10A NCAC 09 .0604 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 34 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 12:45 PM Time Out: 04:00 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. Your program currently operates with a 3-Star license effective January 27, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of December 2, 2025. The NC Secretary of State website was reviewed on December 2, 2025, and Wall Rentals Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Sanitation and fire inspections remain current. Crystal Edwards, Administrator, was available for consultation during the visit. There are six (6) approved indoor spaces and one (1) approved outdoor space. Fifty-five (55) children between the ages of zero (0) and ten (10) are enrolled, and thirty-four (34) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. Both indoor and outdoor areas were monitored. Staff child ratios and supervision were monitored and found to be in compliance. Infants received routine care based on their individual needs. Toddlers, younger, and older preschool children were observed during nap time. All children were on individual cots with individual linens. Soft music was played in the background. Appropriate lighting was observed. Cot spacing, diapering, and handwashing routines were monitored, and requirements were met. Health and Safety Trainings, the Shaken Baby and Abusive Head Trauma Policy, and Safe Sleep Policy were monitored today and found to be in compliance. Transportation: Your facility’s State of North Carolina Registration Card expired on October 31, 2025. Today, you reported that you have not had a vehicle inspection conducted since October 2024. Today, I suggested you put a reminder on your calendar to help ensure an inspection is conducted when due. Approval for transportation is suspended until documentation (a current registration card) is received verifying that you are once again legally able to transport children. Prior to transporting children, please submit a copy of your facility’s current registration card to me via email. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Indoor space #1 had an activity plan posted with a date of October 27, 2025. Indoor space #4 had an activity plan posted with a date of November 10, 2025. GS 110-91(12); .0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In indoor space #1 an infant was propped up on an infant boppy pillow holding and drinking a bottle. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In indoor space #1, four (4) out of twelve (12) infant bottles sent from a child’s home were not dated. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall next to the teacher’s desk in space #6 had a large section of chipped paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in indoor space # 6 were not covered with safety plugs. 10A NCAC 09 .0604(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vehicle used to transport children enrolled in the child care center did not receive an annual vehicle inspection as required by State laws and regulations. .1002(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In indoor space #1 a staff member had a Pepsi Bottle and Honey Roasted Sunflower Kernels sitting on counters accessible to the children. .0901(i) 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. Two (2) out of five (5) new staff files reviewed did not have documentation of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy reviewed with the staff members prior to providing care with children. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Five (5) medication permission slips in indoor space #2 did not have expiration dates documented on the permission slips. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Any violations documented must be corrected immediately. On or before Tuesday, December 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication Administration All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medication expiration dates were left off of over the counter medication permission slips. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Bottle Feeding: Child Care Rule 10A NCAC 09 .0902(b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (The link is the developmental purpose behind the rule regarding children being held while feeding unless they are independently able to sit upright.) Once a child is able to hold his/her own bottle, it becomes a matter of choice whether the child is held or placed in an appropriate feeding device. Suggestion of appropriate feeding devices are high chair, feeding table, or child-size table and chairs. The manufacturer’s information would need to include some reference to appropriateness for use of a bouncy seat as a feeding device, which is unlikely the case. Feeding apparatus’ promote the healthy physical development of the child and prevent choking. The bouncy seat is not designed to ensure the natural progression of the child’s motor skills but would rather encourage head tilting and the trunk leaning to the side and the body slumping. Feeding requires an erect posture to support necessary lung expansion and good breathing which is supportive of proper head alignment and crucial for the development of visual motor skills. Infant Bottles: Effective October 1, 2017, all bottles for infants must be labeled with the child's name, even if only one infant is enrolled. All bottles, baby food, snack items and meal items sent from home (all ages of children) must now be labeled with the child’s name and dated. Staff Nutrition: Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Activity Plans: For each group of children in care, a current activity plan is required and shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Provider Portal for ABCMS (the criminal records check database): 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 within five business days. Today, you reported that you are in the process of adding employees to your facility’s roster from the ABCMS Provider Portal. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on October 8, 2025. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Reviewed by RTI-No Results Ready • Asbestos- Section Complete-N/A Reminders: Staff members S. Sorey and G. Luehmann need to complete the following trainings on or before November 25, 2025. • CPR & First Aid Certifications • Recognizing and Responding to Suspicions of Child Maltreatment For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. 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 .0902 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 34 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 12:45 PM Time Out: 04:00 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. Your program currently operates with a 3-Star license effective January 27, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of December 2, 2025. The NC Secretary of State website was reviewed on December 2, 2025, and Wall Rentals Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Sanitation and fire inspections remain current. Crystal Edwards, Administrator, was available for consultation during the visit. There are six (6) approved indoor spaces and one (1) approved outdoor space. Fifty-five (55) children between the ages of zero (0) and ten (10) are enrolled, and thirty-four (34) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. Both indoor and outdoor areas were monitored. Staff child ratios and supervision were monitored and found to be in compliance. Infants received routine care based on their individual needs. Toddlers, younger, and older preschool children were observed during nap time. All children were on individual cots with individual linens. Soft music was played in the background. Appropriate lighting was observed. Cot spacing, diapering, and handwashing routines were monitored, and requirements were met. Health and Safety Trainings, the Shaken Baby and Abusive Head Trauma Policy, and Safe Sleep Policy were monitored today and found to be in compliance. Transportation: Your facility’s State of North Carolina Registration Card expired on October 31, 2025. Today, you reported that you have not had a vehicle inspection conducted since October 2024. Today, I suggested you put a reminder on your calendar to help ensure an inspection is conducted when due. Approval for transportation is suspended until documentation (a current registration card) is received verifying that you are once again legally able to transport children. Prior to transporting children, please submit a copy of your facility’s current registration card to me via email. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Indoor space #1 had an activity plan posted with a date of October 27, 2025. Indoor space #4 had an activity plan posted with a date of November 10, 2025. GS 110-91(12); .0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In indoor space #1 an infant was propped up on an infant boppy pillow holding and drinking a bottle. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In indoor space #1, four (4) out of twelve (12) infant bottles sent from a child’s home were not dated. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall next to the teacher’s desk in space #6 had a large section of chipped paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in indoor space # 6 were not covered with safety plugs. 10A NCAC 09 .0604(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vehicle used to transport children enrolled in the child care center did not receive an annual vehicle inspection as required by State laws and regulations. .1002(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In indoor space #1 a staff member had a Pepsi Bottle and Honey Roasted Sunflower Kernels sitting on counters accessible to the children. .0901(i) 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. Two (2) out of five (5) new staff files reviewed did not have documentation of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy reviewed with the staff members prior to providing care with children. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Five (5) medication permission slips in indoor space #2 did not have expiration dates documented on the permission slips. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Any violations documented must be corrected immediately. On or before Tuesday, December 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication Administration All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medication expiration dates were left off of over the counter medication permission slips. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Bottle Feeding: Child Care Rule 10A NCAC 09 .0902(b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (The link is the developmental purpose behind the rule regarding children being held while feeding unless they are independently able to sit upright.) Once a child is able to hold his/her own bottle, it becomes a matter of choice whether the child is held or placed in an appropriate feeding device. Suggestion of appropriate feeding devices are high chair, feeding table, or child-size table and chairs. The manufacturer’s information would need to include some reference to appropriateness for use of a bouncy seat as a feeding device, which is unlikely the case. Feeding apparatus’ promote the healthy physical development of the child and prevent choking. The bouncy seat is not designed to ensure the natural progression of the child’s motor skills but would rather encourage head tilting and the trunk leaning to the side and the body slumping. Feeding requires an erect posture to support necessary lung expansion and good breathing which is supportive of proper head alignment and crucial for the development of visual motor skills. Infant Bottles: Effective October 1, 2017, all bottles for infants must be labeled with the child's name, even if only one infant is enrolled. All bottles, baby food, snack items and meal items sent from home (all ages of children) must now be labeled with the child’s name and dated. Staff Nutrition: Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Activity Plans: For each group of children in care, a current activity plan is required and shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Provider Portal for ABCMS (the criminal records check database): 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 within five business days. Today, you reported that you are in the process of adding employees to your facility’s roster from the ABCMS Provider Portal. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on October 8, 2025. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Reviewed by RTI-No Results Ready • Asbestos- Section Complete-N/A Reminders: Staff members S. Sorey and G. Luehmann need to complete the following trainings on or before November 25, 2025. • CPR & First Aid Certifications • Recognizing and Responding to Suspicions of Child Maltreatment For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 34 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 12:45 PM Time Out: 04:00 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. Your program currently operates with a 3-Star license effective January 27, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of December 2, 2025. The NC Secretary of State website was reviewed on December 2, 2025, and Wall Rentals Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Sanitation and fire inspections remain current. Crystal Edwards, Administrator, was available for consultation during the visit. There are six (6) approved indoor spaces and one (1) approved outdoor space. Fifty-five (55) children between the ages of zero (0) and ten (10) are enrolled, and thirty-four (34) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. Both indoor and outdoor areas were monitored. Staff child ratios and supervision were monitored and found to be in compliance. Infants received routine care based on their individual needs. Toddlers, younger, and older preschool children were observed during nap time. All children were on individual cots with individual linens. Soft music was played in the background. Appropriate lighting was observed. Cot spacing, diapering, and handwashing routines were monitored, and requirements were met. Health and Safety Trainings, the Shaken Baby and Abusive Head Trauma Policy, and Safe Sleep Policy were monitored today and found to be in compliance. Transportation: Your facility’s State of North Carolina Registration Card expired on October 31, 2025. Today, you reported that you have not had a vehicle inspection conducted since October 2024. Today, I suggested you put a reminder on your calendar to help ensure an inspection is conducted when due. Approval for transportation is suspended until documentation (a current registration card) is received verifying that you are once again legally able to transport children. Prior to transporting children, please submit a copy of your facility’s current registration card to me via email. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Indoor space #1 had an activity plan posted with a date of October 27, 2025. Indoor space #4 had an activity plan posted with a date of November 10, 2025. GS 110-91(12); .0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In indoor space #1 an infant was propped up on an infant boppy pillow holding and drinking a bottle. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In indoor space #1, four (4) out of twelve (12) infant bottles sent from a child’s home were not dated. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall next to the teacher’s desk in space #6 had a large section of chipped paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in indoor space # 6 were not covered with safety plugs. 10A NCAC 09 .0604(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vehicle used to transport children enrolled in the child care center did not receive an annual vehicle inspection as required by State laws and regulations. .1002(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In indoor space #1 a staff member had a Pepsi Bottle and Honey Roasted Sunflower Kernels sitting on counters accessible to the children. .0901(i) 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. Two (2) out of five (5) new staff files reviewed did not have documentation of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy reviewed with the staff members prior to providing care with children. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Five (5) medication permission slips in indoor space #2 did not have expiration dates documented on the permission slips. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Any violations documented must be corrected immediately. On or before Tuesday, December 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication Administration All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medication expiration dates were left off of over the counter medication permission slips. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Bottle Feeding: Child Care Rule 10A NCAC 09 .0902(b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (The link is the developmental purpose behind the rule regarding children being held while feeding unless they are independently able to sit upright.) Once a child is able to hold his/her own bottle, it becomes a matter of choice whether the child is held or placed in an appropriate feeding device. Suggestion of appropriate feeding devices are high chair, feeding table, or child-size table and chairs. The manufacturer’s information would need to include some reference to appropriateness for use of a bouncy seat as a feeding device, which is unlikely the case. Feeding apparatus’ promote the healthy physical development of the child and prevent choking. The bouncy seat is not designed to ensure the natural progression of the child’s motor skills but would rather encourage head tilting and the trunk leaning to the side and the body slumping. Feeding requires an erect posture to support necessary lung expansion and good breathing which is supportive of proper head alignment and crucial for the development of visual motor skills. Infant Bottles: Effective October 1, 2017, all bottles for infants must be labeled with the child's name, even if only one infant is enrolled. All bottles, baby food, snack items and meal items sent from home (all ages of children) must now be labeled with the child’s name and dated. Staff Nutrition: Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Activity Plans: For each group of children in care, a current activity plan is required and shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Provider Portal for ABCMS (the criminal records check database): 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 within five business days. Today, you reported that you are in the process of adding employees to your facility’s roster from the ABCMS Provider Portal. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on October 8, 2025. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Reviewed by RTI-No Results Ready • Asbestos- Section Complete-N/A Reminders: Staff members S. Sorey and G. Luehmann need to complete the following trainings on or before November 25, 2025. • CPR & First Aid Certifications • Recognizing and Responding to Suspicions of Child Maltreatment For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. 