Giggles N' Grins 3 Child Care & Learning Center

NC GS 110-90 · Violation

Name of Operation: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 2/4/2026 Number Present: 39 Completed Date: 2/4/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 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, Tia Williams, Director, assisted me with the visit. You provided me with applicable program and staff records for review The most recent annual compliance visit was conducted on 6/5/25. This program currently operates with a five-star issued on 6/16/25 restrictions include: daytime care only, meets enhanced ratios, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The license was posted, and the restrictions were in compliance. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled & using a developmentally appropriate curriculum. Your program is using Creative Curriculum in rooms where children four and five years of age are enrolled. The program’s compliance history was 97 % prior to today’s visit. The North Carolina Secretary of State website was reviewed on February 4, 2026, and Giggles n Grins 3 Childcare and Learning Center LLC was listed as current-active. Limited monitoring was conducted. The facility opened on a delayed basis due to inclement weather. A walkthrough of the facility was completed today, and all indoor areas were monitored. Playgrounds were covered with snow. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance. The facility opened on a delayed schedule today. Children throughout the facility were participating in free play activities indoors, handwashing routines, teacher directed group activities, lunch, and nap. Infants in space #3 were engaged tummy time, and activities on the floor. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for five (5) new staff and applicable records for existing staff were reviewed. All staff were listed on the ABCMS Provider Portal roster for this facility. The most recent approved fire inspection for your facility was conducted on 8/14/25. The most recent sanitation inspection for your facility was conducted on 10/2/25. A superior sanitation classification was issued with 7 demerits noted on the grade card. The analysis date for the most recent lead water test was 5/4/24. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated complete for required asbestos and lead-based paint testing. The most recent monthly fire drill was conducted on 1/22/26. The most recent quarterly lockdown/shelter-in-place drill was conducted on 11/20/25. The facilities EPR Plan was reviewed on 1/5/26 The most recent monthly playground inspection was completed on 1/19/26. A violation regarding medicaion was observed, documneted, discussed with you. Violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was sent to you. The following violations were observed: Violation Number Comment Rule 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. A child enrolled on 10/17/24 in space #5, had an Epi pen that expired on 5/2025. In space #8, a child enrolled on 8/22/22 had an expired action plan dated 10/10/24 for Zyrtec. .0803(12) The violation documented above must be corrected immediately on or before February 18, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. Mail or email the information to: Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violations documented may impact the compliance history score. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance was provided on the following: We discussed all medications and medication authorization forms be reviewed weekly to ensure each medication is accompanied with a permission form and to ensure all required information is recorded prior to accepting the medication from the parent or prior to administering the medication. If permission forms expire, remove the medication from the classroom until an updated permission form has been completed and received by the parent. If a child leaves or is terminated, return the medication to the parent or discard the medication within 72 hours. We discussed having teachers check all medication when they are brought into the facility and regularly thereafter to ensure they have not expired. Expired medication should be sent home immediately. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Medication should not be accepted if it is already expired. I suggested you have all medications brought to the office when a parent brings in a new medication to ensure all medications are appropriate and not expired before taking the medication to the classrooms. Please remind parents that any medication they fail to retrieve within 72 hours of completion of treatment, or withdrawal of authorization will be discarded. Additionally, I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. Consultation: We discussed the following during the visit: -We discussed the classroom environment during nap time. I discussed with you and staff during the visit today that naptime in the classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. This was incompliance today. -We discussed orientation for returning staff since you have several returning ataff. The worksheet needs to be completed as if they were new staff. Reminders and Resources: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-782-0858 or gail.dula@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. 110-91 · Violation

Name of Operation: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 53 Completed Date: 6/5/2025 Age: From 0 To 11 Total Minutes: 375 Time In: 10:30 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. You, Tia Williams, Administrator, assisted with the visit. A checklist was used to note the requirements I monitored today. The Secretary of State website was checked on June4, 2025, and your program, Giggles n Grins 3 Childcare & Learning Center LLC. is active and current. Your program currently operates with a five star license effective November 16, 3020. The permit restrictions are as follows: Daytime care only, meets enhanced ratios, meets enhanced space, children under 2 1/2 years of age in rooms with direct exits only. You accompanied me on a walkthrough of the facility. Ten (10) approved classrooms were monitored during the visit. Nine (9) spaces had children enrolled. The outdoor gross motor areas were also monitored during the visit. Children present today were observed during free play