10A NCAC 09 .0803 · Violation

Name of Operation: PAM'S KOZY KIDZ Facility ID: 46000147 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 10 Completed Date: 6/3/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor this program with applicable child care requirements. Currently, this facility operates with a Four (4) Star License issued June 16, 2021, earning two (2) points in Program Standards, seven (7) points in Staff Education, and one (1) quality point. The last sanitation inspection was completed on September 30, 2024 earning a “Superior” classification. The last fire inspection was completed on January 31, 2025 with a “Satisfactory” classification and was approved for day time and night care. The last annual compliance visit was completed July 16, 2024. You, P. Swain, Owner/Operator, was available to assist with the visit. Ten (10) children were present age ranging zero (1) to four (4) years of age. Children were engaged in free choice play, teacher directed activities, outdoor play, and toileting and handwashing routines. All staff interacted with children in a positive and nurturing manner. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. Ten percent of staff records and ten percent of children’s records, and all program records were monitored. All children, staff, and program records were found to be in compliance. Two (2) violations were documented for a medical permission form being on file with a child’s medication and the medication not being in the original prescribed container. The following violations of child care requirements were documented today. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescribed medication for J. Phillips was not stored in the original pharmacy labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Permission to administer documentation, signed and dated by the parent, was not on file for J. Phillips. 10A NCAC 09 .0803(4)(6-9) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply to your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 95%. A copy of the most current compliance history score was printed and left with you at the conclusion of the visit. TECHNICAL ASSISTANCE/ CONSULTATION MEDICATION Permission to administer documentation, signed and dated by the parent, was not on file for J. Phillips. The prescribed medication was not stored in the original pharmacy labeled container. RESOURCES The Division of Child Development and Early Education's (DCDEE) website is https://ncchildcare.ncdhhs.gov/. Visit this website for the most up-to-date child care forms, resources related to child care, and new child care rules/laws. STAR RATED LICENSE Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. This should be the providers’ choice only. PATHWAYS TO THE PROFESSION The Division of Child Development and Early Education (DCDEE) prioritizes increasing career pathways for future ECE teachers. However, after lengthy careful consideration DCDEE has reluctantly decided it will not bring back the Early Childhood Equivalency Exam due to concerns about academic integrity. We make this decision to ensure fair and equitable opportunity for all aspiring early childhood teachers, uphold minimum educational standards, and keep staff and children in licensed child care environments safe. Note, other Pathways to the Profession of Early Childhood Teacher still include: • EDU 119 – Introduction to Early Childhood Education: This 12-week course introduces the foundations of culturally responsive, equitable and inclusive early childhood education. Available at many N.C. Community Colleges with online, evening, or in-person options. Upon successful completion of EDU-119, the student earns the North Carolina Early Childhood Credential and qualifies to be a lead teacher in a child care center. • Test-Out Option for EDU 119: An early childhood professional who has gained knowledge through work and lived experience and/or professional development may be able to receive Credit for Prior Learning by taking a challenge exam for EDU119. Contact a local N.C. Community College for testing information. • EDU 3119 – Intro to Early Childhood Education: This new short-term (8-week) continuing education offering is designed to prepare students to work in a childcare facility. Students learn how to design developmentally appropriate and inclusive lesson plans and activities for young children in alignment with NC Foundations for Early Learning and Development and state regulations. At the end of the course, students will have obtained a qualifying letter which provides eligibility for employment in a N.C. child care facility. Contact a local N.C. Community College to see if this course is available near you. • Child Development Associate® Credential (CDA): DCDEE is still offering free memberships for a limited time to the ECE workforce to enroll in Teaching Strategies Quorum® online teacher education platform. Get support as a new teacher, or complete CDA Coursework and get guidance for portfolio development. Coursework is also available in Spanish on Quorum. Scholarships for CDA course materials are available through TEACH Early Childhood® North Carolina Scholarship Program. Remember lead teachers lacking the North Carolina Early Childhood Credential have six months to enroll in EDU 119 or a DCDEE-approved equivalent, plus up to 18 months to complete the course. RECALLED ITEMS You can visit the U.S. Consumer Product Safety Commission website at www.cpsc.gov for more information on recently recalled items. CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398 -4124, northamptonsmartstart.org. • I encourage you to contact Amy Peterson, BSN, RN, Child Care Health Consultant: amy.petersen@dhhs.nc.gov, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: PAM'S KOZY KIDZ Facility ID: 46000147 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 6/3/2025 Number Present: 10 Completed Date: 6/3/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor this program with applicable child care requirements. Currently, this facility operates with a Four (4) Star License issued June 16, 2021, earning two (2) points in Program Standards, seven (7) points in Staff Education, and one (1) quality point. The last sanitation inspection was completed on September 30, 2024 earning a “Superior” classification. The last fire inspection was completed on January 31, 2025 with a “Satisfactory” classification and was approved for day time and night care. The last annual compliance visit was completed July 16, 2024. You, P. Swain, Owner/Operator, was available to assist with the visit. Ten (10) children were present age ranging zero (1) to four (4) years of age. Children were engaged in free choice play, teacher directed activities, outdoor play, and toileting and handwashing routines. All staff interacted with children in a positive and nurturing manner. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. Ten percent of staff records and ten percent of children’s records, and all program records were monitored. All children, staff, and program records were found to be in compliance. Two (2) violations were documented for a medical permission form being on file with a child’s medication and the medication not being in the original prescribed container. The following violations of child care requirements were documented today. Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The prescribed medication for J. Phillips was not stored in the original pharmacy labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. Permission to administer documentation, signed and dated by the parent, was not on file for J. Phillips. 10A NCAC 09 .0803(4)(6-9) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply to your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 95%. A copy of the most current compliance history score was printed and left with you at the conclusion of the visit. TECHNICAL ASSISTANCE/ CONSULTATION MEDICATION Permission to administer documentation, signed and dated by the parent, was not on file for J. Phillips. The prescribed medication was not stored in the original pharmacy labeled container. RESOURCES The Division of Child Development and Early Education's (DCDEE) website is https://ncchildcare.ncdhhs.gov/. Visit this website for the most up-to-date child care forms, resources related to child care, and new child care rules/laws. STAR RATED LICENSE Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. This should be the providers’ choice only. PATHWAYS TO THE PROFESSION The Division of Child Development and Early Education (DCDEE) prioritizes increasing career pathways for future ECE teachers. However, after lengthy careful consideration DCDEE has reluctantly decided it will not bring back the Early Childhood Equivalency Exam due to concerns about academic integrity. We make this decision to ensure fair and equitable opportunity for all aspiring early childhood teachers, uphold minimum educational standards, and keep staff and children in licensed child care environments safe. Note, other Pathways to the Profession of Early Childhood Teacher still include: • EDU 119 – Introduction to Early Childhood Education: This 12-week course introduces the foundations of culturally responsive, equitable and inclusive early childhood education. Available at many N.C. Community Colleges with online, evening, or in-person options. Upon successful completion of EDU-119, the student earns the North Carolina Early Childhood Credential and qualifies to be a lead teacher in a child care center. • Test-Out Option for EDU 119: An early childhood professional who has gained knowledge through work and lived experience and/or professional development may be able to receive Credit for Prior Learning by taking a challenge exam for EDU119. Contact a local N.C. Community College for testing information. • EDU 3119 – Intro to Early Childhood Education: This new short-term (8-week) continuing education offering is designed to prepare students to work in a childcare facility. Students learn how to design developmentally appropriate and inclusive lesson plans and activities for young children in alignment with NC Foundations for Early Learning and Development and state regulations. At the end of the course, students will have obtained a qualifying letter which provides eligibility for employment in a N.C. child care facility. Contact a local N.C. Community College to see if this course is available near you. • Child Development Associate® Credential (CDA): DCDEE is still offering free memberships for a limited time to the ECE workforce to enroll in Teaching Strategies Quorum® online teacher education platform. Get support as a new teacher, or complete CDA Coursework and get guidance for portfolio development. Coursework is also available in Spanish on Quorum. Scholarships for CDA course materials are available through TEACH Early Childhood® North Carolina Scholarship Program. Remember lead teachers lacking the North Carolina Early Childhood Credential have six months to enroll in EDU 119 or a DCDEE-approved equivalent, plus up to 18 months to complete the course. RECALLED ITEMS You can visit the U.S. Consumer Product Safety Commission website at www.cpsc.gov for more information on recently recalled items. CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398 -4124, northamptonsmartstart.org. • I encourage you to contact Amy Peterson, BSN, RN, Child Care Health Consultant: amy.petersen@dhhs.nc.gov, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. 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: PAM'S KOZY KIDZ Facility ID: 46000147 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 9 Completed Date: 1/13/2025 Age: From 1 To 4 Total Minutes: 155 Time In: 10:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor this program with applicable child care requirements. Currently, this facility operates with a Four (4) Star License issued June 16, 2021, earning two (2) points in Program Standards, seven (7) points in Staff Education, and one (1) quality point. The last sanitation inspection was completed on September 30, 2024 earning a “Superior” classification. The last fire inspection was completed on February 6, 2024 with a “Satisfactory” classification and was approved for day time and night care. The last annual compliance visit was completed July 16, 2024. You, P. Swain, Owner/Operator, was available to assist with the visit. Nine (9) children were present age ranging one (1) to four (4) years of age. Children were engaged in free choice play and teacher directed activities. All staff interacted with children in a positive and nurturing manner. The following requirements were monitored during today's visit: Staff/Child Ratio, Supervision, Specialized trainings, Storage of Hazardous Products, Storage of Medication, Adequate/Approved Space, General Safety, Staff Records, Program Records, and License Posted and Permit Restrictions. I used a checklist as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to your program. Any violations observed were reviewed and a computer-generated visit summary was left with you at the conclusion of the visit. The following violations of child care requirements were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills were not documented for Dec 2024 .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Documentation of TB skin test for J. Gatling was not updated before the first day of employment. The last documented test was 7/26/2022. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in pace/lockdown drills were not documented for the months of July and October 2024. .0604(u);.0302(d)(8) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed statement acknowledging the receipt of Shaken Baby Syndrome policy was not on file fore review for J. Gatling .