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 .0902 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 34 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 12:45 PM Time Out: 04:00 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. Your program currently operates with a 3-Star license effective January 27, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of December 2, 2025. The NC Secretary of State website was reviewed on December 2, 2025, and Wall Rentals Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Sanitation and fire inspections remain current. Crystal Edwards, Administrator, was available for consultation during the visit. There are six (6) approved indoor spaces and one (1) approved outdoor space. Fifty-five (55) children between the ages of zero (0) and ten (10) are enrolled, and thirty-four (34) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. Both indoor and outdoor areas were monitored. Staff child ratios and supervision were monitored and found to be in compliance. Infants received routine care based on their individual needs. Toddlers, younger, and older preschool children were observed during nap time. All children were on individual cots with individual linens. Soft music was played in the background. Appropriate lighting was observed. Cot spacing, diapering, and handwashing routines were monitored, and requirements were met. Health and Safety Trainings, the Shaken Baby and Abusive Head Trauma Policy, and Safe Sleep Policy were monitored today and found to be in compliance. Transportation: Your facility’s State of North Carolina Registration Card expired on October 31, 2025. Today, you reported that you have not had a vehicle inspection conducted since October 2024. Today, I suggested you put a reminder on your calendar to help ensure an inspection is conducted when due. Approval for transportation is suspended until documentation (a current registration card) is received verifying that you are once again legally able to transport children. Prior to transporting children, please submit a copy of your facility’s current registration card to me via email. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Indoor space #1 had an activity plan posted with a date of October 27, 2025. Indoor space #4 had an activity plan posted with a date of November 10, 2025. GS 110-91(12); .0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In indoor space #1 an infant was propped up on an infant boppy pillow holding and drinking a bottle. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In indoor space #1, four (4) out of twelve (12) infant bottles sent from a child’s home were not dated. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall next to the teacher’s desk in space #6 had a large section of chipped paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in indoor space # 6 were not covered with safety plugs. 10A NCAC 09 .0604(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vehicle used to transport children enrolled in the child care center did not receive an annual vehicle inspection as required by State laws and regulations. .1002(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In indoor space #1 a staff member had a Pepsi Bottle and Honey Roasted Sunflower Kernels sitting on counters accessible to the children. .0901(i) 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. Two (2) out of five (5) new staff files reviewed did not have documentation of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy reviewed with the staff members prior to providing care with children. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Five (5) medication permission slips in indoor space #2 did not have expiration dates documented on the permission slips. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Any violations documented must be corrected immediately. On or before Tuesday, December 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication Administration All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medication expiration dates were left off of over the counter medication permission slips. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Bottle Feeding: Child Care Rule 10A NCAC 09 .0902(b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (The link is the developmental purpose behind the rule regarding children being held while feeding unless they are independently able to sit upright.) Once a child is able to hold his/her own bottle, it becomes a matter of choice whether the child is held or placed in an appropriate feeding device. Suggestion of appropriate feeding devices are high chair, feeding table, or child-size table and chairs. The manufacturer’s information would need to include some reference to appropriateness for use of a bouncy seat as a feeding device, which is unlikely the case. Feeding apparatus’ promote the healthy physical development of the child and prevent choking. The bouncy seat is not designed to ensure the natural progression of the child’s motor skills but would rather encourage head tilting and the trunk leaning to the side and the body slumping. Feeding requires an erect posture to support necessary lung expansion and good breathing which is supportive of proper head alignment and crucial for the development of visual motor skills. Infant Bottles: Effective October 1, 2017, all bottles for infants must be labeled with the child's name, even if only one infant is enrolled. All bottles, baby food, snack items and meal items sent from home (all ages of children) must now be labeled with the child’s name and dated. Staff Nutrition: Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Activity Plans: For each group of children in care, a current activity plan is required and shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Provider Portal for ABCMS (the criminal records check database): 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 within five business days. Today, you reported that you are in the process of adding employees to your facility’s roster from the ABCMS Provider Portal. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on October 8, 2025. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Reviewed by RTI-No Results Ready • Asbestos- Section Complete-N/A Reminders: Staff members S. Sorey and G. Luehmann need to complete the following trainings on or before November 25, 2025. • CPR & First Aid Certifications • Recognizing and Responding to Suspicions of Child Maltreatment For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 34 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 12:45 PM Time Out: 04:00 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. Your program currently operates with a 3-Star license effective January 27, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of December 2, 2025. The NC Secretary of State website was reviewed on December 2, 2025, and Wall Rentals Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Sanitation and fire inspections remain current. Crystal Edwards, Administrator, was available for consultation during the visit. There are six (6) approved indoor spaces and one (1) approved outdoor space. Fifty-five (55) children between the ages of zero (0) and ten (10) are enrolled, and thirty-four (34) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. Both indoor and outdoor areas were monitored. Staff child ratios and supervision were monitored and found to be in compliance. Infants received routine care based on their individual needs. Toddlers, younger, and older preschool children were observed during nap time. All children were on individual cots with individual linens. Soft music was played in the background. Appropriate lighting was observed. Cot spacing, diapering, and handwashing routines were monitored, and requirements were met. Health and Safety Trainings, the Shaken Baby and Abusive Head Trauma Policy, and Safe Sleep Policy were monitored today and found to be in compliance. Transportation: Your facility’s State of North Carolina Registration Card expired on October 31, 2025. Today, you reported that you have not had a vehicle inspection conducted since October 2024. Today, I suggested you put a reminder on your calendar to help ensure an inspection is conducted when due. Approval for transportation is suspended until documentation (a current registration card) is received verifying that you are once again legally able to transport children. Prior to transporting children, please submit a copy of your facility’s current registration card to me via email. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Indoor space #1 had an activity plan posted with a date of October 27, 2025. Indoor space #4 had an activity plan posted with a date of November 10, 2025. GS 110-91(12); .0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In indoor space #1 an infant was propped up on an infant boppy pillow holding and drinking a bottle. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In indoor space #1, four (4) out of twelve (12) infant bottles sent from a child’s home were not dated. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall next to the teacher’s desk in space #6 had a large section of chipped paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in indoor space # 6 were not covered with safety plugs. 10A NCAC 09 .0604(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vehicle used to transport children enrolled in the child care center did not receive an annual vehicle inspection as required by State laws and regulations. .1002(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In indoor space #1 a staff member had a Pepsi Bottle and Honey Roasted Sunflower Kernels sitting on counters accessible to the children. .0901(i) 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. Two (2) out of five (5) new staff files reviewed did not have documentation of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy reviewed with the staff members prior to providing care with children. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Five (5) medication permission slips in indoor space #2 did not have expiration dates documented on the permission slips. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Any violations documented must be corrected immediately. On or before Tuesday, December 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication Administration All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medication expiration dates were left off of over the counter medication permission slips. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Bottle Feeding: Child Care Rule 10A NCAC 09 .0902(b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (The link is the developmental purpose behind the rule regarding children being held while feeding unless they are independently able to sit upright.) Once a child is able to hold his/her own bottle, it becomes a matter of choice whether the child is held or placed in an appropriate feeding device. Suggestion of appropriate feeding devices are high chair, feeding table, or child-size table and chairs. The manufacturer’s information would need to include some reference to appropriateness for use of a bouncy seat as a feeding device, which is unlikely the case. Feeding apparatus’ promote the healthy physical development of the child and prevent choking. The bouncy seat is not designed to ensure the natural progression of the child’s motor skills but would rather encourage head tilting and the trunk leaning to the side and the body slumping. Feeding requires an erect posture to support necessary lung expansion and good breathing which is supportive of proper head alignment and crucial for the development of visual motor skills. Infant Bottles: Effective October 1, 2017, all bottles for infants must be labeled with the child's name, even if only one infant is enrolled. All bottles, baby food, snack items and meal items sent from home (all ages of children) must now be labeled with the child’s name and dated. Staff Nutrition: Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Activity Plans: For each group of children in care, a current activity plan is required and shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Provider Portal for ABCMS (the criminal records check database): 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 within five business days. Today, you reported that you are in the process of adding employees to your facility’s roster from the ABCMS Provider Portal. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on October 8, 2025. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Reviewed by RTI-No Results Ready • Asbestos- Section Complete-N/A Reminders: Staff members S. Sorey and G. Luehmann need to complete the following trainings on or before November 25, 2025. • CPR & First Aid Certifications • Recognizing and Responding to Suspicions of Child Maltreatment For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 34 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 12:45 PM Time Out: 04:00 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. Your program currently operates with a 3-Star license effective January 27, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of December 2, 2025. The NC Secretary of State website was reviewed on December 2, 2025, and Wall Rentals Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Sanitation and fire inspections remain current. Crystal Edwards, Administrator, was available for consultation during the visit. There are six (6) approved indoor spaces and one (1) approved outdoor space. Fifty-five (55) children between the ages of zero (0) and ten (10) are enrolled, and thirty-four (34) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. Both indoor and outdoor areas were monitored. Staff child ratios and supervision were monitored and found to be in compliance. Infants received routine care based on their individual needs. Toddlers, younger, and older preschool children were observed during nap time. All children were on individual cots with individual linens. Soft music was played in the background. Appropriate lighting was observed. Cot spacing, diapering, and handwashing routines were monitored, and requirements were met. Health and Safety Trainings, the Shaken Baby and Abusive Head Trauma Policy, and Safe Sleep Policy were monitored today and found to be in compliance. Transportation: Your facility’s State of North Carolina Registration Card expired on October 31, 2025. Today, you reported that you have not had a vehicle inspection conducted since October 2024. Today, I suggested you put a reminder on your calendar to help ensure an inspection is conducted when due. Approval for transportation is suspended until documentation (a current registration card) is received verifying that you are once again legally able to transport children. Prior to transporting children, please submit a copy of your facility’s current registration card to me via email. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Indoor space #1 had an activity plan posted with a date of October 27, 2025. Indoor space #4 had an activity plan posted with a date of November 10, 2025. GS 110-91(12); .0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In indoor space #1 an infant was propped up on an infant boppy pillow holding and drinking a bottle. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In indoor space #1, four (4) out of twelve (12) infant bottles sent from a child’s home were not dated. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall next to the teacher’s desk in space #6 had a large section of chipped paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in indoor space # 6 were not covered with safety plugs. 10A NCAC 09 .0604(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vehicle used to transport children enrolled in the child care center did not receive an annual vehicle inspection as required by State laws and regulations. .1002(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In indoor space #1 a staff member had a Pepsi Bottle and Honey Roasted Sunflower Kernels sitting on counters accessible to the children. .0901(i) 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. Two (2) out of five (5) new staff files reviewed did not have documentation of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy reviewed with the staff members prior to providing care with children. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Five (5) medication permission slips in indoor space #2 did not have expiration dates documented on the permission slips. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Any violations documented must be corrected immediately. On or before Tuesday, December 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication Administration All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medication expiration dates were left off of over the counter medication permission slips. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Bottle Feeding: Child Care Rule 10A NCAC 09 .0902(b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (The link is the developmental purpose behind the rule regarding children being held while feeding unless they are independently able to sit upright.) Once a child is able to hold his/her own bottle, it becomes a matter of choice whether the child is held or placed in an appropriate feeding device. Suggestion of appropriate feeding devices are high chair, feeding table, or child-size table and chairs. The manufacturer’s information would need to include some reference to appropriateness for use of a bouncy seat as a feeding device, which is unlikely the case. Feeding apparatus’ promote the healthy physical development of the child and prevent choking. The bouncy seat is not designed to ensure the natural progression of the child’s motor skills but would rather encourage head tilting and the trunk leaning to the side and the body slumping. Feeding requires an erect posture to support necessary lung expansion and good breathing which is supportive of proper head alignment and crucial for the development of visual motor skills. Infant Bottles: Effective October 1, 2017, all bottles for infants must be labeled with the child's name, even if only one infant is enrolled. All bottles, baby food, snack items and meal items sent from home (all ages of children) must now be labeled with the child’s name and dated. Staff Nutrition: Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Activity Plans: For each group of children in care, a current activity plan is required and shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Provider Portal for ABCMS (the criminal records check database): 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 within five business days. Today, you reported that you are in the process of adding employees to your facility’s roster from the ABCMS Provider Portal. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on October 8, 2025. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Reviewed by RTI-No Results Ready • Asbestos- Section Complete-N/A Reminders: Staff members S. Sorey and G. Luehmann need to complete the following trainings on or before November 25, 2025. • CPR & First Aid Certifications • Recognizing and Responding to Suspicions of Child Maltreatment For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/2/2025 Number Present: 34 Completed Date: 12/2/2025 Age: From 0 To 5 Total Minutes: 195 Time In: 12:45 PM Time Out: 04:00 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. Your program currently operates with a 3-Star license effective January 27, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of December 2, 2025. The NC Secretary of State website was reviewed on December 2, 2025, and Wall Rentals Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Sanitation and fire inspections remain current. Crystal Edwards, Administrator, was available for consultation during the visit. There are six (6) approved indoor spaces and one (1) approved outdoor space. Fifty-five (55) children between the ages of zero (0) and ten (10) are enrolled, and thirty-four (34) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. Both indoor and outdoor areas were monitored. Staff child ratios and supervision were monitored and found to be in compliance. Infants received routine care based on their individual needs. Toddlers, younger, and older preschool children were observed during nap time. All children were on individual cots with individual linens. Soft music was played in the background. Appropriate lighting was observed. Cot spacing, diapering, and handwashing routines were monitored, and requirements were met. Health and Safety Trainings, the Shaken Baby and Abusive Head Trauma Policy, and Safe Sleep Policy were monitored today and found to be in compliance. Transportation: Your facility’s State of North Carolina Registration Card expired on October 31, 2025. Today, you reported that you have not had a vehicle inspection conducted since October 2024. Today, I suggested you put a reminder on your calendar to help ensure an inspection is conducted when due. Approval for transportation is suspended until documentation (a current registration card) is received verifying that you are once again legally able to transport children. Prior to transporting children, please submit a copy of your facility’s current registration card to me via email. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Indoor space #1 had an activity plan posted with a date of October 27, 2025. Indoor space #4 had an activity plan posted with a date of November 10, 2025. GS 110-91(12); .0508(a) 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In indoor space #1 an infant was propped up on an infant boppy pillow holding and drinking a bottle. 10A NCAC 09 .0902(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In indoor space #1, four (4) out of twelve (12) infant bottles sent from a child’s home were not dated. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The wall next to the teacher’s desk in space #6 had a large section of chipped paint. 15A NCAC 18A .2825(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two (2) outlets in indoor space # 6 were not covered with safety plugs. 10A NCAC 09 .0604(c) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The vehicle used to transport children enrolled in the child care center did not receive an annual vehicle inspection as required by State laws and regulations. .1002(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In indoor space #1 a staff member had a Pepsi Bottle and Honey Roasted Sunflower Kernels sitting on counters accessible to the children. .0901(i) 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. Two (2) out of five (5) new staff files reviewed did not have documentation of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy reviewed with the staff members prior to providing care with children. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Five (5) medication permission slips in indoor space #2 did not have expiration dates documented on the permission slips. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 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. Any violations documented must be corrected immediately. On or before Tuesday, December 16, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Medication Administration All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medication expiration dates were left off of over the counter medication permission slips. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. Bottle Feeding: Child Care Rule 10A NCAC 09 .0902(b) Each infant shall be held for bottle feeding until able to hold his or her own bottle. Bottles shall not be propped. Each child shall be held or placed in feeding chairs or other age-appropriate seating apparatus to be fed. The feeding chair or other seating apparatus shall be disassembled for cleaning purposes. (The link is the developmental purpose behind the rule regarding children being held while feeding unless they are independently able to sit upright.) Once a child is able to hold his/her own bottle, it becomes a matter of choice whether the child is held or placed in an appropriate feeding device. Suggestion of appropriate feeding devices are high chair, feeding table, or child-size table and chairs. The manufacturer’s information would need to include some reference to appropriateness for use of a bouncy seat as a feeding device, which is unlikely the case. Feeding apparatus’ promote the healthy physical development of the child and prevent choking. The bouncy seat is not designed to ensure the natural progression of the child’s motor skills but would rather encourage head tilting and the trunk leaning to the side and the body slumping. Feeding requires an erect posture to support necessary lung expansion and good breathing which is supportive of proper head alignment and crucial for the development of visual motor skills. Infant Bottles: Effective October 1, 2017, all bottles for infants must be labeled with the child's name, even if only one infant is enrolled. All bottles, baby food, snack items and meal items sent from home (all ages of children) must now be labeled with the child’s name and dated. Staff Nutrition: Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Activity Plans: For each group of children in care, a current activity plan is required and shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. Provider Portal for ABCMS (the criminal records check database): 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 within five business days. Today, you reported that you are in the process of adding employees to your facility’s roster from the ABCMS Provider Portal. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on October 8, 2025. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Reviewed by RTI-No Results Ready • Asbestos- Section Complete-N/A Reminders: Staff members S. Sorey and G. Luehmann need to complete the following trainings on or before November 25, 2025. • CPR & First Aid Certifications • Recognizing and Responding to Suspicions of Child Maltreatment For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. 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 .0102 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 44 Completed Date: 6/12/2025 Age: From 0 To 11 Total Minutes: 235 Time In: 08:45 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star license issued January 27, 2023. The last annual compliance was conducted on June 17, 2024. The sanitation inspection was completed April 15, 2025, with a “Superior” classification. The last fire inspection was conducted on January 21, 2025. Your facility was approved for 1st shift care, the facility meets enhanced ratios, no cooking is allowed in the facility, and children under 2 ½ years old are cared for in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of June 10, 2025. The NC Secretary of State website was reviewed on June 12, 2025, and Wall Rentals, Inc., was listed as current-active. Sixty-eight (68) children, between the ages of zero (0) and eleven (11) years old are enrolled and forty-four (44) were present today. There are six (6) approved indoor spaces and one (1) approved outdoor space. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Infants and toddlers assigned to indoor space #1 were receiving routine care based on their individual needs. Toddlers assigned to indoors space #2 were engaged in free play activities which included bowling pins, and manipulative toys. Diaper changing procedures were observed, and requirements were met. Children two years of age assigned to indoor space #3 were transitioning from the outdoor space to the indoor space. Toileting and handwashing procedures were monitored and found to be in compliance. Younger preschool children assigned to indoor space #4 were reading books, cooking food in dramatic play area, and playing with cars and legos in the block center. Older preschool children were cutting and gluing tissue paper to create elephants. School age children were gone on a fieldtrip. The outdoor space had a variety of gross motor equipment which included a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Health and safety trainings, safe sleep policies, and safe sleep checks were monitored, and requirements were met. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not have a medical report on file prior to employment. The staff member was employed on May 13, 2025. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff member did not have a TB test on file prior to employment. The staff member was employed on May 13, 2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) out of thirteen (13) staff members had not completed the required number of on-going training hours according to their education and experience. .1103(a) 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. Any violations documented must be corrected immediately. On or before Thursday, June 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff TB Test: Child Care Rule 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS states that all staff, including the director and individuals who volunteer more than once per week shall obtain a TB test on or before the first day of employment. The results indicating that the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If a previous TB test date is more than 12 months prior to the date of hire, the employee must obtain a new TB test and receive the results before the first date of employment. Staff Medical Report: Childcare providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, are required to have a Medical Report prior to employment. Staff On Going Training Hours: Today the required training hours were lacking for two (2) staff members. Please refer to the Staff and Training Worksheets for the number of hours needed for each of these staff members. I suggest you give staff a monthly or quarterly goal to help keep them on track and ensure their annual requirement is met. Encourage staff members to reach out to your local Partnership for Children at (252) 727-0445. Staff may also visit the DCDEE website to access several free, online trainings through Moodle using their NCID. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on February 19, 2021. Water testing must be completed every three (3) years. • Lead-Based Paint-survey Review by RTI-N/A • Asbestos-Survey Review by RTI-N/A-Exempt Centers must have water tested for lead every three years. Environmental Health will verify, and it is a violation or demerit on their form, as it is a 6-point item. EPR Plan: As we discussed today, once you have completed the Emergency Preparedness and Response Training, please update your facility’s current EPR plan with your information as administrator within (4) four months. The EPR Plan addresses how a child care center, or a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Emergency Preparedness and Response Plan Template In collaboration with NC Child Care Health and Safety Resource Center, and DCDEE, the NC Emergency Management developed a standard EPR template for use (statewide) by licensed child care programs. The content for this template aligns with the EPR in Child Care training and the EPR rules. The Child Care Rules state that programs must use the EPR template provided by the Division which is available from the NC Risk Management Portal. which houses emergency planning tools for a variety of hazards. Accessing the EPR Template To access the EPR Template, the trained staff must have an NCID. You may register for an NCID at the following link: https://ncid.nc.gov/ If you need help getting an NCID, here are detailed instructions for obtaining an NCID. Once you get an NCID, you will access the EPR template on the NC Risk Management Portal website. Once you are on the NC Risk Management Portal website, use the ‘Getting Started’ instructions listed to the right-side of the page. EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. Incident Log: An incident log should be completed any time an incident report is completed. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who complete the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. You may access and use the incident report and incident log forms by visiting the DCDEE website ncchildcare.ncdhhs.gov, looking under the Provider tab for Provider Documents and Forms, and then selecting Incident Report or Incident Log. Provider Access to the Background Check Management System: 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 As we discussed today, you are currently in the process of completing enrollment in the ABCMS portal, and violations may be cited during future visits, if your facility does not meet this requirement. 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. Moodle Helpful Hints: 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users: Did you know that if you do not log in to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Reminders: Emergency Drills: Please set a reminder on your calendar to conduct either a shelter in place or a lockdown drill on or before July 31, 2025. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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: ratio. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 44 Completed Date: 6/12/2025 Age: From 0 To 11 Total Minutes: 235 Time In: 08:45 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star license issued January 27, 2023. The last annual compliance was conducted on June 17, 2024. The sanitation inspection was completed April 15, 2025, with a “Superior” classification. The last fire inspection was conducted on January 21, 2025. Your facility was approved for 1st shift care, the facility meets enhanced ratios, no cooking is allowed in the facility, and children under 2 ½ years old are cared for in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of June 10, 2025. The NC Secretary of State website was reviewed on June 12, 2025, and Wall Rentals, Inc., was listed as current-active. Sixty-eight (68) children, between the ages of zero (0) and eleven (11) years old are enrolled and forty-four (44) were present today. There are six (6) approved indoor spaces and one (1) approved outdoor space. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Infants and toddlers assigned to indoor space #1 were receiving routine care based on their individual needs. Toddlers assigned to indoors space #2 were engaged in free play activities which included bowling pins, and manipulative toys. Diaper changing procedures were observed, and requirements were met. Children two years of age assigned to indoor space #3 were transitioning from the outdoor space to the indoor space. Toileting and handwashing procedures were monitored and found to be in compliance. Younger preschool children assigned to indoor space #4 were reading books, cooking food in dramatic play area, and playing with cars and legos in the block center. Older preschool children were cutting and gluing tissue paper to create elephants. School age children were gone on a fieldtrip. The outdoor space had a variety of gross motor equipment which included a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Health and safety trainings, safe sleep policies, and safe sleep checks were monitored, and requirements were met. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not have a medical report on file prior to employment. The staff member was employed on May 13, 2025. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff member did not have a TB test on file prior to employment. The staff member was employed on May 13, 2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) out of thirteen (13) staff members had not completed the required number of on-going training hours according to their education and experience. .1103(a) 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. Any violations documented must be corrected immediately. On or before Thursday, June 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff TB Test: Child Care Rule 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS states that all staff, including the director and individuals who volunteer more than once per week shall obtain a TB test on or before the first day of employment. The results indicating that the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If a previous TB test date is more than 12 months prior to the date of hire, the employee must obtain a new TB test and receive the results before the first date of employment. Staff Medical Report: Childcare providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, are required to have a Medical Report prior to employment. Staff On Going Training Hours: Today the required training hours were lacking for two (2) staff members. Please refer to the Staff and Training Worksheets for the number of hours needed for each of these staff members. I suggest you give staff a monthly or quarterly goal to help keep them on track and ensure their annual requirement is met. Encourage staff members to reach out to your local Partnership for Children at (252) 727-0445. Staff may also visit the DCDEE website to access several free, online trainings through Moodle using their NCID. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on February 19, 2021. Water testing must be completed every three (3) years. • Lead-Based Paint-survey Review by RTI-N/A • Asbestos-Survey Review by RTI-N/A-Exempt Centers must have water tested for lead every three years. Environmental Health will verify, and it is a violation or demerit on their form, as it is a 6-point item. EPR Plan: As we discussed today, once you have completed the Emergency Preparedness and Response Training, please update your facility’s current EPR plan with your information as administrator within (4) four months. The EPR Plan addresses how a child care center, or a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Emergency Preparedness and Response Plan Template In collaboration with NC Child Care Health and Safety Resource Center, and DCDEE, the NC Emergency Management developed a standard EPR template for use (statewide) by licensed child care programs. The content for this template aligns with the EPR in Child Care training and the EPR rules. The Child Care Rules state that programs must use the EPR template provided by the Division which is available from the NC Risk Management Portal. which houses emergency planning tools for a variety of hazards. Accessing the EPR Template To access the EPR Template, the trained staff must have an NCID. You may register for an NCID at the following link: https://ncid.nc.gov/ If you need help getting an NCID, here are detailed instructions for obtaining an NCID. Once you get an NCID, you will access the EPR template on the NC Risk Management Portal website. Once you are on the NC Risk Management Portal website, use the ‘Getting Started’ instructions listed to the right-side of the page. EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. Incident Log: An incident log should be completed any time an incident report is completed. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who complete the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. You may access and use the incident report and incident log forms by visiting the DCDEE website ncchildcare.ncdhhs.gov, looking under the Provider tab for Provider Documents and Forms, and then selecting Incident Report or Incident Log. Provider Access to the Background Check Management System: 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 As we discussed today, you are currently in the process of completing enrollment in the ABCMS portal, and violations may be cited during future visits, if your facility does not meet this requirement. 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. Moodle Helpful Hints: 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users: Did you know that if you do not log in to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Reminders: Emergency Drills: Please set a reminder on your calendar to conduct either a shelter in place or a lockdown drill on or before July 31, 2025. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 44 Completed Date: 6/12/2025 Age: From 0 To 11 Total Minutes: 235 Time In: 08:45 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star license issued January 27, 2023. The last annual compliance was conducted on June 17, 2024. The sanitation inspection was completed April 15, 2025, with a “Superior” classification. The last fire inspection was conducted on January 21, 2025. Your facility was approved for 1st shift care, the facility meets enhanced ratios, no cooking is allowed in the facility, and children under 2 ½ years old are cared for in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of June 10, 2025. The NC Secretary of State website was reviewed on June 12, 2025, and Wall Rentals, Inc., was listed as current-active. Sixty-eight (68) children, between the ages of zero (0) and eleven (11) years old are enrolled and forty-four (44) were present today. There are six (6) approved indoor spaces and one (1) approved outdoor space. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Infants and toddlers assigned to indoor space #1 were receiving routine care based on their individual needs. Toddlers assigned to indoors space #2 were engaged in free play activities which included bowling pins, and manipulative toys. Diaper changing procedures were observed, and requirements were met. Children two years of age assigned to indoor space #3 were transitioning from the outdoor space to the indoor space. Toileting and handwashing procedures were monitored and found to be in compliance. Younger preschool children assigned to indoor space #4 were reading books, cooking food in dramatic play area, and playing with cars and legos in the block center. Older preschool children were cutting and gluing tissue paper to create elephants. School age children were gone on a fieldtrip. The outdoor space had a variety of gross motor equipment which included a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Health and safety trainings, safe sleep policies, and safe sleep checks were monitored, and requirements were met. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not have a medical report on file prior to employment. The staff member was employed on May 13, 2025. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff member did not have a TB test on file prior to employment. The staff member was employed on May 13, 2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) out of thirteen (13) staff members had not completed the required number of on-going training hours according to their education and experience. .1103(a) 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. Any violations documented must be corrected immediately. On or before Thursday, June 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff TB Test: Child Care Rule 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS states that all staff, including the director and individuals who volunteer more than once per week shall obtain a TB test on or before the first day of employment. The results indicating that the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If a previous TB test date is more than 12 months prior to the date of hire, the employee must obtain a new TB test and receive the results before the first date of employment. Staff Medical Report: Childcare providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, are required to have a Medical Report prior to employment. Staff On Going Training Hours: Today the required training hours were lacking for two (2) staff members. Please refer to the Staff and Training Worksheets for the number of hours needed for each of these staff members. I suggest you give staff a monthly or quarterly goal to help keep them on track and ensure their annual requirement is met. Encourage staff members to reach out to your local Partnership for Children at (252) 727-0445. Staff may also visit the DCDEE website to access several free, online trainings through Moodle using their NCID. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on February 19, 2021. Water testing must be completed every three (3) years. • Lead-Based Paint-survey Review by RTI-N/A • Asbestos-Survey Review by RTI-N/A-Exempt Centers must have water tested for lead every three years. Environmental Health will verify, and it is a violation or demerit on their form, as it is a 6-point item. EPR Plan: As we discussed today, once you have completed the Emergency Preparedness and Response Training, please update your facility’s current EPR plan with your information as administrator within (4) four months. The EPR Plan addresses how a child care center, or a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Emergency Preparedness and Response Plan Template In collaboration with NC Child Care Health and Safety Resource Center, and DCDEE, the NC Emergency Management developed a standard EPR template for use (statewide) by licensed child care programs. The content for this template aligns with the EPR in Child Care training and the EPR rules. The Child Care Rules state that programs must use the EPR template provided by the Division which is available from the NC Risk Management Portal. which houses emergency planning tools for a variety of hazards. Accessing the EPR Template To access the EPR Template, the trained staff must have an NCID. You may register for an NCID at the following link: https://ncid.nc.gov/ If you need help getting an NCID, here are detailed instructions for obtaining an NCID. Once you get an NCID, you will access the EPR template on the NC Risk Management Portal website. Once you are on the NC Risk Management Portal website, use the ‘Getting Started’ instructions listed to the right-side of the page. EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. Incident Log: An incident log should be completed any time an incident report is completed. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who complete the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. You may access and use the incident report and incident log forms by visiting the DCDEE website ncchildcare.ncdhhs.gov, looking under the Provider tab for Provider Documents and Forms, and then selecting Incident Report or Incident Log. Provider Access to the Background Check Management System: 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 As we discussed today, you are currently in the process of completing enrollment in the ABCMS portal, and violations may be cited during future visits, if your facility does not meet this requirement. 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. Moodle Helpful Hints: 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users: Did you know that if you do not log in to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Reminders: Emergency Drills: Please set a reminder on your calendar to conduct either a shelter in place or a lockdown drill on or before July 31, 2025. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 44 Completed Date: 6/12/2025 Age: From 0 To 11 Total Minutes: 235 Time In: 08:45 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star license issued January 27, 2023. The last annual compliance was conducted on June 17, 2024. The sanitation inspection was completed April 15, 2025, with a “Superior” classification. The last fire inspection was conducted on January 21, 2025. Your facility was approved for 1st shift care, the facility meets enhanced ratios, no cooking is allowed in the facility, and children under 2 ½ years old are cared for in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of June 10, 2025. The NC Secretary of State website was reviewed on June 12, 2025, and Wall Rentals, Inc., was listed as current-active. Sixty-eight (68) children, between the ages of zero (0) and eleven (11) years old are enrolled and forty-four (44) were present today. There are six (6) approved indoor spaces and one (1) approved outdoor space. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Infants and toddlers assigned to indoor space #1 were receiving routine care based on their individual needs. Toddlers assigned to indoors space #2 were engaged in free play activities which included bowling pins, and manipulative toys. Diaper changing procedures were observed, and requirements were met. Children two years of age assigned to indoor space #3 were transitioning from the outdoor space to the indoor space. Toileting and handwashing procedures were monitored and found to be in compliance. Younger preschool children assigned to indoor space #4 were reading books, cooking food in dramatic play area, and playing with cars and legos in the block center. Older preschool children were cutting and gluing tissue paper to create elephants. School age children were gone on a fieldtrip. The outdoor space had a variety of gross motor equipment which included a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Health and safety trainings, safe sleep policies, and safe sleep checks were monitored, and requirements were met. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff member did not have a medical report on file prior to employment. The staff member was employed on May 13, 2025. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff member did not have a TB test on file prior to employment. The staff member was employed on May 13, 2025. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) out of thirteen (13) staff members had not completed the required number of on-going training hours according to their education and experience. .1103(a) 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. Any violations documented must be corrected immediately. On or before Thursday, June 19, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff TB Test: Child Care Rule 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS states that all staff, including the director and individuals who volunteer more than once per week shall obtain a TB test on or before the first day of employment. The results indicating that the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. If a previous TB test date is more than 12 months prior to the date of hire, the employee must obtain a new TB test and receive the results before the first date of employment. Staff Medical Report: Childcare providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director, are required to have a Medical Report prior to employment. Staff On Going Training Hours: Today the required training hours were lacking for two (2) staff members. Please refer to the Staff and Training Worksheets for the number of hours needed for each of these staff members. I suggest you give staff a monthly or quarterly goal to help keep them on track and ensure their annual requirement is met. Encourage staff members to reach out to your local Partnership for Children at (252) 727-0445. Staff may also visit the DCDEE website to access several free, online trainings through Moodle using their NCID. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on February 19, 2021. Water testing must be completed every three (3) years. • Lead-Based Paint-survey Review by RTI-N/A • Asbestos-Survey Review by RTI-N/A-Exempt Centers must have water tested for lead every three years. Environmental Health will verify, and it is a violation or demerit on their form, as it is a 6-point item. EPR Plan: As we discussed today, once you have completed the Emergency Preparedness and Response Training, please update your facility’s current EPR plan with your information as administrator within (4) four months. The EPR Plan addresses how a child care center, or a family child care home will respond to both natural and man-made disasters; to ensure the safety and protection of the children and staff. Natural and man-made disasters include but are not limited to the following: fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disasters, or a dangerous person(s) in the vicinity. Emergency Preparedness and Response Plan Template In collaboration with NC Child Care Health and Safety Resource Center, and DCDEE, the NC Emergency Management developed a standard EPR template for use (statewide) by licensed child care programs. The content for this template aligns with the EPR in Child Care training and the EPR rules. The Child Care Rules state that programs must use the EPR template provided by the Division which is available from the NC Risk Management Portal. which houses emergency planning tools for a variety of hazards. Accessing the EPR Template To access the EPR Template, the trained staff must have an NCID. You may register for an NCID at the following link: https://ncid.nc.gov/ If you need help getting an NCID, here are detailed instructions for obtaining an NCID. Once you get an NCID, you will access the EPR template on the NC Risk Management Portal website. Once you are on the NC Risk Management Portal website, use the ‘Getting Started’ instructions listed to the right-side of the page. EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. Incident Log: An incident log should be completed any time an incident report is completed. This log should include the name of the child, the date of the incident, the date the incident report was submitted to the Division, if applicable, and the name of the staff member who complete the incident report. An incident log must be cumulative, maintained in a separate file, and be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. You may access and use the incident report and incident log forms by visiting the DCDEE website ncchildcare.ncdhhs.gov, looking under the Provider tab for Provider Documents and Forms, and then selecting Incident Report or Incident Log. Provider Access to the Background Check Management System: 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 As we discussed today, you are currently in the process of completing enrollment in the ABCMS portal, and violations may be cited during future visits, if your facility does not meet this requirement. 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. Moodle Helpful Hints: 1. When on the Moodle homepage, scroll down past the three-square boxes to find directions to self-register for various training opportunities. 2. If you do not access a training opportunity for 150 days, the training will be suspended. To regain access, email a request to set status to “active” including the name of the training course to dcdee_moodle_support@dhhs.nc.gov. Send any questions about DCDEE Moodle trainings to dcdee_moodle_support@dhhs.nc.gov. Tips for MY NCID Users: Did you know that if you do not log in to any DCDEE platforms (e.g., Moodle, WORKS, CBC) for a period of 12 months, your account will be archived? An archived account cannot be reinstated. You will need to create a new one and then email all platforms (e.g., Moodle, WORKS, CBC) to merge accounts. Pro Tip: Set your calendar to remind you every 6 months to login and out at https://myncid.nc.gov to keep your account activated and it will NOT be archived. Reminders: Emergency Drills: Please set a reminder on your calendar to conduct either a shelter in place or a lockdown drill on or before July 31, 2025. For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: 0525-076L Visit Date: 5/14/2025 Number Present: 44 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced complaint visit was to obtain information about allegations of violations of nurture, care, treatment and discipline. The program currently operates with a Three-Star License issued January 27, 2023, earning four (4) points in Staff Education, two (2) points in Program Standards, and one (1) Quality Point for a Programmatic Option. Restrictions on the permit include 1st shift care, the facility meets enhanced ratios, children under 2 ½ years old are cared for in rooms with direct exits only, and no cooking allowed. The last annual compliance was conducted on June 17, 2024. The administrator, Christy Edwards, was present and available for consultation. Investigations Consultant, Heather Binder, assisted with today's visit. The allegations are as follows: There is a concern that staff did not interact in a nurturing and caring way while in the presence of children. There is a concern that inappropriate discipline was used. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Additionally, I observed all the indoor and outdoor spaces used by the children. All children were adequately supervised by staff members. A variety of free play activities were available for the children. The Administrator, Christy Edwards, reported that she was not aware of inappropriate discipline and inappropriate nurture, care, and treatment of children. Ms. Edwards reported that while serving Oreo cookies as a reward for good rest/nap time behaviors, some children were given less cookies than others. For allegation #1 regarding nurture, care and treatment of children: I interviewed all nine (9) out of nine (9) staff members present today, and the staff members reported that all staff members treat all children in a nurturing and caring manner. All the indoor and outdoor spaces were observed today, and staff members were treating children in a nurturing and caring manner. I reviewed camera footage for May 6, 2025, from 1:36pm until 1:58pm. In indoor space #5, at 1:36pm a staff member asked a 4-year-old child that had been crying for several minutes to move from their mat to a corner in the room. The child cried alone in the corner from 1:36pm until 1:43pm. No staff members tried to calm the child down or care for the child. Another staff member then yelled at the child to “get up” and took that child outside of the facility from 1:44pm until 1:53pm. Based on this information, the finding regarding the allegation of staff not interacting with children in a nurturing and caring manner was substantiated. For allegation #2 regarding inappropriate discipline: I interviewed all nine (9) out of (9) staff members present today, and the staff members reported that all staff members use appropriate discipline with the children and follow the facility’s discipline policy. Today all staff members were observed using appropriate discipline techniques. I reviewed camera footage for May 6, 2025, from 1:36pm until 1:58pm. At 1:40pm, in indoor space #2, a staff member yanked a one-year-old child up by one arm to move them to a chair at the table. Based on this information, the finding regarding inappropriate discipline was substantiated. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On May 6, 2025, at 1:36pm, a staff member directed a child crying on their mat to move from their mat to a corner in the classroom. The child was left in the corner alone and crying from 1:36pm until 1:43pm. At 1:43pm, another staff member picked the child up under both arms and moved them to another classroom. G.S. 110-91(10) 907 Discipline was related to food, rest or toileting. The administrator disciplined a child by giving one child less cookies than the other children because of resting behaviors. .1803(a)(4-6) 908 Discipline was not appropriate for the child's age and development. On May 6, 2025, at 1:40pm, a staff member yanked a one-year-old child up by one arm and moved them to sit in a chair at a table. .1803(b) 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. Any violations documented must be corrected immediately. On or before Wednesday, May 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Nurture and Care Treatment: Child care rules not only prohibit the use of inappropriate discipline but require all children be attended to in a nurturing and appropriate manner. This can only be achieved when staff members recognize and accept age-appropriate behaviors and respond in ways consistent with what is developmentally appropriate for each child. Understanding the stages of children’s development is critical; for example, those that cry may not have the verbal ability to express their needs and/or wants; or, they may not have the skills yet to do so. Recognizing this will minimize staff members’ tendencies to become frustrated and use harsh tones or verbal directives with young children who are simply engaging in age-appropriate behaviors. Once you understand that certain challenging behaviors are “typical,” it should allow you to respond in a nurturing and appropriate manner. You must keep your frustration in check by reminding yourself that children are not born knowing how to control and process their emotions; this is learned through caregiver interactions, guidance, and experience over time. Help toddlers navigate their emotions. Recognize and name feelings, then offer guidance on how to manage them. Suggest jumping up and down or visiting the cozy area. Empathize with their feelings and provide acceptable choices to help them feel in control. Comfort them with warm, physical contact, or give them a safe space to work through their negative emotions. Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. Discipline: The word discipline means to teach and guide. Discipline is not punishment. The discipline standard should reflect an approach that prevents behavior problems by supporting children in learning appropriate social skills and emotional responses. Those that work with young children should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance, needs to express feelings, needs, and wants, the adult should help the child learn strategies for dealing with any situation. Conventional discipline too easily slides into punishment. For example, if we embarrass children by singling them out as part of our discipline strategy, this is punishment. Punishment makes young children feel stressed, hurt, rejected, and angry; these feelings make it harder for children to learn emotional and social skills. When we punish children, we are actually making life more difficult for --the child, who feels rejected and unworthy and becomes more challenged in learning social skills --other children who worry for themselves and the punished child --adults who are not being the leaders they want to be At the completion of the visit, this visit summary was reviewed with you, copies printed and signed. If you have any questions and/or concerns, you have my contact information. 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: 0525-076L Visit Date: 5/14/2025 Number Present: 44 Completed Date: 5/14/2025 Age: From 0 To 5 Total Minutes: 175 Time In: 10:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced complaint visit was to obtain information about allegations of violations of nurture, care, treatment and discipline. The program currently operates with a Three-Star License issued January 27, 2023, earning four (4) points in Staff Education, two (2) points in Program Standards, and one (1) Quality Point for a Programmatic Option. Restrictions on the permit include 1st shift care, the facility meets enhanced ratios, children under 2 ½ years old are cared for in rooms with direct exits only, and no cooking allowed. The last annual compliance was conducted on June 17, 2024. The administrator, Christy Edwards, was present and available for consultation. Investigations Consultant, Heather Binder, assisted with today's visit. The allegations are as follows: There is a concern that staff did not interact in a nurturing and caring way while in the presence of children. There is a concern that inappropriate discipline was used. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Additionally, I observed all the indoor and outdoor spaces used by the children. All children were adequately supervised by staff members. A variety of free play activities were available for the children. The Administrator, Christy Edwards, reported that she was not aware of inappropriate discipline and inappropriate nurture, care, and treatment of children. Ms. Edwards reported that while serving Oreo cookies as a reward for good rest/nap time behaviors, some children were given less cookies than others. For allegation #1 regarding nurture, care and treatment of children: I interviewed all nine (9) out of nine (9) staff members present today, and the staff members reported that all staff members treat all children in a nurturing and caring manner. All the indoor and outdoor spaces were observed today, and staff members were treating children in a nurturing and caring manner. I reviewed camera footage for May 6, 2025, from 1:36pm until 1:58pm. In indoor space #5, at 1:36pm a staff member asked a 4-year-old child that had been crying for several minutes to move from their mat to a corner in the room. The child cried alone in the corner from 1:36pm until 1:43pm. No staff members tried to calm the child down or care for the child. Another staff member then yelled at the child to “get up” and took that child outside of the facility from 1:44pm until 1:53pm. Based on this information, the finding regarding the allegation of staff not interacting with children in a nurturing and caring manner was substantiated. For allegation #2 regarding inappropriate discipline: I interviewed all nine (9) out of (9) staff members present today, and the staff members reported that all staff members use appropriate discipline with the children and follow the facility’s discipline policy. Today all staff members were observed using appropriate discipline techniques. I reviewed camera footage for May 6, 2025, from 1:36pm until 1:58pm. At 1:40pm, in indoor space #2, a staff member yanked a one-year-old child up by one arm to move them to a chair at the table. Based on this information, the finding regarding inappropriate discipline was substantiated. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On May 6, 2025, at 1:36pm, a staff member directed a child crying on their mat to move from their mat to a corner in the classroom. The child was left in the corner alone and crying from 1:36pm until 1:43pm. At 1:43pm, another staff member picked the child up under both arms and moved them to another classroom. G.S. 110-91(10) 907 Discipline was related to food, rest or toileting. The administrator disciplined a child by giving one child less cookies than the other children because of resting behaviors. .1803(a)(4-6) 908 Discipline was not appropriate for the child's age and development. On May 6, 2025, at 1:40pm, a staff member yanked a one-year-old child up by one arm and moved them to sit in a chair at a table. .1803(b) 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. Any violations documented must be corrected immediately. On or before Wednesday, May 21, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Nurture and Care Treatment: Child care rules not only prohibit the use of inappropriate discipline but require all children be attended to in a nurturing and appropriate manner. This can only be achieved when staff members recognize and accept age-appropriate behaviors and respond in ways consistent with what is developmentally appropriate for each child. Understanding the stages of children’s development is critical; for example, those that cry may not have the verbal ability to express their needs and/or wants; or, they may not have the skills yet to do so. Recognizing this will minimize staff members’ tendencies to become frustrated and use harsh tones or verbal directives with young children who are simply engaging in age-appropriate behaviors. Once you understand that certain challenging behaviors are “typical,” it should allow you to respond in a nurturing and appropriate manner. You must keep your frustration in check by reminding yourself that children are not born knowing how to control and process their emotions; this is learned through caregiver interactions, guidance, and experience over time. Help toddlers navigate their emotions. Recognize and name feelings, then offer guidance on how to manage them. Suggest jumping up and down or visiting the cozy area. Empathize with their feelings and provide acceptable choices to help them feel in control. Comfort them with warm, physical contact, or give them a safe space to work through their negative emotions. Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. Discipline: The word discipline means to teach and guide. Discipline is not punishment. The discipline standard should reflect an approach that prevents behavior problems by supporting children in learning appropriate social skills and emotional responses. Those that work with young children should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance, needs to express feelings, needs, and wants, the adult should help the child learn strategies for dealing with any situation. Conventional discipline too easily slides into punishment. For example, if we embarrass children by singling them out as part of our discipline strategy, this is punishment. Punishment makes young children feel stressed, hurt, rejected, and angry; these feelings make it harder for children to learn emotional and social skills. When we punish children, we are actually making life more difficult for --the child, who feels rejected and unworthy and becomes more challenged in learning social skills --other children who worry for themselves and the punished child --adults who are not being the leaders they want to be At the completion of the visit, this visit summary was reviewed with you, copies printed and signed. If you have any questions and/or concerns, you have my contact information. 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 .1801 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 45 Completed Date: 1/8/2025 Age: From 0 To 4 Total Minutes: 246 Time In: 08:14 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to investigate additional information received regarding the inappropriate discipline allegation that was originally investigated on July 12, 2024. Your program currently operates with a 3-Star license effective January 27, 2023, earning 2 points in Program, 4 points in Education, and one Quality Point. This facility operates first shift with a licensed capacity of 80 and meets enhanced ratios. Cooking is not allowed in the building and children under two and a half years of age must occupy rooms with a direct exit. Administrator, Crystal Edwards, was present and available for consultation. Today, I interviewed all staff members individually and privately. All were asked if they had witnessed inappropriate discipline of children by other co-workers. All staff members reported that they have not witnessed inappropriate discipline of children by other co-workers. Administrator, Crystal Edwards, provided camera footage for November 12, 2024. I reviewed camera footage for all facets of a day in indoor space #2 which included morning, food service, and naptime, and verified the following: On November 12, 2024, in indoor space #2, between 9:01am and 9:15am, staff child ratios were not maintained. Eight (8) children aged one (1) year old were present with one (1) staff member for fourteen (14) minutes. Between 9:08am and 9:10am, a lack of supervision was observed. During free play activities, the staff member, assigned to the group of children in indoor space #2, was leaning against a diaper changing table, texting on her cell phone, not supervising the children for two (2) minutes. At 9:10am, this same staff member spoke to a one-year-old child using a harsh voice tone. The staff member yelled to the child “Get off her, I know you’re lying, you’re bigger than her”. At 9:11am the staff member yanked a one-year-old child up by one (1) arm and carried the child by one (1) arm a distance of three (3) feet two (2) inches to a time out chair. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On November 12, 2024, from 9:08am until 9:10am a staff member in indoor space #2 was leaning against a diaper changing table, texting on her cell phone, and not supervising the children in care. .1801(a)(1-5) 872 Appropriate discipline practices were not followed. On November 12, 2024, at 9:10am, a staff member used a harsh voice tone and yelled to a one-year-old child “Get off her, I know you’re lying, you’re bigger than her”. At 9:11am a staff member yanked a one-year-old child up by one (1) arm and carried the child by one (1) arm a distance of three (3) feet and two (2) inches to a time out chair. .1803 1756 Enhanced staff/child ratios and group sizes were not met. On November 12, 2024, from 9:01am until 9:15am, eight (8) children aged one (1) year old were present in Space #2 with one (1) staff member. 10A NCAC 09 .2818 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 documented may impact the compliance history score. The violation documented must be corrected immediately. On or before Wednesday, January 15, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Enhanced Staff-Child Ratios: As you selected to operate under voluntary enhanced staff-child ratios, these ratios must be followed at all times. When absent or late staff put you at risk of not maintaining ratios, you must have a plan to provide substitute staff so that ratios may be followed. Maintaining staff/child ratios and maximum group sizes is also essential to the health and safety of children. If children are combined with similar age groups, such as in the early morning or later evening hours, the staff/child ratio and maximum group size for the youngest child in the group must be maintained. Staff must be aware of children’s ages and how many children are in each group at all times. Today I suggested that a staff member should immediately notify an administrator if accepting a child into their classroom would cause noncompliance staff child ratios. Supervision: 10A NCAC 09 .1801 – Requires that children are adequately supervised at all times. Adequate supervision means: (1) Staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render immediate assistance. (2) Staff must interact with the children while moving about the indoor or outdoor area. (3) Staff must know where each child is located and be aware of children’s activities at all times. (4) Staff must provide supervision appropriate to the individual age, needs and capabilities of each child. Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. I encourage you to review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. As we discussed, supervision is paramount to quality childcare as it is basic to the safety of children and the prevention of injury while maintaining quality childcare. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing, bullying, inappropriate behavior. It is the responsibility of staff to regularly count children (name to face recognition) on a routine basis, at every transition, and whenever leaving one area and arriving at another. Discipline: The word discipline means to teach and guide. Discipline is not punishment. The discipline standard should reflect an approach that prevents behavior problems by supporting children in learning appropriate social skills and emotional responses. Those that work with young children should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance, needs to express feelings, needs, and wants, the adult should help the child learn strategies for dealing with any situation. Conventional discipline too easily slides into punishment. For example, if we embarrass children by singling them out as part of our discipline strategy, this is punishment. Punishment makes young children feel stressed, hurt, rejected, and angry; these feelings make it harder for children to learn emotional and social skills. When we punish children, we are making life more difficult for --the child, who feels rejected and unworthy and becomes more challenged in learning social skills --other children who worry for themselves and the punished child --adults who are not being the leaders they want to be To assist with challenging behaviors, modify the learning/play environment (schedule, routine, activities, transitions, etc.) to support appropriate behavior in a child. Recognize and accept age-appropriate behaviors. Understand the stages of development in which the children in your care fall. For example, those that cry may not have the verbal ability to express their needs and/or wants. Or, they may not have the skills yet to do so. Guidance: Guidance is about building an encouraging setting for every person in the group. It means helping young children understand they can learn from their mistakes, and it starts with showing them how. To give this help successfully, we need to build relationships with every child—especially with the children we find difficult to connect with and understand. We build these relationships from day one, outside of conflict situations. It is only when children know and trust us in day-to-day interactions that they will listen to us when conflicts happen (after we have helped everyone calm down). Nurturing Care and Treatment: Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. Based on the severity of the violations cited, an unannounced follow up visit will be conducted. At the completion of the visit, this visit summary was printed, reviewed, signed, and a copy was left with you. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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 .2818 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 45 Completed Date: 1/8/2025 Age: From 0 To 4 Total Minutes: 246 Time In: 08:14 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to investigate additional information received regarding the inappropriate discipline allegation that was originally investigated on July 12, 2024. Your program currently operates with a 3-Star license effective January 27, 2023, earning 2 points in Program, 4 points in Education, and one Quality Point. This facility operates first shift with a licensed capacity of 80 and meets enhanced ratios. Cooking is not allowed in the building and children under two and a half years of age must occupy rooms with a direct exit. Administrator, Crystal Edwards, was present and available for consultation. Today, I interviewed all staff members individually and privately. All were asked if they had witnessed inappropriate discipline of children by other co-workers. All staff members reported that they have not witnessed inappropriate discipline of children by other co-workers. Administrator, Crystal Edwards, provided camera footage for November 12, 2024. I reviewed camera footage for all facets of a day in indoor space #2 which included morning, food service, and naptime, and verified the following: On November 12, 2024, in indoor space #2, between 9:01am and 9:15am, staff child ratios were not maintained. Eight (8) children aged one (1) year old were present with one (1) staff member for fourteen (14) minutes. Between 9:08am and 9:10am, a lack of supervision was observed. During free play activities, the staff member, assigned to the group of children in indoor space #2, was leaning against a diaper changing table, texting on her cell phone, not supervising the children for two (2) minutes. At 9:10am, this same staff member spoke to a one-year-old child using a harsh voice tone. The staff member yelled to the child “Get off her, I know you’re lying, you’re bigger than her”. At 9:11am the staff member yanked a one-year-old child up by one (1) arm and carried the child by one (1) arm a distance of three (3) feet two (2) inches to a time out chair. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On November 12, 2024, from 9:08am until 9:10am a staff member in indoor space #2 was leaning against a diaper changing table, texting on her cell phone, and not supervising the children in care. .1801(a)(1-5) 872 Appropriate discipline practices were not followed. On November 12, 2024, at 9:10am, a staff member used a harsh voice tone and yelled to a one-year-old child “Get off her, I know you’re lying, you’re bigger than her”. At 9:11am a staff member yanked a one-year-old child up by one (1) arm and carried the child by one (1) arm a distance of three (3) feet and two (2) inches to a time out chair. .1803 1756 Enhanced staff/child ratios and group sizes were not met. On November 12, 2024, from 9:01am until 9:15am, eight (8) children aged one (1) year old were present in Space #2 with one (1) staff member. 10A NCAC 09 .2818 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 documented may impact the compliance history score. The violation documented must be corrected immediately. On or before Wednesday, January 15, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Enhanced Staff-Child Ratios: As you selected to operate under voluntary enhanced staff-child ratios, these ratios must be followed at all times. When absent or late staff put you at risk of not maintaining ratios, you must have a plan to provide substitute staff so that ratios may be followed. Maintaining staff/child ratios and maximum group sizes is also essential to the health and safety of children. If children are combined with similar age groups, such as in the early morning or later evening hours, the staff/child ratio and maximum group size for the youngest child in the group must be maintained. Staff must be aware of children’s ages and how many children are in each group at all times. Today I suggested that a staff member should immediately notify an administrator if accepting a child into their classroom would cause noncompliance staff child ratios. Supervision: 10A NCAC 09 .1801 – Requires that children are adequately supervised at all times. Adequate supervision means: (1) Staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render immediate assistance. (2) Staff must interact with the children while moving about the indoor or outdoor area. (3) Staff must know where each child is located and be aware of children’s activities at all times. (4) Staff must provide supervision appropriate to the individual age, needs and capabilities of each child. Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. I encourage you to review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. As we discussed, supervision is paramount to quality childcare as it is basic to the safety of children and the prevention of injury while maintaining quality childcare. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing, bullying, inappropriate behavior. It is the responsibility of staff to regularly count children (name to face recognition) on a routine basis, at every transition, and whenever leaving one area and arriving at another. Discipline: The word discipline means to teach and guide. Discipline is not punishment. The discipline standard should reflect an approach that prevents behavior problems by supporting children in learning appropriate social skills and emotional responses. Those that work with young children should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance, needs to express feelings, needs, and wants, the adult should help the child learn strategies for dealing with any situation. Conventional discipline too easily slides into punishment. For example, if we embarrass children by singling them out as part of our discipline strategy, this is punishment. Punishment makes young children feel stressed, hurt, rejected, and angry; these feelings make it harder for children to learn emotional and social skills. When we punish children, we are making life more difficult for --the child, who feels rejected and unworthy and becomes more challenged in learning social skills --other children who worry for themselves and the punished child --adults who are not being the leaders they want to be To assist with challenging behaviors, modify the learning/play environment (schedule, routine, activities, transitions, etc.) to support appropriate behavior in a child. Recognize and accept age-appropriate behaviors. Understand the stages of development in which the children in your care fall. For example, those that cry may not have the verbal ability to express their needs and/or wants. Or, they may not have the skills yet to do so. Guidance: Guidance is about building an encouraging setting for every person in the group. It means helping young children understand they can learn from their mistakes, and it starts with showing them how. To give this help successfully, we need to build relationships with every child—especially with the children we find difficult to connect with and understand. We build these relationships from day one, outside of conflict situations. It is only when children know and trust us in day-to-day interactions that they will listen to us when conflicts happen (after we have helped everyone calm down). Nurturing Care and Treatment: Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. Based on the severity of the violations cited, an unannounced follow up visit will be conducted. At the completion of the visit, this visit summary was printed, reviewed, signed, and a copy was left with you. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 45 Completed Date: 1/8/2025 Age: From 0 To 4 Total Minutes: 246 Time In: 08:14 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to investigate additional information received regarding the inappropriate discipline allegation that was originally investigated on July 12, 2024. Your program currently operates with a 3-Star license effective January 27, 2023, earning 2 points in Program, 4 points in Education, and one Quality Point. This facility operates first shift with a licensed capacity of 80 and meets enhanced ratios. Cooking is not allowed in the building and children under two and a half years of age must occupy rooms with a direct exit. Administrator, Crystal Edwards, was present and available for consultation. Today, I interviewed all staff members individually and privately. All were asked if they had witnessed inappropriate discipline of children by other co-workers. All staff members reported that they have not witnessed inappropriate discipline of children by other co-workers. Administrator, Crystal Edwards, provided camera footage for November 12, 2024. I reviewed camera footage for all facets of a day in indoor space #2 which included morning, food service, and naptime, and verified the following: On November 12, 2024, in indoor space #2, between 9:01am and 9:15am, staff child ratios were not maintained. Eight (8) children aged one (1) year old were present with one (1) staff member for fourteen (14) minutes. Between 9:08am and 9:10am, a lack of supervision was observed. During free play activities, the staff member, assigned to the group of children in indoor space #2, was leaning against a diaper changing table, texting on her cell phone, not supervising the children for two (2) minutes. At 9:10am, this same staff member spoke to a one-year-old child using a harsh voice tone. The staff member yelled to the child “Get off her, I know you’re lying, you’re bigger than her”. At 9:11am the staff member yanked a one-year-old child up by one (1) arm and carried the child by one (1) arm a distance of three (3) feet two (2) inches to a time out chair. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On November 12, 2024, from 9:08am until 9:10am a staff member in indoor space #2 was leaning against a diaper changing table, texting on her cell phone, and not supervising the children in care. .1801(a)(1-5) 872 Appropriate discipline practices were not followed. On November 12, 2024, at 9:10am, a staff member used a harsh voice tone and yelled to a one-year-old child “Get off her, I know you’re lying, you’re bigger than her”. At 9:11am a staff member yanked a one-year-old child up by one (1) arm and carried the child by one (1) arm a distance of three (3) feet and two (2) inches to a time out chair. .1803 1756 Enhanced staff/child ratios and group sizes were not met. On November 12, 2024, from 9:01am until 9:15am, eight (8) children aged one (1) year old were present in Space #2 with one (1) staff member. 10A NCAC 09 .2818 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 documented may impact the compliance history score. The violation documented must be corrected immediately. On or before Wednesday, January 15, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Enhanced Staff-Child Ratios: As you selected to operate under voluntary enhanced staff-child ratios, these ratios must be followed at all times. When absent or late staff put you at risk of not maintaining ratios, you must have a plan to provide substitute staff so that ratios may be followed. Maintaining staff/child ratios and maximum group sizes is also essential to the health and safety of children. If children are combined with similar age groups, such as in the early morning or later evening hours, the staff/child ratio and maximum group size for the youngest child in the group must be maintained. Staff must be aware of children’s ages and how many children are in each group at all times. Today I suggested that a staff member should immediately notify an administrator if accepting a child into their classroom would cause noncompliance staff child ratios. Supervision: 10A NCAC 09 .1801 – Requires that children are adequately supervised at all times. Adequate supervision means: (1) Staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render immediate assistance. (2) Staff must interact with the children while moving about the indoor or outdoor area. (3) Staff must know where each child is located and be aware of children’s activities at all times. (4) Staff must provide supervision appropriate to the individual age, needs and capabilities of each child. Supervising children is a critical component of ensuring the safety and well-being of all children. Staff must be actively engaged at all times for this to occur. I encourage you to review Child Care Rule 10A NCAC 09 .1801 regarding supervision with all your staff. As we discussed, supervision is paramount to quality childcare as it is basic to the safety of children and the prevention of injury while maintaining quality childcare. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing, bullying, inappropriate behavior. It is the responsibility of staff to regularly count children (name to face recognition) on a routine basis, at every transition, and whenever leaving one area and arriving at another. Discipline: The word discipline means to teach and guide. Discipline is not punishment. The discipline standard should reflect an approach that prevents behavior problems by supporting children in learning appropriate social skills and emotional responses. Those that work with young children should care for children without ever resorting to physical punishment or abusive language. When a child needs assistance, needs to express feelings, needs, and wants, the adult should help the child learn strategies for dealing with any situation. Conventional discipline too easily slides into punishment. For example, if we embarrass children by singling them out as part of our discipline strategy, this is punishment. Punishment makes young children feel stressed, hurt, rejected, and angry; these feelings make it harder for children to learn emotional and social skills. When we punish children, we are making life more difficult for --the child, who feels rejected and unworthy and becomes more challenged in learning social skills --other children who worry for themselves and the punished child --adults who are not being the leaders they want to be To assist with challenging behaviors, modify the learning/play environment (schedule, routine, activities, transitions, etc.) to support appropriate behavior in a child. Recognize and accept age-appropriate behaviors. Understand the stages of development in which the children in your care fall. For example, those that cry may not have the verbal ability to express their needs and/or wants. Or, they may not have the skills yet to do so. Guidance: Guidance is about building an encouraging setting for every person in the group. It means helping young children understand they can learn from their mistakes, and it starts with showing them how. To give this help successfully, we need to build relationships with every child—especially with the children we find difficult to connect with and understand. We build these relationships from day one, outside of conflict situations. It is only when children know and trust us in day-to-day interactions that they will listen to us when conflicts happen (after we have helped everyone calm down). Nurturing Care and Treatment: Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. Based on the severity of the violations cited, an unannounced follow up visit will be conducted. At the completion of the visit, this visit summary was printed, reviewed, signed, and a copy was left with you. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 39 Completed Date: 12/13/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 01:45 PM Time Out: 03:15 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. Your program currently operates with a 3-Star license effective January 27, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99) percent as of December 31, 2024. The facility is leased through Wall Rentals, Inc. The license was posted, and the restrictions were in compliance. Administrator, Crystal Edwards, was available for consultation during the visit. There are six (6) approved indoor spaces and One (1) approved outdoor space. Sixty-four (64) children, between the ages of zero (0) and twelve (12) years old are enrolled and thirty-nine (39) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. Current activity plans were observed posted in all classrooms. Younger and older preschool children assigned to indoor spaces #3, #4, and #5 were napping on individual cots with individual linens. Soft music was played in the background. Toddlers assigned to indoor space #2 were seated at the tables eating afternoon snacks provided from home. Four infants assigned to indoor space #1 were asleep in cribs. A staff member was holding one (1) infant. Cot spacing, food service, and handwashing routines were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment including a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Health and Safety trainings, the Shaken Baby and Abusive Head Trauma Policy, Safe Sleep Policy, and safe sleep checks, were monitored today and found to be in compliance. 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. In indoor space #2 diapers wrapped in plastic bags were in the bottom of an unlocked diaper changing table accessible to children under three years of age. .0604(q) 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) new staff member verification of staff completion of First Aid training from an approved training organization was in the staff file within 90 days of hire. .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) new staff member did not have verification of staff completion of the CPR course from an approved training organization in the staff file within 90 days of hire. .1102(d) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In indoor space three (3), a staff member had a Starbucks cup sitting on a shelf accessible to the children. .0901(i) 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. The violations documented must be corrected immediately. Violations #858 and # 1792 documented today were corrected during the visit; therefore, a compliance letter is not required for them. On or before Friday, December 20, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Nutrition: Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. CPR and Frist Aid-All staff must obtain: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. 2024 Annual License Fees: Invoices were emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. Annual Immunization Report: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. QRIS Update: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Reminders: Your facility’s Fire Inspection Report expires December 28, 2024. Please remember to send me a copy of your Fire Inspection Report when you receive it. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 39 Completed Date: 12/13/2024 Age: From 0 To 4 Total Minutes: 90 Time In: 01:45 PM Time Out: 03:15 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. Your program currently operates with a 3-Star license effective January 27, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99) percent as of December 31, 2024. The facility is leased through Wall Rentals, Inc. The license was posted, and the restrictions were in compliance. Administrator, Crystal Edwards, was available for consultation during the visit. There are six (6) approved indoor spaces and One (1) approved outdoor space. Sixty-four (64) children, between the ages of zero (0) and twelve (12) years old are enrolled and thirty-nine (39) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. Current activity plans were observed posted in all classrooms. Younger and older preschool children assigned to indoor spaces #3, #4, and #5 were napping on individual cots with individual linens. Soft music was played in the background. Toddlers assigned to indoor space #2 were seated at the tables eating afternoon snacks provided from home. Four infants assigned to indoor space #1 were asleep in cribs. A staff member was holding one (1) infant. Cot spacing, food service, and handwashing routines were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment including a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Health and Safety trainings, the Shaken Baby and Abusive Head Trauma Policy, Safe Sleep Policy, and safe sleep checks, were monitored today and found to be in compliance. 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. In indoor space #2 diapers wrapped in plastic bags were in the bottom of an unlocked diaper changing table accessible to children under three years of age. .0604(q) 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) new staff member verification of staff completion of First Aid training from an approved training organization was in the staff file within 90 days of hire. .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) new staff member did not have verification of staff completion of the CPR course from an approved training organization in the staff file within 90 days of hire. .1102(d) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In indoor space three (3), a staff member had a Starbucks cup sitting on a shelf accessible to the children. .0901(i) 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. The violations documented must be corrected immediately. Violations #858 and # 1792 documented today were corrected during the visit; therefore, a compliance letter is not required for them. On or before Friday, December 20, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Staff Nutrition: Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. CPR and Frist Aid-All staff must obtain: For the health and safety of the children, all staff members are required to obtain CPR and First Aid certification and keep it current. Renewing this certification is crucial for staff to be refreshed in first aid and other lifesaving techniques as well as receive the most up to date information. I suggest you set a reminder on your calendar to keep track of expiration dates and/or seek out training from additional approved agencies when staff is not able to attend courses offered locally or at the facility. 