activities, bathroom/handwashing routines, lunch, nap, and departure. Infants in care were observed during floor play/tummy time, while being held, while eating, and nap. The Staff /child ratios were maintained. Supervision was in compliance. Three (3) school age children were enrolled in space #8 with preschool children. The caregiver is trained in BSAC. Six (6) new staff files and two (2) existing files were reviewed with no violations. Ten children’s files were reviewed with no violations. The last monthly fire drill was conducted on 5/5/25. A shelter-in- place drill was conducted on 5/27/25. The last monthly playground inspection was completed on 5/16/25. Medication was in compliance. The most recent sanitation inspection for your facility was conducted on 5/28/24. A superior sanitation classification was issued with six (6) demerits. The most recent fire inspection for your facility was conducted on 8/ 28/2024. The facility was approved for day time care. The most recent lead water testing results were completed on May 28, 2024. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. One violation was documented and discussed with you during today’s visit. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. A composite structure has been added in outdoor space 3. The rubberized coating on the handle for the steps for a platform, had deteriorated and was flaking off. G.S. 110-91(6); .0601(b) 1865 The operator did not maintain the manufacturer's instructions on file electronically or in paper format for any outdoor play structures purchased or installed on or after September 1, 2017. A composite structure added to outdoor space 3 did not have manufactures instructions on file. .0605(b) As discussed, violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75%. Your score before today was 93%. Technical Assistance: #721 A composite structure has been added in outdoor space 3. The rubberized coating on the handle for the steps for a platform, had deteriorated and was flaking off. I suggested covering the flaking material with repair tape. I reminded you that equipment must be checked regularly. #1865 A composite structure has been added to outdoor space 3. Manufacture’s instructions were not on file. We discussed maintaining a file with manufacture’s instructions for all equipment installed after September 1, 2017. The manufacture’s instructions must be obtained and maintained in a file or on file electronically or in paper format for any outdoor play structures. If the manufacture’s instructions can not be obtained the structure will need to be removed in order to maintain compliance. Consultation: 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 on 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. You said you have completed this process. -Lead Water, Lead Paint, Asbestos Testing: In order to complete the lead water, lead paint, and asbestos testing, you will complete the pre-enrollment webinar through Clean Classrooms for Carolina Kids: https://rtiorg.zoom.us/webinar/register/WN_vmlhG6iRS26BdkV8SZSaDw#/registration Following completion of the webinar, you will enroll in the program and answer a short survey about your facility. The webinar and enrollment will provide instructions on how to request your test kit and submit your samples. The Lead Water, Lead Paint, and Asbestos Testing are three different components. You must verify enrollment for all three components. -You have chosen to proceed with a rated license using the scores from the prep year assessments. I reviewed and verified Lead Teacher, and teacher information. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at: Gail Dula Child Care Consultant P O Box 1598 Morganton NC 28655 gail.dula@dhhs.nc.gov 828-782-0858 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 55 Completed Date: 9/24/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 11:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. You, Tia Williams, Administrator, assisted with the visit. A checklist was used to note the requirements I monitored today. The Secretary of State website was checked on September 24, 2024, and your program, Giggles n Grins 3 Childcare & Learning Center is active and current. Your program currently operates with a five star license effective July 6, 2022. The permit restrictions are as follows: Daytime care only, meets enhanced ratios, meets enhanced space, children under 2 1/2 years of age in rooms with direct exits only. Ten approved classrooms were monitored during the visit. The outdoor gross motor area was also monitored during the visit. Children present today were observed during free play activities, teacher directed activities, bathroom/handwashing routines, lunch, nap, and departure. Infants in care were observed during floor play/tummy time, while being held, and nap. Space #1 was not open today due to a staffing issue. The children were in other classrooms. Staff /child ratios were maintained. Supervision was in compliance. The last monthly fire drill was practiced on September 12, 2024. A shelter-in- place drill was conducted on September 8, 2024. The last monthly playground inspection was completed on September 24,2024. Medication was in compliance. The most recent sanitation inspection for your facility was conducted on August 27, 2024. A superior sanitation classification was issued with six (6) demerits. The most recent fire inspection for your facility was conducted on August 28,2024. The facility was approved for day time care. The most recent lead water testing results were completed on May 28, 2024. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. Two violations were documented and discussed with you during today’s visit. Two violations were observed, cited, and discussed during the visit. The violations were corrected during the visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was conducted on May 2, 2023. The next inspection was not conducted until June 28, 2024. 10A NCAC 09 .0304(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, four (4) packs of baby wipes in plastic packaging were stored in a cabinet under an unlocked changing cabinet. The children enrolled in this space were 2 years of age. .0604(q) The center's compliance history was at 100% prior to today’s visit. 