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed within 90 days of employment for J. Gatling. .1102(g) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply to your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 27, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 91%. TECHNICAL ASSISTANCE/ CONSULTATION STAFF RECORD KEEPING New staff member, J. Gatling did not have an updated TB skin test on file. The last record on file was for 7/26/2022. A new TB skin test is required before the first day of employment. Also, Recognizing and Responding to Suspicions of Child Maltreatment training and Shaken Baby Head Trauma policy was not on file for review. PROGRAM RECORDS Documentation of fire drills being practiced was not on file for review, for the month of Dec 2024. Documentation of shelter in place/lockdown drills was incomplete for the months of July 2024 and October 2024. The next drill should be completed before 1/31/2025. RESOURCES The Division of Child Development and Early Education's (DCDEE) website is https://ncchildcare.ncdhhs.gov/. Visit this website for the most up-to-date child care forms, resources related to child care, and new child care rules/laws. STAR RATED LICENSE Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. This should be the providers’ choice only. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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 1-800-859-0829 and someone will assist you. RECALLED ITEMS Red toolbox Recalls Stanley-Branded Jr. Kids Garden Sets: https://www.cpsc.gov/Recalls/2024/Red-Toolbox-Recalls-Stanley-Branded-Jr-Kids-Garden-Sets-Due-to-Lead-Poisoning-Hazard-Violation-of-Federal-Ban-for-Lead-in-Paint-Sold-Exclusively-by-Costco-Wholesale?utm_campaign=recalls&utm_content=M1&utm_medium=email&utm_source=govdelivery&utm_term=20240912 Intellio Toys, Bright Builder Fort Kits: https://www.cpsc.gov/Recalls/2024/Intellio-Toys-Recalls-Bright-Builder-Fort-Kits-Due-to-Battery-Ingestion-Hazard-Violation-of-Federal-Regulations-for-Battery-Operated-Toys Shawshank LEDz Squeeze Plush Ball Monsters Toys and Easter Squeezable Toys: https://www.cpsc.gov/Recalls/2024/Shawshank-LEDz-Recalls-Squeeze-Plush-Ball-Monsters-Toys-and-Easter-Squeezable-Toys-Due-to-Injury-Hazard-Sold-Exclusively-at-Ace-Hardware Mamibaby and Cosy Nation Baby Loungers: https://www.cpsc.gov/Recalls/2024/Mamibaby-and-Cosy-Nation-Baby-Loungers-Recalled-Due-to-Suffocation-Risk-and-Fall-and-Entrapment-Hazards-Violation-of-Federal-Regulations-for-Infant-Sleep-Products-Sold-on-Amazon-com-by-MEIXIA-Shop-and-Softbless MJKSARE High Chairs: https://www.cpsc.gov/Recalls/2024/MJKSARE-High-Chairs-Recalled-Due-to-Entrapment-and-Fall-Hazards-Violation-of-Federal-Regulation-for-High-Chairs-Imported-by-Worldwide-Windows-Sold-Exclusively-on-Amazon-com You can visit the U.S. Consumer Product Safety Commission website at www.cpsc.gov for more information. CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398 -4124, northamptonsmartstart.org. • I encourage you to contact Amy Peterson, BSN, RN, Child Care Health Consultant: amy.petersen@dhhs.nc.gov, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: PAM'S KOZY KIDZ Facility ID: 46000147 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 9 Completed Date: 1/13/2025 Age: From 1 To 4 Total Minutes: 155 Time In: 10:10 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my routine unannounced visit was to monitor this program with applicable child care requirements. Currently, this facility operates with a Four (4) Star License issued June 16, 2021, earning two (2) points in Program Standards, seven (7) points in Staff Education, and one (1) quality point. The last sanitation inspection was completed on September 30, 2024 earning a “Superior” classification. The last fire inspection was completed on February 6, 2024 with a “Satisfactory” classification and was approved for day time and night care. The last annual compliance visit was completed July 16, 2024. You, P. Swain, Owner/Operator, was available to assist with the visit. Nine (9) children were present age ranging one (1) to four (4) years of age. Children were engaged in free choice play and teacher directed activities. All staff interacted with children in a positive and nurturing manner. The following requirements were monitored during today's visit: Staff/Child Ratio, Supervision, Specialized trainings, Storage of Hazardous Products, Storage of Medication, Adequate/Approved Space, General Safety, Staff Records, Program Records, and License Posted and Permit Restrictions. I used a checklist as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to your program. Any violations observed were reviewed and a computer-generated visit summary was left with you at the conclusion of the visit. The following violations of child care requirements were documented. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills were not documented for Dec 2024 .0604(t); .0302(d)(5) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Documentation of TB skin test for J. Gatling was not updated before the first day of employment. The last documented test was 7/26/2022. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in pace/lockdown drills were not documented for the months of July and October 2024. .0604(u);.0302(d)(8) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed statement acknowledging the receipt of Shaken Baby Syndrome policy was not on file fore review for J. Gatling .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed within 90 days of employment for J. Gatling. .1102(g) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply to your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 27, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 91%. TECHNICAL ASSISTANCE/ CONSULTATION STAFF RECORD KEEPING New staff member, J. Gatling did not have an updated TB skin test on file. The last record on file was for 7/26/2022. A new TB skin test is required before the first day of employment. Also, Recognizing and Responding to Suspicions of Child Maltreatment training and Shaken Baby Head Trauma policy was not on file for review. PROGRAM RECORDS Documentation of fire drills being practiced was not on file for review, for the month of Dec 2024. Documentation of shelter in place/lockdown drills was incomplete for the months of July 2024 and October 2024. The next drill should be completed before 1/31/2025. RESOURCES The Division of Child Development and Early Education's (DCDEE) website is https://ncchildcare.ncdhhs.gov/. Visit this website for the most up-to-date child care forms, resources related to child care, and new child care rules/laws. STAR RATED LICENSE Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. This should be the providers’ choice only. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS 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 1-800-859-0829 and someone will assist you. RECALLED ITEMS Red toolbox Recalls Stanley-Branded Jr. Kids Garden Sets: https://www.cpsc.gov/Recalls/2024/Red-Toolbox-Recalls-Stanley-Branded-Jr-Kids-Garden-Sets-Due-to-Lead-Poisoning-Hazard-Violation-of-Federal-Ban-for-Lead-in-Paint-Sold-Exclusively-by-Costco-Wholesale?utm_campaign=recalls&utm_content=M1&utm_medium=email&utm_source=govdelivery&utm_term=20240912 Intellio Toys, Bright Builder Fort Kits: https://www.cpsc.gov/Recalls/2024/Intellio-Toys-Recalls-Bright-Builder-Fort-Kits-Due-to-Battery-Ingestion-Hazard-Violation-of-Federal-Regulations-for-Battery-Operated-Toys Shawshank LEDz Squeeze Plush Ball Monsters Toys and Easter Squeezable Toys: https://www.cpsc.gov/Recalls/2024/Shawshank-LEDz-Recalls-Squeeze-Plush-Ball-Monsters-Toys-and-Easter-Squeezable-Toys-Due-to-Injury-Hazard-Sold-Exclusively-at-Ace-Hardware Mamibaby and Cosy Nation Baby Loungers: https://www.cpsc.gov/Recalls/2024/Mamibaby-and-Cosy-Nation-Baby-Loungers-Recalled-Due-to-Suffocation-Risk-and-Fall-and-Entrapment-Hazards-Violation-of-Federal-Regulations-for-Infant-Sleep-Products-Sold-on-Amazon-com-by-MEIXIA-Shop-and-Softbless MJKSARE High Chairs: https://www.cpsc.gov/Recalls/2024/MJKSARE-High-Chairs-Recalled-Due-to-Entrapment-and-Fall-Hazards-Violation-of-Federal-Regulation-for-High-Chairs-Imported-by-Worldwide-Windows-Sold-Exclusively-on-Amazon-com You can visit the U.S. Consumer Product Safety Commission website at www.cpsc.gov for more information. CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398 -4124, northamptonsmartstart.org. • I encourage you to contact Amy Peterson, BSN, RN, Child Care Health Consultant: amy.petersen@dhhs.nc.gov, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. 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: PAM'S KOZY KIDZ Facility ID: 46000147 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 7/16/2024 Number Present: 9 Completed Date: 7/16/2024 Age: From 0 To 12 Total Minutes: 250 Time In: 09:20 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. Currently, this facility operates with a Four (4) Star License issued June 16, 2021, earning two (2) points in Program Standards, seven (7) points in Staff Education, and one (1) quality point. The last sanitation inspection was completed on October 17, 2023 earning a “Superior” classification. The last fire inspection was completed on February 6,2024 with a “Satisfactory” classification and was approved for day time and night care. The last annual compliance visit was completed August 10, 2023. You, P. Swain, Owner/Operator, was available to assist with the visit. Nine (9) children were present age ranging zero (0) to twelve (12) years of age. Children were engaged in free choice play and teacher directed activities and eating breakfast. Breakfast consisted of french toast sticks, pears, and milk. All staff interacted with children in a positive and nurturing manner. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. Ten percent of staff records and ten percent of children’s records were monitored. Four (4) violations were documented for staff record keeping. No violations were documented for children’s record keeping. One volunteer staff record was reviewed and found to be in compliance. Any violations observed were discussed with you and documented on the computer-generated visit summary left with you at the conclusion of the visit. The following violations were documented today. Violation Number Comment Rule 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. Plastic bags were observed underneath the changing table, in the space used for infants. .0604(q) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Orientation documentation for C. Boone was not on file for review. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. On going trainings were not completed annually for C. Boone .1103(a) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Health and safety training documentation was not on file for review. .1103(b) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply to your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before July 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 89%. TECHNICAL ASSISTANCE/ CONSULTATION STAFF RECORD KEEPING Staff record for C. Boone was reviewed and violations were cited. The record had incomplete orientation documentation, staff development plan was not updated annually, ongoing trainings were not completed annually, and health and safety training documentation was not on file for review. SAFETY AND HEALTH Plastic bags were observed underneath the changing table, in the space used for infants. Plastic bags pose a choking hazard to children and should not be kept within reach of children under 3 years of age. The bags were removed during the visit. RESOURCES The Division of Child Development and Early Education's (DCDEE) website is https://ncchildcare.ncdhhs.gov/. Visit this website for the most up-to-date child care forms, resources related to child care, and new child care rules/laws. STAR RATED LICENSE Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. This should be the providers choice only. RECALLED ITEMS Power Adapters Sold with Rest 1st Generation Sound Machines: Power: https://www.cpsc.gov/Recalls/2024/Hatch-Baby-Recalls-Power-Adapters-Sold-with-Rest-1st-Generation-Sound-Machines-Due-to-Shock-Hazard Theefun Kids Gardening Tool Sets: https://www.cpsc.gov/Recalls/2024/Thousandshores-Recalled-Theefun-Kids-Gardening-Tools-Sets-Due-to-Violation-of-the-Federal-Phthalates-Ban-Sold-Exclusively-on-Amazon Sling Carriers: https://www.cpsc.gov/Recalls/2024/Sling-Carriers-Recalled-Due-to-Infant-Suffocation-and-Fall-Hazards-Violation-of-the-Federal-Safety-Regulation-for-Sling-Carriers-Sold-on-Walmart-com-through-Joybuy-Marketplace-Express Children’s Pajama Sets: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online Children’s Nightgowns: https://www.cpsc.gov/Recalls/2024/Childrens-Pajama-Sets-Recalled-Due-to-Burn-Hazard-and-Violation-of-Federal-Flammability-Standards-Sold-Exclusively-on-Temu-com-by-Fashion-Online CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398 -4124, northamptonsmartstart.org. • I encourage you to contact Amy Peterson, BSN, RN, Child Care Health Consultant: amy.petersen@dhhs.nc.gov, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0801 · Violation

