include required information. Parent authorization form for diaper cream did not contain all required information. 10A NCAC 09 .0803(4)(6-9) 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. 8 staff members with the hire dates of 6/03/24, 4/19/2021, 06/10/2024, 12/26/2023, 05/13/2024, 05/16/2022, 01/20/2020, and 06/17/2024 did not have a current First Aid certificate on file for view. .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. Eight staff members with the hire dates of 6/03/24, 4/19/2021, 06/10/2024, 12/26/2023, 05/13/2024, 05/16/2022, 01/20/2020, and 06/17/2024 did not have a current CPR certificate on file for view. .1102(d) Technical Assistance: 1. It was discussed that all medications authorization forms and medications need to be checked at the front office before teachers take the medication in the classroom. The front office will check the forms and then they will be given to teacher. 2. It was discussed that all CPR and First Aid certificates will be put in the staff files by the current administrative staff. 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: Toni Washington Post Office Box 5347 Mooresville, NC 28117 For your convenience, your letter may be sent by email to: toni.washington@dhhs.nc.gov I must receive your compliance letter no later than November 18, 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. 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. Please continue to visit DCDEE’s website to get the latest information for child care settings and child care updates at https://ncchildcare.ncdhhs.gov/. Thank you for your time today. We appreciate all you are doing to serve the children and families of NC. If you have any questions, feel free to contact me by phone at (704) 437-2549 or by email at toni.washington@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. or at (704)594-0153. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: TUTOR TIME CHILD CARE / LEARNING CENTER Facility ID: 49000363 Consultant: TONI WASHINGTON Operation Type: Center Case Number: 0824-038L Visit Date: 8/13/2024 Number Present: 78 Completed Date: 8/13/2024 Age: From 0 To 12 Total Minutes: 120 Time In: 02:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegation is as follows: There is a concern that children are being cared for in an unsafe environment. Rebecca Hammond, Western Regional Manager and Erin Pickard, Licensing Supervisor, accompanied me during today’s visit. Representatives of NC Department of Environmental Quality (NC DEQ) were present today. You, Tammy Southers, Administrator, assisted me with today’s visit. Limited monitoring was conducted today which included a walk-through of the indoor and outdoor area. NC DEQ representatives assisted DCDEE representatives in monitoring inside the fenced licensed outdoor area as well as the outside perimeter of the fenced area. NC DEQ representatives did not find any concerns regarding current state requirements. Children were observed participating in free choice play inside, during routine care activities, and toddler and preschool children were observed eating snack. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions, the posted license, and the indoor and outdoor environment were monitored. Iredell County Environmental Health and the NC DEQ were consulted regarding alleged concerns. The following information was obtained: Per Iredell County Environmental Health, the last sanitation inspection was conducted on May 3, 2024, an approved classification was issued with 18 demerits. An additional site visit was made on August 1, 2024, by the Iredell County Environmental Health Department to follow-up on alleged concerns. The following information was documented by the Environmental Health Specialist during the August 1, 2024, visit: Visit to site to observe areas of potentially exposed coal ash. Observed exposed red soil with concrete along drive way leading to school. Observed light grey/brown soil along main road exterior to child care fencing. Also observed site of reported sampling. Site was approximately 2 blocks away from school grounds. There are large curbs and several storm drains surrounding both properties. Operator was directed to contact DEQ to obtain a copy of their report when available and receive additional information, as they are the regulatory authority on coal ash. Per the representative of NC DEQ, further testing is not necessary at this time. According to G.S 130A-309.222(a)(1) and 15A NCAC 13B .1713, regarding requirements for existing structural fills, the state requires no less than twelve (12) inches of compacted earth and an additional six (6) inches of soil capable of supporting native plant growth on the surface; an impervious surface such as concrete or asphalt; or a building or structure that does not allow infiltration of precipitation. Therefore, per NC DEQ, the facility complies with current state environmental quality requirements and has fully cooperated and followed all directives provided by NC DEQ. In addition, during today’s visit, NC DEQ representatives explained that the surface ground cover should remain at the required depth in order to maintain ongoing compliance with state requirements. The administrator shared that she and Tutor Time Learning Centers, LLC, Owner, are aware of the alleged concerns and have, and will continue to, cooperate with the local health department as well as the NC DEQ to follow all guidance to ensure state requirements are met. Additional safe guards were put on the outside perimeter of the fenced playground area, including additional soil and sod, to ensure state requirements are in compliance. Based on information received from Iredell County Environmental Health and the NC DEQ, and in consideration of 15A NCAC 13B .1713, this allegation was unsubstantiated. One unrelated violation was observed and has been documented. This violation was corrected during today’s visit. Violation Number Comment Rule 9995 Sanitation Rule 15A NCAC 18A .2815 (e) Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. The kitchen door was unlocked while unoccupied. Technical assistance was provided: Before leaving the kitchen, staff should check the door to ensure that it is locked. Consultation was provided: We provided contact information for the local Environmental Health Specialist and the NC DEQ representative. Continue to maintain contact with Environmental Health and NC DEQ to ensure health and safety of children. DCDEE works in collaboration with other state agencies to ensure the health and safety of children. Choose Safe Places is part of a national initiative to protect children from harmful exposures to chemicals while attending child care centers. The Choose Safe Places (CSP) program works with child care providers to ensure child care centers are located in areas free of harmful substances, such as lead, arsenic, or volatile organic compounds. Contact information for Choose Safe Places is as follows: https://epi.dph.ncdhhs.gov/oee/programs/csp.html Occupational & Environmental Epidemiology Branch at (919) 707-5900 We encouraged you to add an item to the monthly Playground Safety checklist regarding the all-over ground cover to ensure it is monitored and remains in compliance with G.S 130A-309.222(a)(1) and 15A NCAC 13B. Caring for Our Children uses national standards that represent the best practices based on evidence, expertise, and experience for quality health and safety policies and practices in early childhood and education settings. The following resource is from Caring for Our Children regarding creating a safe and fun outdoor environment for children: https://eclkc.ohs.acf.hhs.gov/video/playgrounds-promote-safe-fun-outdoor-play-head-start-child-care. We provided contact information for your Child Care Health Consultant who is available to assist with health and safety resources and training related to early care and education. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The facility’s compliance history prior to today’s visit was 86%. Feel free to contact me with any questions at Toni Washington, Child Care Consultant, 704-437-2549, Toni.Washington@dhhs.nc.gov. Or you may contact Erin Pickard, Licensing Supervisor at 704-594-0153, Erin.Pickard@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times