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. Your program’s compliance score before today’s visit was 86%. Technical Assistance: #104 Environmental health conducted a sanitation inspection on May 2, 2023. June 28, 2024. The next inspection was not conducted until June 28, 2024. Sanitation Inspections: Center has not passed required inspection and received an approved or superior rating. .0304(b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. #858 In space #5 , four (4) packs of baby wipes in plastic packaging were stored in a cabinet under an unlocked changing cabinet. The children enrolled in this space were 2 years of age. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. You can keep these items on higher shelves (more than five feet off the ground) in classrooms used for care for children under three years of age. Items stored in plastic bags should be removed from the bags or stored properly. Consultation or other topics discussed today: -We discussed your rated license. Prep year assessments have been conducted. Education has been updated. I will send the application for the reassessment to you. -I reminded you to use the Health & Safety documentation form found on the DCDEE website. Place training certificates behind the documentation form. Training is due every five years. New staff must complete the training with in one year of their hire date. - I reminded you that substitutes that work 10 days or more per year must complete the Health & Safety training. -New staff needs to review information in WORKS and update information as needed. -Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. A new fire inspection is due by August 30, 2024. Remember to use the form found on the DCDEE website. -We reviewed the Emergency Care Plan. I reminded you to update the plan as staff changes are made. -Child Care Rule Effective January 1, 202 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -access to Medication in childcare training; https://www.dcdee.moodle.nc.gov/course/view.php?id=96 -The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton NC 28655 Gail.dula@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 09.0304 · Violation

Name of Operation: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 55 Completed Date: 9/24/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 11:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. You, Tia Williams, Administrator, assisted with the visit. A checklist was used to note the requirements I monitored today. The Secretary of State website was checked on September 24, 2024, and your program, Giggles n Grins 3 Childcare & Learning Center is active and current. Your program currently operates with a five star license effective July 6, 2022. The permit restrictions are as follows: Daytime care only, meets enhanced ratios, meets enhanced space, children under 2 1/2 years of age in rooms with direct exits only. Ten approved classrooms were monitored during the visit. The outdoor gross motor area was also monitored during the visit. Children present today were observed during free play activities, teacher directed activities, bathroom/handwashing routines, lunch, nap, and departure. Infants in care were observed during floor play/tummy time, while being held, and nap. Space #1 was not open today due to a staffing issue. The children were in other classrooms. Staff /child ratios were maintained. Supervision was in compliance. The last monthly fire drill was practiced on September 12, 2024. A shelter-in- place drill was conducted on September 8, 2024. The last monthly playground inspection was completed on September 24,2024. Medication was in compliance. The most recent sanitation inspection for your facility was conducted on August 27, 2024. A superior sanitation classification was issued with six (6) demerits. The most recent fire inspection for your facility was conducted on August 28,2024. The facility was approved for day time care. The most recent lead water testing results were completed on May 28, 2024. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. Two violations were documented and discussed with you during today’s visit. Two violations were observed, cited, and discussed during the visit. The violations were corrected during the visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was conducted on May 2, 2023. The next inspection was not conducted until June 28, 2024. 10A NCAC 09 .0304(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, four (4) packs of baby wipes in plastic packaging were stored in a cabinet under an unlocked changing cabinet. The children enrolled in this space were 2 years of age. .0604(q) The center's compliance history was at 100% prior to today’s visit. 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. Your program’s compliance score before today’s visit was 86%. Technical Assistance: #104 Environmental health conducted a sanitation inspection on May 2, 2023. June 28, 2024. The next inspection was not conducted until June 28, 2024. Sanitation Inspections: Center has not passed required inspection and received an approved or superior rating. .0304(b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. #858 In space #5 , four (4) packs of baby wipes in plastic packaging were stored in a cabinet under an unlocked changing cabinet. The children enrolled in this space were 2 years of age. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. You can keep these items on higher shelves (more than five feet off the ground) in classrooms used for care for children under three years of age. Items stored in plastic bags should be removed from the bags or stored properly. Consultation or other topics discussed today: -We discussed your rated license. Prep year assessments have been conducted. Education has been updated. I will send the application for the reassessment to you. -I reminded you to use the Health & Safety documentation form found on the DCDEE website. Place training certificates behind the documentation form. Training is due every five years. New staff must complete the training with in one year of their hire date. - I reminded you that substitutes that work 10 days or more per year must complete the Health & Safety training. -New staff needs to review information in WORKS and update information as needed. -Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. A new fire inspection is due by August 30, 2024. Remember to use the form found on the DCDEE website. -We reviewed the Emergency Care Plan. I reminded