Name of Operation: PAM'S KOZY KIDZ Facility ID: 46000147 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 11 Completed Date: 8/10/2023 Age: From 0 To 7 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. Currently, this facility operates with a Four (4) Star License issued June 16, 2021, earning two (2) points in Program Standards, seven (7) points in Staff Education, and one (1) quality point. The last sanitation inspection was completed on October 4, 2022 earning a “Superior” classification. I was given a copy of the most current sanitation inspection on today’s visit. The last fire inspection was completed on February 9,2023 with a “Satisfactory” classification and was approved for day time and night care. The last annual compliance visit was completed September 13, 2022. You, P. Swain, Owner/Operator, was available to assist with the visit. Twelve (12) children were present age ranging zero (0) to seven (7) years of age. Children were engaged in free choice play and teacher directed activities and eating breakfast. Breakfast consisted of pancakes, oranges, and milk. All staff interacted with children in a positive and nurturing manner. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. A computer generated visit summary was reviewed and left with you at the conclusion of the visit. The following violations of child care requirements was documented. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) can of Lysol aerosol spray was observed in the room serving infants, in an unlocked cabinet, under the changing table. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff member did not have the required updated annual health questionnaire on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member did not have the required updated annual Emergency Information form on file for review. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member did not complete the First Aid training before it expired on 8/9/2023 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member did not complete CPR training before it expired on 8/9/2023 .1102(d) 1303 Application was not signed by the parent. One (1) child's application was not signed by the parent 10A NCAC 09 .0801(a) 1327 Accurate records were not maintained for all children. One (1) child's file folder was missing a signed and dated statement of receipt of the Summary of the Child Care Law, receipt of operational policies and parent participation plan, signed and dated Discipline policy, notification of smoking and tobacco policy, and a signed and dated statement by the parent of receipt of Shaken Baby and Abusive Head Trauma policy. G.S. 110-91(9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member did not complete Recognizing and Responding to Suspicions of Maltreatment within the required 90 days from date of hire. .1102(g) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 24, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 95%. The compliance history score was printed and you were given a copy at the conclusion of the visit. TECHNICAL ASSISTANCE/ CONSULTATION During the consultation, we reviewed violation(s) documented and the checklist used during the monitoring process. CHILDREN’S RECORD KEEPING One (1) child whom you stated was a drop-in child, only had an application on file. The documents that are required at the first day of enrollment were not on file for review. We discussed the children’s file checklist that details the required documents and when they are due. You stated you did not know all the documents were required for a drop-in child. The child’s folder was missing a signed and dated statement of receipt of the Summary of the Child Care Law, receipt of operational policies and parent participation plan, signed and dated Discipline policy, notification of smoking and tobacco policy, and a signed and dated statement by the parent of receipt of Shaken Baby and Abusive Head Trauma policy. One (1) child’s application was missing the parent’s signature. The parent came in the center to sign the application during the visit. STORAGE OF HAZARDOUS ITEMS One (1) can of Lysol aerosol spray was observed in the room serving infants, in an unlocked cabinet, under the changing table. I explained that any aerosol container needs to be stored in a locked space or cabinet. The Lysol spray was removed and locked in a cabinet in another room. STAFF RECORD KEEPING One (1) staff member did not have Recognizing and Responding to Suspicions of Child Maltreatment within the requires 90 days after date of employment. The staff member was hired on January 1, 2023 and should have taken the training by April 1, 2023. You stated the staff member is a substitute and you and you were unaware that she needed the training. I explained that Recognizing and Responding to Suspicions of Child Maltreatment is required for all staff working with the children. The same staff member did not complete CPR and First Aid training before it expired. The training expired on August 9, 2023. I explained that any staff member who is left alone with the children is required to have an updated CPR and First Aid Training on file for review by the Division. One (1) staff member’s Health Questionnaire and Emergency Information had not been completed for the current year. I explained that the Health Questionnaire and the Emergency Information for each staff member should be updated annually to maintain compliance with child care requirements. The staff member updated both documents during the visit. RESOURCES HEALTH AND SAFETY TRAININGS DCDEE has partnered with the NC Child Care Health and Safety Resource Center to offer health and safety trainings in MOODLE. These trainings will remain at no charge for staff. The contract with ProSolutions ended on September 30, 2020. Health and safety trainings are due every five (5) years, including the Recognizing and Responding to Suspicions of Child Maltreatment. The Recognizing and Responding to Suspicions of Child Maltreatment training must be completed via the Prevent Child Abuse NC website. The enrollment process and completion of course materials tend to work best with a windows laptop or desktop using Firefox, but other devices and Google Chrome should also work. You can access the health and safety trainings available in Moodle and Frequently Asked Questions by logging in using NCID and completing the following steps: • From the Moodle home page, students need to log-in with their NCID and password. The log-in is in the upper right corner of the screen. If you do not have a current log-in you will need to create one. • After log-in, the student should scroll to the bottom of the page. In the ‘Search courses’ box, the student should type in the short name “Year 2023 CCDF” and then click go. The student should not register for prior year courses as they are no longer available. • After completing the course search for “Year 2023 CCDF”, the student should be able to register for the course. • Once registered, the student will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Should a student encounter an issue, we are requesting they report the CCDF 2023 course issue (i.e. they are unable to complete the course evaluation or receive a training certificate), to the North Carolina Child Care Health and Safety Resource Center using the following link https://healthychildcare.unc.edu/contact-us-form/. Should the student need additional guidance with accessing the training, please refer them to Amia Eaton, Training and Program Development Consultant, at Amia.Eaton@dhhs.nc.gov or by telephone at 919-814-6365. STAR RATED LICENSE I informed you information regarding the preparation for the star rated license assessment process is located on the Division of Child Development (https://ncchildcare.ncdhhs.gov/) and North Carolina Rated License Project website. I recommended you and staff visit ncrlap.org to obtain detailed information about how the process will be implemented