you to update the plan as staff changes are made. -Child Care Rule Effective January 1, 202 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -access to Medication in childcare training; https://www.dcdee.moodle.nc.gov/course/view.php?id=96 -The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton NC 28655 Gail.dula@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 9/24/2024 Number Present: 55 Completed Date: 9/24/2024 Age: From 0 To 4 Total Minutes: 285 Time In: 11:00 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. You, Tia Williams, Administrator, assisted with the visit. A checklist was used to note the requirements I monitored today. The Secretary of State website was checked on September 24, 2024, and your program, Giggles n Grins 3 Childcare & Learning Center is active and current. Your program currently operates with a five star license effective July 6, 2022. The permit restrictions are as follows: Daytime care only, meets enhanced ratios, meets enhanced space, children under 2 1/2 years of age in rooms with direct exits only. Ten approved classrooms were monitored during the visit. The outdoor gross motor area was also monitored during the visit. Children present today were observed during free play activities, teacher directed activities, bathroom/handwashing routines, lunch, nap, and departure. Infants in care were observed during floor play/tummy time, while being held, and nap. Space #1 was not open today due to a staffing issue. The children were in other classrooms. Staff /child ratios were maintained. Supervision was in compliance. The last monthly fire drill was practiced on September 12, 2024. A shelter-in- place drill was conducted on September 8, 2024. The last monthly playground inspection was completed on September 24,2024. Medication was in compliance. The most recent sanitation inspection for your facility was conducted on August 27, 2024. A superior sanitation classification was issued with six (6) demerits. The most recent fire inspection for your facility was conducted on August 28,2024. The facility was approved for day time care. The most recent lead water testing results were completed on May 28, 2024. Lead testing must be completed every three years. Please complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/. Two violations were documented and discussed with you during today’s visit. Two violations were observed, cited, and discussed during the visit. The violations were corrected during the visit. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was conducted on May 2, 2023. The next inspection was not conducted until June 28, 2024. 10A NCAC 09 .0304(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #5, four (4) packs of baby wipes in plastic packaging were stored in a cabinet under an unlocked changing cabinet. The children enrolled in this space were 2 years of age. .0604(q) The center's compliance history was at 100% prior to today’s visit. 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. Your program’s compliance score before today’s visit was 86%. Technical Assistance: #104 Environmental health conducted a sanitation inspection on May 2, 2023. June 28, 2024. The next inspection was not conducted until June 28, 2024. Sanitation Inspections: Center has not passed required inspection and received an approved or superior rating. .0304(b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. #858 In space #5 , four (4) packs of baby wipes in plastic packaging were stored in a cabinet under an unlocked changing cabinet. The children enrolled in this space were 2 years of age. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. You can keep these items on higher shelves (more than five feet off the ground) in classrooms used for care for children under three years of age. Items stored in plastic bags should be removed from the bags or stored properly. Consultation or other topics discussed today: -We discussed your rated license. Prep year assessments have been conducted. Education has been updated. I will send the application for the reassessment to you. -I reminded you to use the Health & Safety documentation form found on the DCDEE website. Place training certificates behind the documentation form. Training is due every five years. New staff must complete the training with in one year of their hire date. - I reminded you that substitutes that work 10 days or more per year must complete the Health & Safety training. -New staff needs to review information in WORKS and update information as needed. -Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. A new fire inspection is due by August 30, 2024. Remember to use the form found on the DCDEE website. -We reviewed the Emergency Care Plan. I reminded you to update the plan as staff changes are made. -Child Care Rule Effective January 1, 202 Lead Testing: Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816, require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar All licensed child care programs must register by May 1, 2024, at www.cleanwaterforUSkids.org/carolina and watch one of the pre-enrollment webinars. Child Care Centers have until July 1, 2024, to complete the required lead testing. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. -access to Medication in childcare training; https://www.dcdee.moodle.nc.gov/course/view.php?id=96 -The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me 828-782-0858 or Gail Dula Child Care Consultant P O Box 1598 Morganton NC 28655 Gail.dula@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: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 67 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 11:15 AM Time Out: 12:45 PM Time In: 02:00 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements, including health and safety, during an annual compliance visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tia Williams, Director. Your program operates with a five-star license issued on November 12, 2020. Permit restrictions were in compliance. You accompanied on a walkthrough of the facility. The children in care were observed during transition from nap, handwashing/ bathroom routines, snack, free play, and diaper changes. Infants were observed while being held, floor play, tummy time, diaper change, and departure. Positive interaction was observed. The last sanitation inspection was conducted May 2, 2023. A Superior classification was issued with ten (10) demerits noted. The fire marshal conducted an inspection on September 8, 2023. The facility is approved for daytime care only. The last monthly fire drill was completed on April 15, 2024. A playground inspection was conducted on April 24, 2024. A shelter in place drill was conducted February 27, 2024 and a lockdown was conducted today May 14, 2024 in the am. Lead water testing was completed on May 14, 2021. An additional water sample was submitted on May 10, 2024. Files for five new staff were reviewed with no violations. Two violations were observed, documented and discussed with you during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Zyrtec was in unlocked storage on a shelf above the changing table in space #5. 15A NCAC 18A .2820(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 #6, a permission to administer Equate sunscreen expired on May 11, 2024. 10A NCAC 09 .0803(1)(a & b) The above uncorrected violations must be brought into compliance immediately. You shall submit a written, signed and dated statement or email to me at the address below detailing specifically how the above violations were corrected. The violations must be corrected no later than May 28, 2024. Failure to correct the violations and send the written statement by the due date listed above, noncompliance, may lead to an administrative action. As discussed, violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Prior to today’s visit your compliance history was 87%. Technical Assistance: # 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Zyrtec was in unlocked storage on a shelf above the changing table in space #5. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children, but are not required to be in locked storage. Zyrtec is not on the list of emergency medications. I suggested you review this information with staff. #842. In space #6, a permission to administer Equate sunscreen expired on May 11, 2024. The sunscreen was not returned to the parent after the permission expired. Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. Consultation: -I reminded you to put the date of expiration for CPR/FA training on the staff training worksheet and no the date of the training. -The most recent lead water testing results were received on May 14, 2021. Lead testing must be completed every three years. You recently sent additional samples on May 10, 2024. https://www.cleanwaterforuskids.org/en/carolina/. Your facility is due for lead Water testing this year. -Administrators may visit http://www.cleanwaterforuskids.org/carolina to register for required asbestos and lead paint testing by May 1, 2024. Refer to the Raise NC Newsletter sent on December 7, 2023. Thank you for your time and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy Mcgalliard, tammymcgalliard@dhhs.nc.gov. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: (828) 782-0858 or Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@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: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 5/14/2024 Number Present: 67 Completed Date: 5/14/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 11:15 AM Time Out: 12:45 PM Time In: 02:00 PM Time Out: 05:00 PM List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements, including health and safety, during an annual compliance visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tia Williams, Director. Your program operates with a five-star license issued on November 12, 2020. Permit restrictions were in compliance. You accompanied on a walkthrough of the facility. The children in care were observed during transition from nap, handwashing/ bathroom routines, snack, free play, and diaper changes. Infants were observed while being held, floor play, tummy time, diaper change, and departure. Positive interaction was observed. The last sanitation inspection was conducted May 2, 2023. A Superior classification was issued with ten (10) demerits noted. The fire marshal conducted an inspection on September 8, 2023. The facility is approved for daytime care only. The last monthly fire drill was completed on April 15, 2024. A playground inspection was conducted on April 24, 2024. A shelter in place drill was conducted February 27, 2024 and a lockdown was conducted today May 14, 2024 in the am. Lead water testing was completed on May 14, 2021. An additional water sample was submitted on May 10, 2024. Files for five new staff were reviewed with no violations. Two violations were observed, documented and discussed with you during today’s visit. Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Zyrtec was in unlocked storage on a shelf above the changing table in space #5. 15A NCAC 18A .2820(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 #6, a permission to administer Equate sunscreen expired on May 11, 2024. 10A NCAC 09 .0803(1)(a & b) The above uncorrected violations must be brought into compliance immediately. You shall submit a written, signed and dated statement or email to me at the address below detailing specifically how the above violations were corrected. The violations must be corrected no later than May 28, 2024. Failure to correct the violations and send the written statement by the due date listed above, noncompliance, may lead to an administrative action. As discussed, violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Prior to today’s visit your compliance history was 87%. Technical Assistance: # 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A bottle of Zyrtec was in unlocked storage on a shelf above the changing table in space #5. Medications including prescription and non-prescription items must be stored in a locked cabinet or other locked container and may not be stored above food. Designated emergency medications may be stored out of reach of children, but are not required to be in locked storage. Zyrtec is not on the list of emergency medications. I suggested you review this information with staff. #842. In space #6, a permission to administer Equate sunscreen expired on May 11, 2024. The sunscreen was not returned to the parent after the permission expired. Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. Consultation: -I reminded you to put the date of expiration for CPR/FA training on the staff training worksheet and no the date of the training. -The most recent lead water testing results were received on May 14, 2021. Lead testing must be completed every three years. You recently sent additional samples on May 10, 2024. https://www.cleanwaterforuskids.org/en/carolina/. Your facility is due for lead Water testing this year. -Administrators may visit http://www.cleanwaterforuskids.org/carolina to register for required asbestos and lead paint testing by May 1, 2024. Refer to the Raise NC Newsletter sent on December 7, 2023. Thank you for your time and assistance during today’s visit. If you have any questions about today’s visit, please contact me or my supervisor, Tammy Mcgalliard, tammymcgalliard@dhhs.nc.gov. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at: (828) 782-0858 or Gail Dula P O Box 1598 Morganton NC 28655 Gail.dula@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 .0901 · Violation