and review prep year activities and ideas offered. More information will be provided regarding your programs rated license assessment timeframe. GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. INFANT-TODDLER EDUCATOR AWARD$ PLUS PROGRAM: Infant-Toddler Educator AWARD$® Plus is a salary supplement program, available in all NC counties, designed to increase the education, retention and compensation of teachers and family childcare educators working with our youngest children. The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in B-3 classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. To be eligible for AWARD$ Plus, applicants must: • Work at least 30 hours/week with infants, ones, or twos. • Earn at or below $20/hour. • Work in a licensed child care center or home. • Have at least 12 semester hours of birth to five focused coursework. AWARD$ Plus is funded by the Division of Child Development and Early Education. Visit www.childcareservices.org/awards for more details. CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398-4124, northamptonsmartstart.org. • I encourage you to contact Amy Peterson, BSN, RN, Child Care Health Consultant: amy.petersen@dhhs.nc.gov, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: PAM'S KOZY KIDZ Facility ID: 46000147 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 11 Completed Date: 8/10/2023 Age: From 0 To 7 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. Currently, this facility operates with a Four (4) Star License issued June 16, 2021, earning two (2) points in Program Standards, seven (7) points in Staff Education, and one (1) quality point. The last sanitation inspection was completed on October 4, 2022 earning a “Superior” classification. I was given a copy of the most current sanitation inspection on today’s visit. The last fire inspection was completed on February 9,2023 with a “Satisfactory” classification and was approved for day time and night care. The last annual compliance visit was completed September 13, 2022. You, P. Swain, Owner/Operator, was available to assist with the visit. Twelve (12) children were present age ranging zero (0) to seven (7) years of age. Children were engaged in free choice play and teacher directed activities and eating breakfast. Breakfast consisted of pancakes, oranges, and milk. All staff interacted with children in a positive and nurturing manner. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. A computer generated visit summary was reviewed and left with you at the conclusion of the visit. The following violations of child care requirements was documented. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) can of Lysol aerosol spray was observed in the room serving infants, in an unlocked cabinet, under the changing table. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff member did not have the required updated annual health questionnaire on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member did not have the required updated annual Emergency Information form on file for review. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member did not complete the First Aid training before it expired on 8/9/2023 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member did not complete CPR training before it expired on 8/9/2023 .1102(d) 1303 Application was not signed by the parent. One (1) child's application was not signed by the parent 10A NCAC 09 .0801(a) 1327 Accurate records were not maintained for all children. One (1) child's file folder was missing a signed and dated statement of receipt of the Summary of the Child Care Law, receipt of operational policies and parent participation plan, signed and dated Discipline policy, notification of smoking and tobacco policy, and a signed and dated statement by the parent of receipt of Shaken Baby and Abusive Head Trauma policy. G.S. 110-91(9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member did not complete Recognizing and Responding to Suspicions of Maltreatment within the required 90 days from date of hire. .1102(g) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 24, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 95%. The compliance history score was printed and you were given a copy at the conclusion of the visit. TECHNICAL ASSISTANCE/ CONSULTATION During the consultation, we reviewed violation(s) documented and the checklist used during the monitoring process. CHILDREN’S RECORD KEEPING One (1) child whom you stated was a drop-in child, only had an application on file. The documents that are required at the first day of enrollment were not on file for review. We discussed the children’s file checklist that details the required documents and when they are due. You stated you did not know all the documents were required for a drop-in child. The child’s folder was missing a signed and dated statement of receipt of the Summary of the Child Care Law, receipt of operational policies and parent participation plan, signed and dated Discipline policy, notification of smoking and tobacco policy, and a signed and dated statement by the parent of receipt of Shaken Baby and Abusive Head Trauma policy. One (1) child’s application was missing the parent’s signature. The parent came in the center to sign the application during the visit. STORAGE OF HAZARDOUS ITEMS One (1) can of Lysol aerosol spray was observed in the room serving infants, in an unlocked cabinet, under the changing table. I explained that any aerosol container needs to be stored in a locked space or cabinet. The Lysol spray was removed and locked in a cabinet in another room. STAFF RECORD KEEPING One (1) staff member did not have Recognizing and Responding to Suspicions of Child Maltreatment within the requires 90 days after date of employment. The staff member was hired on January 1, 2023 and should have taken the training by April 1, 2023. You stated the staff member is a substitute and you and you were unaware that she needed the training. I explained that Recognizing and Responding to Suspicions of Child Maltreatment is required for all staff working with the children. The same staff member did not complete CPR and First Aid training before it expired. The training expired on August 9, 2023. I explained that any staff member who is left alone with the children is required to have an updated CPR and First Aid Training on file for review by the Division. One (1) staff member’s Health Questionnaire and Emergency Information had not been completed for the current year. I explained that the Health Questionnaire and the Emergency Information for each staff member should be updated annually to maintain compliance with child care requirements. The staff member updated both documents during the visit. RESOURCES HEALTH AND SAFETY TRAININGS DCDEE has partnered with the NC Child Care Health and Safety Resource Center to offer health and safety trainings in MOODLE. These trainings will remain at no charge for staff. The contract with ProSolutions