Name of Operation: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 10/2/2023 Number Present: 60 Completed Date: 10/2/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Tia Williams, Assistant Director, assisted me with the visit. A checklist was used to note the requirements I monitored today. our program currently operates with a star license effective November 11, 2020. The permit restrictions were in compliance. The Secretary of State website was checked on October 2, 2023 , and Giggles n Grins 3Child Care & Learning Center is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Gail Dula, Child Care Consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You accompanied me on the walkthrough of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance, Children throughout the facility were participating in group time, free play in activity areas, transitions, personal care routines, during, snack, and departure. Infants were engaged in tummy time, while being fed and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. Staff files were reviewed including seven new staff files and two additional files with no violations. Eight children’s files were reviewed with no violations. The last monthly fire drill was practiced on September 18, 2023. The last lockdown drill was practiced on September 15, 2023. The most recent sanitation inspection for your facility was conducted on May 2, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on September 8, 2023. The facility was approved for day time care only. The following violations were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of departure of children was not recorded on the following days; 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In space #6, an activity plan was not posted GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. A current menu was not posted. 10A NCAC 09 .0901(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. On or before October 16, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The center's compliance history was at 89% prior to today’s visit. 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. Technical assistance on violations was reviewed with you. Areas discussed included: #125- Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You use Bright wheel and have some paper copies, however, the time of departure was not recorded on the following days, 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. The time of arrival and departure must be recorded for all children. I suggest you review this requirement with all staff. #842- Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. #428 In space #6 an activity plan was not posted. Each group of children must have an activity plan that includes age appropriate activities. #525 Menus for meals and snacks were not current or posted where easily seen by parents. A current menu was not posted. I suggested meals be planned for several weeks and the dated menus be posted on Friday for the next week. Consultation or other topics discussed today: Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, the visit summary was reviewed with you. A copy of the summary will be emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Gail Dula Child Care Consultant P.O. Box 1598 Morganton, NC 28655 (828)782-0858 gail.dula@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 .0302 · Violation

Name of Operation: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 10/2/2023 Number Present: 60 Completed Date: 10/2/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Tia Williams, Assistant Director, assisted me with the visit. A checklist was used to note the requirements I monitored today. our program currently operates with a star license effective November 11, 2020. The permit restrictions were in compliance. The Secretary of State website was checked on October 2, 2023 , and Giggles n Grins 3Child Care & Learning Center is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Gail Dula, Child Care Consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You accompanied me on the walkthrough of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance, Children throughout the facility were participating in group time, free play in activity areas, transitions, personal care routines, during, snack, and departure. Infants were engaged in tummy time, while being fed and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. Staff files were reviewed including seven new staff files and two additional files with no violations. Eight children’s files were reviewed with no violations. The last monthly fire drill was practiced on September 18, 2023. The last lockdown drill was practiced on September 15, 2023. The most recent sanitation inspection for your facility was conducted on May 2, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on September 8, 2023. The facility was approved for day time care only. The following violations were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of departure of children was not recorded on the following days; 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In space #6, an activity plan was not posted GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. A current menu was not posted. 10A NCAC 09 .0901(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. On or before October 16, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The center's compliance history was at 89% prior to today’s visit. 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. Technical assistance on violations was reviewed with you. Areas discussed included: #125- Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You use Bright wheel and have some paper copies, however, the time of departure was not recorded on the following days, 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. The time of arrival and departure must be recorded for all children. I suggest you review this requirement with all staff. #842- Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. #428 In space #6 an activity plan was not posted. Each group of children must have an activity plan that includes age appropriate activities. #525 Menus for meals and snacks were not current or posted where easily seen by parents. A current menu was not posted. I suggested meals be planned for several weeks and the dated menus be posted on Friday for the next week. Consultation or other topics discussed today: Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, the visit summary was reviewed with you. A copy of the summary will be emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Gail Dula Child Care Consultant P.O. Box 1598 Morganton, NC 28655 (828)782-0858 gail.dula@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: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 10/2/2023 Number Present: 60 Completed Date: 10/2/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Tia Williams, Assistant Director, assisted me with the visit. A checklist was used to note the requirements I monitored today. our program currently operates with a star license effective November 11, 2020. The permit restrictions were in compliance. The Secretary of State website was checked on October 2, 2023 , and Giggles n Grins 3Child Care & Learning Center is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Gail Dula, Child Care Consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You accompanied me on the walkthrough of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance, Children throughout the facility were participating in group time, free play in activity areas, transitions, personal care routines, during, snack, and departure. Infants were engaged in tummy time, while being fed and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. Staff files were reviewed including seven new staff files and two additional files with no violations. Eight children’s files were reviewed with no violations. The last monthly fire drill was practiced on September 18, 2023. The last lockdown drill was practiced on September 15, 2023. The most recent sanitation inspection for your facility was conducted on May 2, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on September 8, 2023. The facility was approved for day time care only. The following violations were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of departure of children was not recorded on the following days; 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In space #6, an activity plan was not posted GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. A current menu was not posted. 10A NCAC 09 .0901(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. On or before October 16, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The center's compliance history was at 89% prior to today’s visit. 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. Technical assistance on violations was reviewed with you. Areas discussed included: #125- Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You use Bright wheel and have some paper copies, however, the time of departure was not recorded on the following days, 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. The time of arrival and departure must be recorded for all children. I suggest you review this requirement with all staff. #842- Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. #428 In space #6 an activity plan was not posted. Each group of children must have an activity plan that includes age appropriate activities. #525 Menus for meals and snacks were not current or posted where easily seen by parents. A current menu was not posted. I suggested meals be planned for several weeks and the dated menus be posted on Friday for the next week. Consultation or other topics discussed today: Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, the visit summary was reviewed with you. A copy of the summary will be emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Gail Dula Child Care Consultant P.O. Box 1598 Morganton, NC 28655 (828)782-0858 gail.dula@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: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 10/2/2023 Number Present: 60 Completed Date: 10/2/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Tia Williams, Assistant Director, assisted me with the visit. A checklist was used to note the requirements I monitored today. our program currently operates with a star license effective November 11, 2020. The permit restrictions were in compliance. The Secretary of State website was checked on October 2, 2023 , and Giggles n Grins 3Child Care & Learning Center is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Gail Dula, Child Care Consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You accompanied me on the walkthrough of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance, Children throughout the facility were participating in group time, free play in activity areas, transitions, personal care routines, during, snack, and departure. Infants were engaged in tummy time, while being fed and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. Staff files were reviewed including seven new staff files and two additional files with no violations. Eight children’s files were reviewed with no violations. The last monthly fire drill was practiced on September 18, 2023. The last lockdown drill was practiced on September 15, 2023. The most recent sanitation inspection for your facility was conducted on May 2, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on September 8, 2023. The facility was approved for day time care only. The following violations were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of departure of children was not recorded on the following days; 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In space #6, an activity plan was not posted GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. A current menu was not posted. 