ended on September 30, 2020. Health and safety trainings are due every five (5) years, including the Recognizing and Responding to Suspicions of Child Maltreatment. The Recognizing and Responding to Suspicions of Child Maltreatment training must be completed via the Prevent Child Abuse NC website. The enrollment process and completion of course materials tend to work best with a windows laptop or desktop using Firefox, but other devices and Google Chrome should also work. You can access the health and safety trainings available in Moodle and Frequently Asked Questions by logging in using NCID and completing the following steps: • From the Moodle home page, students need to log-in with their NCID and password. The log-in is in the upper right corner of the screen. If you do not have a current log-in you will need to create one. • After log-in, the student should scroll to the bottom of the page. In the ‘Search courses’ box, the student should type in the short name “Year 2023 CCDF” and then click go. The student should not register for prior year courses as they are no longer available. • After completing the course search for “Year 2023 CCDF”, the student should be able to register for the course. • Once registered, the student will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Should a student encounter an issue, we are requesting they report the CCDF 2023 course issue (i.e. they are unable to complete the course evaluation or receive a training certificate), to the North Carolina Child Care Health and Safety Resource Center using the following link https://healthychildcare.unc.edu/contact-us-form/. Should the student need additional guidance with accessing the training, please refer them to Amia Eaton, Training and Program Development Consultant, at Amia.Eaton@dhhs.nc.gov or by telephone at 919-814-6365. STAR RATED LICENSE I informed you information regarding the preparation for the star rated license assessment process is located on the Division of Child Development (https://ncchildcare.ncdhhs.gov/) and North Carolina Rated License Project website. I recommended you and staff visit ncrlap.org to obtain detailed information about how the process will be implemented and review prep year activities and ideas offered. More information will be provided regarding your programs rated license assessment timeframe. GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. INFANT-TODDLER EDUCATOR AWARD$ PLUS PROGRAM: Infant-Toddler Educator AWARD$® Plus is a salary supplement program, available in all NC counties, designed to increase the education, retention and compensation of teachers and family childcare educators working with our youngest children. The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in B-3 classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. To be eligible for AWARD$ Plus, applicants must: • Work at least 30 hours/week with infants, ones, or twos. • Earn at or below $20/hour. • Work in a licensed child care center or home. • Have at least 12 semester hours of birth to five focused coursework. AWARD$ Plus is funded by the Division of Child Development and Early Education. Visit www.childcareservices.org/awards for more details. CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398-4124, northamptonsmartstart.org. • I encourage you to contact Amy Peterson, BSN, RN, Child Care Health Consultant: amy.petersen@dhhs.nc.gov, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. 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: PAM'S KOZY KIDZ Facility ID: 46000147 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 8/10/2023 Number Present: 11 Completed Date: 8/10/2023 Age: From 0 To 7 Total Minutes: 275 Time In: 08:55 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. Currently, this facility operates with a Four (4) Star License issued June 16, 2021, earning two (2) points in Program Standards, seven (7) points in Staff Education, and one (1) quality point. The last sanitation inspection was completed on October 4, 2022 earning a “Superior” classification. I was given a copy of the most current sanitation inspection on today’s visit. The last fire inspection was completed on February 9,2023 with a “Satisfactory” classification and was approved for day time and night care. The last annual compliance visit was completed September 13, 2022. You, P. Swain, Owner/Operator, was available to assist with the visit. Twelve (12) children were present age ranging zero (0) to seven (7) years of age. Children were engaged in free choice play and teacher directed activities and eating breakfast. Breakfast consisted of pancakes, oranges, and milk. All staff interacted with children in a positive and nurturing manner. I used the Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Center Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. A computer generated visit summary was reviewed and left with you at the conclusion of the visit. The following violations of child care requirements was documented. Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One (1) can of Lysol aerosol spray was observed in the room serving infants, in an unlocked cabinet, under the changing table. .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff member did not have the required updated annual health questionnaire on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff member did not have the required updated annual Emergency Information form on file for review. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) staff member did not complete the First Aid training before it expired on 8/9/2023 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) staff member did not complete CPR training before it expired on 8/9/2023 .1102(d) 1303 Application was not signed by the parent. One (1) child's application was not signed by the parent 10A NCAC 09 .0801(a) 1327 Accurate records were not maintained for all children. One (1) child's file folder was missing a signed and dated statement of receipt of the Summary of the Child Care Law, receipt of operational policies and parent participation plan, signed and dated Discipline policy, notification of smoking and tobacco policy, and a signed and dated statement by the parent of receipt of Shaken Baby and Abusive Head Trauma policy. G.S. 110-91(9) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member did not complete Recognizing and Responding to Suspicions of Maltreatment within the required 90 days from date of hire. .1102(g) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 24, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 95%. The compliance history score was printed and you were given a copy at the conclusion of the visit. TECHNICAL ASSISTANCE/ CONSULTATION During the consultation, we reviewed violation(s) documented and the checklist used during the monitoring process. CHILDREN’S RECORD KEEPING One (1) child whom you stated was a drop-in child, only had an application on file. The documents that are required at the first