10A NCAC 09 .0901(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. On or before October 16, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The center's compliance history was at 89% prior to today’s visit. 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. Technical assistance on violations was reviewed with you. Areas discussed included: #125- Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You use Bright wheel and have some paper copies, however, the time of departure was not recorded on the following days, 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. The time of arrival and departure must be recorded for all children. I suggest you review this requirement with all staff. #842- Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. #428 In space #6 an activity plan was not posted. Each group of children must have an activity plan that includes age appropriate activities. #525 Menus for meals and snacks were not current or posted where easily seen by parents. A current menu was not posted. I suggested meals be planned for several weeks and the dated menus be posted on Friday for the next week. Consultation or other topics discussed today: Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, the visit summary was reviewed with you. A copy of the summary will be emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Gail Dula Child Care Consultant P.O. Box 1598 Morganton, NC 28655 (828)782-0858 gail.dula@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GIGGLES N' GRINS 3 CHILD CARE & LEARNING CENTER Facility ID: 12000421 Consultant: GAIL DULA Operation Type: Center Case Number: Visit Date: 10/2/2023 Number Present: 60 Completed Date: 10/2/2023 Age: From 0 To 5 Total Minutes: 360 Time In: 10:00 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Tia Williams, Assistant Director, assisted me with the visit. A checklist was used to note the requirements I monitored today. our program currently operates with a star license effective November 11, 2020. The permit restrictions were in compliance. The Secretary of State website was checked on October 2, 2023 , and Giggles n Grins 3Child Care & Learning Center is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Gail Dula, Child Care Consultant, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You accompanied me on the walkthrough of the facility. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance, Children throughout the facility were participating in group time, free play in activity areas, transitions, personal care routines, during, snack, and departure. Infants were engaged in tummy time, while being fed and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. Staff files were reviewed including seven new staff files and two additional files with no violations. Eight children’s files were reviewed with no violations. The last monthly fire drill was practiced on September 18, 2023. The last lockdown drill was practiced on September 15, 2023. The most recent sanitation inspection for your facility was conducted on May 2, 2023. A superior sanitation classification was issued with ten (10) demerits. The most recent fire inspection for your facility was conducted on September 8, 2023. The facility was approved for day time care only. The following violations were observed and discussed with you today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The time of departure of children was not recorded on the following days; 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In space #6, an activity plan was not posted GS 110-91(12); .0508(a) 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. A current menu was not posted. 10A NCAC 09 .0901(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. 10A NCAC 09 .0803(1)(a & b) The violations documented must be corrected immediately. On or before October 16, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. The center's compliance history was at 89% prior to today’s visit. 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. Technical assistance on violations was reviewed with you. Areas discussed included: #125- Keep daily records of arrival and departure times for children enrolled at the center. This can be completed by parents, teachers, or both. You use Bright wheel and have some paper copies, however, the time of departure was not recorded on the following days, 9/1/23 twenty one (21) children, 9/5/23 twenty one (21) children, 9/8/23 twenty one (21) children, 9/12/23 twenty (20) children, 9/13/23 twelve (12) children, 9/14/23 nineteen (19) children, 9/19/23 twelve (12) children, 9/20/23 six (6) children, 9/21/23 two (2), 9/22/23 nine (9) children, 9/25/23 thirteen (13) children, 9/26/23 ten (10) children, 9/27/23 eleven (11) children, 9/28/23 nine (9) children and 9/29/23 seven (7) children. The time of arrival and departure must be recorded for all children. I suggest you review this requirement with all staff. #842- Teachers should check Permission to Administer Medication Forms when brought into the facility and regularly thereafter to ensure they are filled out completely and properly and to ensure permission has not expired. A parent may give standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. A parent may give standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. I suggested that Permission to Administer Medication Forms be kept with the mediation and that staff continue to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. In space #6, permission to administer over-the-counter Children’s Allergy medication expired on 9/17/23. In space # 1 Banana Boat sunscreen did not have a signed permission to administer form on file. #428 In space #6 an activity plan was not posted. Each group of children must have an activity plan that includes age appropriate activities. #525 Menus for meals and snacks were not current or posted where easily seen by parents. A current menu was not posted. I suggested meals be planned for several weeks and the dated menus be posted on Friday for the next week. Consultation or other topics discussed today: Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, the visit summary was reviewed with you. A copy of the summary will be emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Gail Dula Child Care Consultant P.O. Box 1598 Morganton, NC 28655 (828)782-0858 gail.dula@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