day of enrollment were not on file for review. We discussed the children’s file checklist that details the required documents and when they are due. You stated you did not know all the documents were required for a drop-in child. The child’s folder was missing a signed and dated statement of receipt of the Summary of the Child Care Law, receipt of operational policies and parent participation plan, signed and dated Discipline policy, notification of smoking and tobacco policy, and a signed and dated statement by the parent of receipt of Shaken Baby and Abusive Head Trauma policy. One (1) child’s application was missing the parent’s signature. The parent came in the center to sign the application during the visit. STORAGE OF HAZARDOUS ITEMS One (1) can of Lysol aerosol spray was observed in the room serving infants, in an unlocked cabinet, under the changing table. I explained that any aerosol container needs to be stored in a locked space or cabinet. The Lysol spray was removed and locked in a cabinet in another room. STAFF RECORD KEEPING One (1) staff member did not have Recognizing and Responding to Suspicions of Child Maltreatment within the requires 90 days after date of employment. The staff member was hired on January 1, 2023 and should have taken the training by April 1, 2023. You stated the staff member is a substitute and you and you were unaware that she needed the training. I explained that Recognizing and Responding to Suspicions of Child Maltreatment is required for all staff working with the children. The same staff member did not complete CPR and First Aid training before it expired. The training expired on August 9, 2023. I explained that any staff member who is left alone with the children is required to have an updated CPR and First Aid Training on file for review by the Division. One (1) staff member’s Health Questionnaire and Emergency Information had not been completed for the current year. I explained that the Health Questionnaire and the Emergency Information for each staff member should be updated annually to maintain compliance with child care requirements. The staff member updated both documents during the visit. RESOURCES HEALTH AND SAFETY TRAININGS DCDEE has partnered with the NC Child Care Health and Safety Resource Center to offer health and safety trainings in MOODLE. These trainings will remain at no charge for staff. The contract with ProSolutions ended on September 30, 2020. Health and safety trainings are due every five (5) years, including the Recognizing and Responding to Suspicions of Child Maltreatment. The Recognizing and Responding to Suspicions of Child Maltreatment training must be completed via the Prevent Child Abuse NC website. The enrollment process and completion of course materials tend to work best with a windows laptop or desktop using Firefox, but other devices and Google Chrome should also work. You can access the health and safety trainings available in Moodle and Frequently Asked Questions by logging in using NCID and completing the following steps: • From the Moodle home page, students need to log-in with their NCID and password. The log-in is in the upper right corner of the screen. If you do not have a current log-in you will need to create one. • After log-in, the student should scroll to the bottom of the page. In the ‘Search courses’ box, the student should type in the short name “Year 2023 CCDF” and then click go. The student should not register for prior year courses as they are no longer available. • After completing the course search for “Year 2023 CCDF”, the student should be able to register for the course. • Once registered, the student will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Should a student encounter an issue, we are requesting they report the CCDF 2023 course issue (i.e. they are unable to complete the course evaluation or receive a training certificate), to the North Carolina Child Care Health and Safety Resource Center using the following link https://healthychildcare.unc.edu/contact-us-form/. Should the student need additional guidance with accessing the training, please refer them to Amia Eaton, Training and Program Development Consultant, at Amia.Eaton@dhhs.nc.gov or by telephone at 919-814-6365. STAR RATED LICENSE I informed you information regarding the preparation for the star rated license assessment process is located on the Division of Child Development (https://ncchildcare.ncdhhs.gov/) and North Carolina Rated License Project website. I recommended you and staff visit ncrlap.org to obtain detailed information about how the process will be implemented and review prep year activities and ideas offered. More information will be provided regarding your programs rated license assessment timeframe. GETTING HELP WITH CHALLENGING BEHAVIORS: The Healthy Social Behaviors in Child Care Centers Project (HSB) provides ideas to create a learning environment that can assist in preventing challenging behaviors. They provide free technical assistance, professional development, and they offer a variety of additional resources. For additional information on the Healthy Social Behaviors Project or to view a current listing of scheduled trainings, browse the NC Child Care Resource & Referral Council website. For information about Pyramid Model CEU-level trainings, contact the HSB Education Specialist, Liz Tuttle at etuttle@childcareresourcesinc.org. To obtain a Request for TA Services, contact your local Behavior Specialist or email the Statewide Project Manager, Smokie Brawley, at sbrawley@childcareresourcesinc.org. INFANT-TODDLER EDUCATOR AWARD$ PLUS PROGRAM: Infant-Toddler Educator AWARD$® Plus is a salary supplement program, available in all NC counties, designed to increase the education, retention and compensation of teachers and family childcare educators working with our youngest children. The Infant Toddler Educator AWARD$ program has recently gone through some exciting programmatic updates. The original AWARD$ program was only available to teachers working full-time in B-3 classrooms that had an AA in ECE or higher degree and were employed by 4- and 5-star programs. The education requirement has been reduced as an incentive to support teachers seeking to increase their education in any star rated licensed program. To be eligible for AWARD$ Plus, applicants must: • Work at least 30 hours/week with infants, ones, or twos. • Earn at or below $20/hour. • Work in a licensed child care center or home. • Have at least 12 semester hours of birth to five focused coursework. AWARD$ Plus is funded by the Division of Child Development and Early Education. Visit www.childcareservices.org/awards for more details. CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398-4124, northamptonsmartstart.org. • I encourage you to contact Amy Peterson, BSN, RN, Child Care Health Consultant: amy.petersen@dhhs.nc.gov, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809. 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