2024 Annual License Fees: Invoices were emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. Annual Immunization Report: The reporting period for child care immunizations is now open. Reporting for 2024-2025 has been extended due to Hurricane Helene. Children have a grace period from requirements until November 30, 2024, and reports will be accepted until January 15, 2025. QRIS Update: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Reminders: Your facility’s Fire Inspection Report expires December 28, 2024. Please remember to send me a copy of your Fire Inspection Report when you receive it. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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 .2818 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: HEATHER BINDER Operation Type: Center Case Number: 0724-102A Visit Date: 10/15/2024 Number Present: 44 Completed Date: 10/15/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Corrie Davenport, Northeastern Investigations Supervisor, was also present and assisted me during the visit. I conducted a walk-through of the facility unaccompanied. During the visit, I spoke to Crystal Edwards, Owner, and two (2) additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. On August 28, 2024, a staff member in the classroom for two-year-old children failed to wash a child's hands after changing the child's diaper. 15A NCAC 18A .2803(c)(2) 904 Child was handled roughly. On September 13, 2024, a staff member in the classroom for two-year-old children disciplined a child by hitting the child on the head with a lightweight plastic bucket three times. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. On September 28, 2024, the owner submitted staff observation forms of the classroom for one-year-old children dated June 18, 2024, and July 8, 2024, which were signed by a staff member who did not receive a valid criminal background check qualification letter until July 12, 2024. G.S. 110-90.2(b) 1756 Enhanced staff/child ratios and group sizes were not met. On August 28, 2024, in the classroom for one-year-old children, there was only one staff member present with seven (7) one-year-old children. 10A NCAC 09 .2818 All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by October 22, 2024, stating how the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed to Heather Binder, Investigations Consultant, at heather.binder@dhhs.nc.gov. You may contact Heather Binder, Investigations Consultant, (252) 617-6237, heather.binder@dhhs.nc.gov or Corrie Davenport, Northeastern Investigations Supervisor, corrie.davenport@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: HEATHER BINDER Operation Type: Center Case Number: 0724-102A Visit Date: 10/15/2024 Number Present: 44 Completed Date: 10/15/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 11:25 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Corrie Davenport, Northeastern Investigations Supervisor, was also present and assisted me during the visit. I conducted a walk-through of the facility unaccompanied. During the visit, I spoke to Crystal Edwards, Owner, and two (2) additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. On August 28, 2024, a staff member in the classroom for two-year-old children failed to wash a child's hands after changing the child's diaper. 15A NCAC 18A .2803(c)(2) 904 Child was handled roughly. On September 13, 2024, a staff member in the classroom for two-year-old children disciplined a child by hitting the child on the head with a lightweight plastic bucket three times. .1803(a)(1) 1041 Prior to employment a Criminal Background Check was not completed. On September 28, 2024, the owner submitted staff observation forms of the classroom for one-year-old children dated June 18, 2024, and July 8, 2024, which were signed by a staff member who did not receive a valid criminal background check qualification letter until July 12, 2024. G.S. 110-90.2(b) 1756 Enhanced staff/child ratios and group sizes were not met. On August 28, 2024, in the classroom for one-year-old children, there was only one staff member present with seven (7) one-year-old children. 10A NCAC 09 .2818 All violations documented above must be corrected immediately. A written, dated, and signed letter of compliance must be submitted to me within one week, by October 22, 2024, stating how the violations were corrected and how compliance will be maintained in the future. The letter of compliance should be emailed to Heather Binder, Investigations Consultant, at heather.binder@dhhs.nc.gov. You may contact Heather Binder, Investigations Consultant, (252) 617-6237, heather.binder@dhhs.nc.gov or Corrie Davenport, Northeastern Investigations Supervisor, corrie.davenport@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: 0924-404L Visit Date: 10/8/2024 Number Present: 44 Completed Date: 10/8/2024 Age: From 0 To 4 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The program currently operates with a Three-Star License issued January 27, 2023, earning four (4) points in Staff Education, two (2) points in Program Standards, and one (1) Quality Point for a Programmatic Option. Restrictions on the permit include 1st shift care, no cooking, the facility meets enhanced ratios, and children under 2 ½ years old are cared for in rooms with direct exits only. The last annual compliance was conducted on June 17, 2024. The facility is leased by Wall Rentals, Inc. Administrator, Crystal Edwards, was present and available for consultation. The allegations are as follows: There is a concern that a child was left unsupervised. There is a concern that staff did not interact with a child in a nurturing and caring manner. There is a concern that safe pick-up procedures were not followed. Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. Additionally, I observed all the indoor and outdoor spaces used by the children. Infants were observed receiving routine care based on their individual needs. Toddlers and preschool children were engaged in a variety of free play activities. All staff members were interacting with the children as they played. Administrator, Crystal Edwards, provided camera footage for September 11, 2024, September 13, 2024, and September 19, 2024. Ms. Edwards also provided incident reports for September and October 2024. Ms. Edwards reported that an infant had received an injury; however, medical treatment was not received. Ms. Edwards provided to me a copy of the incident report, signed by the parent. Ms. Edwards reviewed the facility’s Drop Off and Pick-Up Policies and verified that staff members are required to request a picture ID from unfamiliar persons picking up children from the facility. I reviewed camera footage for September 11, 2024, and verified that a staff member left two (2) infants unsupervised for four (4) seconds. While the two (2) infants were unsupervised, a parent arrived at the facility to pick up their child. Based on this information, the finding regarding the allegation that a child was left unsupervised was substantiated. I reviewed camera footage for September 13, 2024, and verified that proper nurturing and caring of children was provided for children in care. Incident reports for September 2024 and October 2024 were reviewed, and zero (0) children received medical care, and zero (0) incidents reports were required to be submitted to the Division of Child Development and Early Education. during this time period. During today’s observations, all staff members interacted with children in a nurturing and caring manner. Based on this information, the finding regarding the allegation of staff not interacting with a child in a nurturing and caring manner was unsubstantiated. Sign-in and sign-out sheets and camera footage was reviewed for September 19, 2024. Sign-in and sign-out sheets were completed according to requirements; however, I verified that a staff member did not request nor verify photo identification for an emergency contact that arrived at the facility to pick up a child. The facility’s policy states that staff members are required to request a picture I.D from any unfamiliar person (including grandparents). Based on this information, the finding regarding the allegation that safe pick-up procedures were not followed was substantiated. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On September 11, 2024, two (2) infants were left in indoor space #1 unsupervised for approximately four (4) seconds. .1801(a)(1-5) 801 Written procedures were not established for pick-up and delivery of children. Program has written procedures for pick-up; however, a staff member did not follow the required safe pick-up procedures. A person listed as an emergency contact for a child enrolled in the facility arrived to pick up a child for the first time, and the staff member did not request a photo ID to verify who the person was. Requesting and verifying a photo ID is a requirement in the facility's safe pick-up procedures. .1003(b) 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 documented may impact the compliance history score. The violation documented must be corrected immediately. On or before Friday, October 11, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: Supervision: Supervision is basic to the safety and the prevention of injury and maintaining quality childcare. Parents have a contract with the facility and its staff to supervise their children. The importance of supervision is not only to protect children from physical injury, but from harm that can occur from teasing, bullying, or inappropriate behavior. It is the responsibility of staff to regularly count children (name to face recognition) on a routine basis, at every transition, and whenever leaving one area and arriving at another. Active and positive supervision involves knowing each child’s abilities, establishing clear and simple safety rules, being aware of potential hazards, standing in strategic positions, and scanning play areas and circulating around the space. Focus on the positive rather than the negative to teach a child what is safe. Teach children the appropriate and safe use of each piece of equipment. It is imperative that caregivers supervise children at all times, not just for the safety of children, but to ensure children get the attention they need for optimal growth and development. Children like to test their skills and abilities. Serious injuries can occur in indoor and outdoor play areas if constant supervision is not maintained. Caregivers who are actively involved, aware, and appreciative of young children’s behaviors are in the best position to keep children safe. Low staff-child ratios make it easier for caregivers to supervise children adequately while interacting. Adequate supervision means that staff interact with the children while moving about the indoor and outdoor area and can hear and/or see the children at all times, except when emergencies necessitate that direct supervision is impossible for brief periods of time. Nurture and Care Treatment: Child care rules not only prohibit the use of inappropriate discipline but require all children be attended to in a nurturing and appropriate manner. This can only be achieved when staff members recognize and accept age-appropriate behaviors and respond in ways consistent with what is developmentally appropriate for each child. Understanding the stages of children’s development is critical; for example, those that cry may not have the verbal ability to express their needs and/or wants; or, they may not have the skills yet to do so. Recognizing this will minimize staff member’s tendencies to become frustrated and use harsh tones or verbal directives with young children who are simply engaging in age-appropriate behaviors. Once you understand that certain challenging behaviors are “typical,” it should allow you to respond in a nurturing and appropriate manner. You must keep your frustration in check by reminding yourself that children are not born knowing how to control and process their emotions; this is learned through caregiver interactions, guidance, and experience over time. Help toddlers navigate their emotions. Recognize and name feelings, then offer guidance on how to manage them. Suggest jumping up and down or visiting the cozy area. Empathize with their feelings and provide acceptable choices to help them feel in control. Comfort them with warm, physical contact, or give them a safe space to work through their negative emotions. Each child should be attended to in a nurturing and appropriate manner, and in keeping with the child’s developmental needs. Staff should protect children from threats, give them opportunities for early learning, through interactions that are emotionally supportive and responsive. Some examples of nurturing behavior are: being fully present in your interactions with children (verbally and non-verbally), validating their feelings, providing physical affection and comfort when sought, laughing and playing games, providing safe mental, physical and social challenges that promote healthy growth and development. Children who are adequately nurtured feel more secure, which leads to the healthy development of self-esteem. Nurturing care is essential for child development and lays the foundation for life-long health and well-being and builds human capital in the child today, the adolescent and adult tomorrow, and in the next generation in the future. Safe Pick-Up Procedures: As we discussed today, your center’s procedures for pick-up and delivery of children are to ensure children are protected from danger and not exposed to risk of harm. These procedures should be followed by all staff members at all times as documented in your facility’s handbook. At the completion of the visit, this visit summary was printed, reviewed, signed, and a copy was left with you. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: HEATHER BINDER Operation Type: Center Case Number: 0724-102A Visit Date: 8/27/2024 Number Present: 43 Completed Date: 8/27/2024 Age: From 0 To 4 Total Minutes: 155 Time In: 12:25 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of this unannounced visit was to follow-up regarding allegations of violations of child care requirements at this child care facility. Crystal Edwards, Owner, accompanied me during a walk-through of the facility. During the visit, I spoke with Ms. Edwards and two (2) additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. On July 14, 2024, a staff member in the classroom for one-year-old children walked out of the classroom, into an adjoining classroom, leaving six (6) one-year-old children unattended while they were eating lunch. .1801(a)(1-5) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. On March 1, 2024, and May 15, 2024, Tylenol was administered to a one-year-old child and there was no written authorization form on file at the facility. 10A NCAC 09 .0803(1)(a & b) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. On March 1, 2024, and May 15, 2024, Tylenol was administered to a one-year-old child and it was not documented on a medication administration form until September 27, 2024. .0803(13)(a-e); .2318(3) You may contact Heather Binder, Investigations Consultant, at (252) 617-6237, heather.binder@dhhs.nc.gov or Corrie Davenport, Northeastern Investigations Supervisor, at corrie.davenport@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: HEATHER BINDER Operation Type: Center Case Number: 0724-102A Visit Date: 7/12/2024 Number Present: 48 Completed Date: 7/12/2024 Age: From 0 To 10 Total Minutes: 105 Time In: 10:55 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. During the visit, I discussed the allegations with Christy Edwards, Owner, and two additional staff members. I completed a walk-through of the facility unaccompanied. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. During the week of July 15, 2024 through July 19, 2024, a one-year-old child was routinely grouped with and cared for in the same classroom where school-age children were present and receiving care, during times that were not the first and last operating hour of the day. 10A NCAC 09 .0713(a)(6) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member in the classroom for one-year-old children modeled inappropriate behavior to a one-year-old child and encouraged the child to copy her actions. On another occasion, the same staff member intentionally threw a rubber ball into a child's face two times. G.S. 110-91(10) You may contact Heather Binder, Investigations Consultant, at (252) 617-6237, heather.binder@dhhs.nc.gov or Corrie Davenport, Northeastern Investigations Supervisor, at corrie.davenport@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: HEATHER BINDER Operation Type: Center Case Number: 0724-102A Visit Date: 7/12/2024 Number Present: 48 Completed Date: 7/12/2024 Age: From 0 To 10 Total Minutes: 105 Time In: 10:55 AM Time Out: 12:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. During the visit, I discussed the allegations with Christy Edwards, Owner, and two additional staff members. I completed a walk-through of the facility unaccompanied. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. During the week of July 15, 2024 through July 19, 2024, a one-year-old child was routinely grouped with and cared for in the same classroom where school-age children were present and receiving care, during times that were not the first and last operating hour of the day. 10A NCAC 09 .0713(a)(6) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member in the classroom for one-year-old children modeled inappropriate behavior to a one-year-old child and encouraged the child to copy her actions. On another occasion, the same staff member intentionally threw a rubber ball into a child's face two times. G.S. 110-91(10) You may contact Heather Binder, Investigations Consultant, at (252) 617-6237, heather.binder@dhhs.nc.gov or Corrie Davenport, Northeastern Investigations Supervisor, at corrie.davenport@dhhs.nc.gov. Thank you for your time. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/17/2024 Number Present: 59 Completed Date: 6/17/2024 Age: From 0 To 11 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star license issued January 9, 2024. The last annual compliance was conducted on June 22, 2023. The sanitation inspection was completed January 9, 2024, with a “Superior” classification. The last fire inspection was conducted on December 8, 2023. Your facility was approved for 1st shift care, the facility meets enhanced ratios, no cooking is allowed in the facility, and children under 2 ½ years old are cared for in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent. The NC Secretary of State website was reviewed on June 17, 2024, and Wall Rentals, Inc., was listed as current-active. Seventy-seven (77) children, between the ages of zero (0) and eleven (11) years old are enrolled and fifty-nine (59) children, ages zero (0) to eleven (11) were present today. There are six (6) approved indoor spaces and one (1) approved outdoor space. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Infants assigned to indoor space #1 were playing on the floor, seated in activity bouncers, and receiving routine care based on their individual needs. Diaper changing and food service requirements were monitored and found to be in compliance. A cord from an infant swing was not plugged into the wall and accessible to the infants. Toddlers assigned to indoor space #2 were engaged in free play activities which included cooking, alphabet blocks, felt board sea animals, large legos, dump trucks, and finger painting. Younger preschool children assigned to indoor space were seated on the carpet, and a staff member was reviewing colors with them. Preschool children assigned to indoor space #4 were seated at tables creating cats with paper plates, cut up paper, and glue. Older preschool children assigned to indoor space #5 were engaged in a group activity guessing the next shape for a pattern of shapes. School aged children assigned to indoor space #6 were participating in a group experiment which determined if a cartoon of eggs could hold each child’s individual weight if the child stood on the eggs. Handwashing and toileting routines were monitored, and requirements were met. The outdoor space had a variety of gross motor equipment including a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Today, you reported that currently you are not transporting children due to needed vehicle repairs. You are expecting to start summer field trips on June 28, 2024. As we discussed, please review the transportation childcare rules, and update your current transportation book with all required documents. Health and safety trainings, safe sleep policies, and safe sleep checks were monitored, and requirements were met. Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A cord for an infant swing in indoor space #1 was accessible to infants and toddlers. 10A NCAC 09 .0604(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) out of eight (8) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) out of eight (8) children records reviewed did not have an immunization record on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 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. All violations documented today were corrected during the visit ; therefore, a compliance letter is not required Technical Assistance: Children Records: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. Rated License: Your facility’s three-year rated license reassessment was due to be completed in April 2022 but was not completed due to reassessments being voluntary during the COVID-19 pandemic. As we discussed today, reassessments will not become mandatory again until July 1, 2024, and your facility has been placed into “Cohort 2.” Placement in this cohort means you will have from July 1, 2024, to June 30, 2025, to plan and prepare for your reassessment, with your reassessment being due between July 1, 2025, and June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact Carteret County Partnership for Children for assistance. I am also available to assist you upon request. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. For example, if transitions are challenging, ask yourself what strategies help. Engage to brainstorm, offer support and clarification, and set goals. Allocate resources so you can focus on self-study as part of the workday to help you become more familiar and confident with the assessment process. Today you reported that you would like to voluntarily request a reassessment in January 2025, during your Preparatory Year. As we discussed today, please contact Rene Fox at the Carteret County Partnership for Children to help you with assessment preparations. The telephone number for the Carteret County Partnership is (252) 727-0445. Reminders: Staff member, K. Ward, must complete ITS SIDS re-certification on or before by August 17, 2024. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies were printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/17/2024 Number Present: 59 Completed Date: 6/17/2024 Age: From 0 To 11 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star license issued January 9, 2024. The last annual compliance was conducted on June 22, 2023. The sanitation inspection was completed January 9, 2024, with a “Superior” classification. The last fire inspection was conducted on December 8, 2023. Your facility was approved for 1st shift care, the facility meets enhanced ratios, no cooking is allowed in the facility, and children under 2 ½ years old are cared for in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent. The NC Secretary of State website was reviewed on June 17, 2024, and Wall Rentals, Inc., was listed as current-active. Seventy-seven (77) children, between the ages of zero (0) and eleven (11) years old are enrolled and fifty-nine (59) children, ages zero (0) to eleven (11) were present today. There are six (6) approved indoor spaces and one (1) approved outdoor space. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Infants assigned to indoor space #1 were playing on the floor, seated in activity bouncers, and receiving routine care based on their individual needs. Diaper changing and food service requirements were monitored and found to be in compliance. A cord from an infant swing was not plugged into the wall and accessible to the infants. Toddlers assigned to indoor space #2 were engaged in free play activities which included cooking, alphabet blocks, felt board sea animals, large legos, dump trucks, and finger painting. Younger preschool children assigned to indoor space were seated on the carpet, and a staff member was reviewing colors with them. Preschool children assigned to indoor space #4 were seated at tables creating cats with paper plates, cut up paper, and glue. Older preschool children assigned to indoor space #5 were engaged in a group activity guessing the next shape for a pattern of shapes. School aged children assigned to indoor space #6 were participating in a group experiment which determined if a cartoon of eggs could hold each child’s individual weight if the child stood on the eggs. Handwashing and toileting routines were monitored, and requirements were met. The outdoor space had a variety of gross motor equipment including a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Today, you reported that currently you are not transporting children due to needed vehicle repairs. You are expecting to start summer field trips on June 28, 2024. As we discussed, please review the transportation childcare rules, and update your current transportation book with all required documents. Health and safety trainings, safe sleep policies, and safe sleep checks were monitored, and requirements were met. Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A cord for an infant swing in indoor space #1 was accessible to infants and toddlers. 10A NCAC 09 .0604(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) out of eight (8) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) out of eight (8) children records reviewed did not have an immunization record on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 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. All violations documented today were corrected during the visit ; therefore, a compliance letter is not required Technical Assistance: Children Records: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. Rated License: Your facility’s three-year rated license reassessment was due to be completed in April 2022 but was not completed due to reassessments being voluntary during the COVID-19 pandemic. As we discussed today, reassessments will not become mandatory again until July 1, 2024, and your facility has been placed into “Cohort 2.” Placement in this cohort means you will have from July 1, 2024, to June 30, 2025, to plan and prepare for your reassessment, with your reassessment being due between July 1, 2025, and June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact Carteret County Partnership for Children for assistance. I am also available to assist you upon request. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. For example, if transitions are challenging, ask yourself what strategies help. Engage to brainstorm, offer support and clarification, and set goals. Allocate resources so you can focus on self-study as part of the workday to help you become more familiar and confident with the assessment process. Today you reported that you would like to voluntarily request a reassessment in January 2025, during your Preparatory Year. As we discussed today, please contact Rene Fox at the Carteret County Partnership for Children to help you with assessment preparations. The telephone number for the Carteret County Partnership is (252) 727-0445. Reminders: Staff member, K. Ward, must complete ITS SIDS re-certification on or before by August 17, 2024. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies were printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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

GS110-91 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/17/2024 Number Present: 59 Completed Date: 6/17/2024 Age: From 0 To 11 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star license issued January 9, 2024. The last annual compliance was conducted on June 22, 2023. The sanitation inspection was completed January 9, 2024, with a “Superior” classification. The last fire inspection was conducted on December 8, 2023. Your facility was approved for 1st shift care, the facility meets enhanced ratios, no cooking is allowed in the facility, and children under 2 ½ years old are cared for in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent. The NC Secretary of State website was reviewed on June 17, 2024, and Wall Rentals, Inc., was listed as current-active. Seventy-seven (77) children, between the ages of zero (0) and eleven (11) years old are enrolled and fifty-nine (59) children, ages zero (0) to eleven (11) were present today. There are six (6) approved indoor spaces and one (1) approved outdoor space. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Infants assigned to indoor space #1 were playing on the floor, seated in activity bouncers, and receiving routine care based on their individual needs. Diaper changing and food service requirements were monitored and found to be in compliance. A cord from an infant swing was not plugged into the wall and accessible to the infants. Toddlers assigned to indoor space #2 were engaged in free play activities which included cooking, alphabet blocks, felt board sea animals, large legos, dump trucks, and finger painting. Younger preschool children assigned to indoor space were seated on the carpet, and a staff member was reviewing colors with them. Preschool children assigned to indoor space #4 were seated at tables creating cats with paper plates, cut up paper, and glue. Older preschool children assigned to indoor space #5 were engaged in a group activity guessing the next shape for a pattern of shapes. School aged children assigned to indoor space #6 were participating in a group experiment which determined if a cartoon of eggs could hold each child’s individual weight if the child stood on the eggs. Handwashing and toileting routines were monitored, and requirements were met. The outdoor space had a variety of gross motor equipment including a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Today, you reported that currently you are not transporting children due to needed vehicle repairs. You are expecting to start summer field trips on June 28, 2024. As we discussed, please review the transportation childcare rules, and update your current transportation book with all required documents. Health and safety trainings, safe sleep policies, and safe sleep checks were monitored, and requirements were met. Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A cord for an infant swing in indoor space #1 was accessible to infants and toddlers. 10A NCAC 09 .0604(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) out of eight (8) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) out of eight (8) children records reviewed did not have an immunization record on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 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. All violations documented today were corrected during the visit ; therefore, a compliance letter is not required Technical Assistance: Children Records: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. Rated License: Your facility’s three-year rated license reassessment was due to be completed in April 2022 but was not completed due to reassessments being voluntary during the COVID-19 pandemic. As we discussed today, reassessments will not become mandatory again until July 1, 2024, and your facility has been placed into “Cohort 2.” Placement in this cohort means you will have from July 1, 2024, to June 30, 2025, to plan and prepare for your reassessment, with your reassessment being due between July 1, 2025, and June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact Carteret County Partnership for Children for assistance. I am also available to assist you upon request. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. For example, if transitions are challenging, ask yourself what strategies help. Engage to brainstorm, offer support and clarification, and set goals. Allocate resources so you can focus on self-study as part of the workday to help you become more familiar and confident with the assessment process. Today you reported that you would like to voluntarily request a reassessment in January 2025, during your Preparatory Year. As we discussed today, please contact Rene Fox at the Carteret County Partnership for Children to help you with assessment preparations. The telephone number for the Carteret County Partnership is (252) 727-0445. Reminders: Staff member, K. Ward, must complete ITS SIDS re-certification on or before by August 17, 2024. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies were printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/17/2024 Number Present: 59 Completed Date: 6/17/2024 Age: From 0 To 11 Total Minutes: 255 Time In: 09:00 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 3-Star license issued January 9, 2024. The last annual compliance was conducted on June 22, 2023. The sanitation inspection was completed January 9, 2024, with a “Superior” classification. The last fire inspection was conducted on December 8, 2023. Your facility was approved for 1st shift care, the facility meets enhanced ratios, no cooking is allowed in the facility, and children under 2 ½ years old are cared for in rooms with direct exits only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-three (83) percent. The NC Secretary of State website was reviewed on June 17, 2024, and Wall Rentals, Inc., was listed as current-active. Seventy-seven (77) children, between the ages of zero (0) and eleven (11) years old are enrolled and fifty-nine (59) children, ages zero (0) to eleven (11) were present today. There are six (6) approved indoor spaces and one (1) approved outdoor space. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Infants assigned to indoor space #1 were playing on the floor, seated in activity bouncers, and receiving routine care based on their individual needs. Diaper changing and food service requirements were monitored and found to be in compliance. A cord from an infant swing was not plugged into the wall and accessible to the infants. Toddlers assigned to indoor space #2 were engaged in free play activities which included cooking, alphabet blocks, felt board sea animals, large legos, dump trucks, and finger painting. Younger preschool children assigned to indoor space were seated on the carpet, and a staff member was reviewing colors with them. Preschool children assigned to indoor space #4 were seated at tables creating cats with paper plates, cut up paper, and glue. Older preschool children assigned to indoor space #5 were engaged in a group activity guessing the next shape for a pattern of shapes. School aged children assigned to indoor space #6 were participating in a group experiment which determined if a cartoon of eggs could hold each child’s individual weight if the child stood on the eggs. Handwashing and toileting routines were monitored, and requirements were met. The outdoor space had a variety of gross motor equipment including a large and small basketball goal, a playhouse, large colored tires, riding cars, push toys, see saws, a picnic table, chairs, a small climber with a slide, a music wall, and a covered area for shade. Today, you reported that currently you are not transporting children due to needed vehicle repairs. You are expecting to start summer field trips on June 28, 2024. As we discussed, please review the transportation childcare rules, and update your current transportation book with all required documents. Health and safety trainings, safe sleep policies, and safe sleep checks were monitored, and requirements were met. Violation Number Comment Rule 815 Electrical cords were accessible to infants and toddlers. A cord for an infant swing in indoor space #1 was accessible to infants and toddlers. 10A NCAC 09 .0604(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) out of eight (8) children records reviewed did not have a medical exam or health assessment on file before or within 30 days after admission. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One (1) out of eight (8) children records reviewed did not have an immunization record on file before or within 30 days after admission. 10A NCAC 09 .0302(d)(2) 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. All violations documented today were corrected during the visit ; therefore, a compliance letter is not required Technical Assistance: Children Records: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive and social needs. Rated License: Your facility’s three-year rated license reassessment was due to be completed in April 2022 but was not completed due to reassessments being voluntary during the COVID-19 pandemic. As we discussed today, reassessments will not become mandatory again until July 1, 2024, and your facility has been placed into “Cohort 2.” Placement in this cohort means you will have from July 1, 2024, to June 30, 2025, to plan and prepare for your reassessment, with your reassessment being due between July 1, 2025, and June 30, 2026. In your planning year, you may review resources available at www.ncrlap.org and contact Carteret County Partnership for Children for assistance. I am also available to assist you upon request. This is an opportunity to focus on your Star Rated License and consider strategies to help maintain or increase your star rating. Review topics related to the Environment Rating Scales or other quality initiatives. For example, if transitions are challenging, ask yourself what strategies help. Engage to brainstorm, offer support and clarification, and set goals. Allocate resources so you can focus on self-study as part of the workday to help you become more familiar and confident with the assessment process. Today you reported that you would like to voluntarily request a reassessment in January 2025, during your Preparatory Year. As we discussed today, please contact Rene Fox at the Carteret County Partnership for Children to help you with assessment preparations. The telephone number for the Carteret County Partnership is (252) 727-0445. Reminders: Staff member, K. Ward, must complete ITS SIDS re-certification on or before by August 17, 2024. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies were printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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 .0508 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 46 Completed Date: 12/12/2023 Age: From 0 To 7 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 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. Your program currently operates with a 3-Star license effective May 9, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of December 12, 2023. The license was posted, and the restrictions were in compliance. There are six (6) approved indoor spaces and one (1) approved outdoor space. Seventy (70) children between the ages of zero (0) and eleven (11) are enrolled and forty-six (46) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today, and both the indoor and outdoor areas were monitored. Infants were observed playing on the floor with infant toys and jumping in activity centers. Toddlers were engaged in free play activities which included dramatic play food and looking at books. Younger preschool children played with cars on a race track, connected blocks, and dressed the baby dolls. Older preschool children were observed participating in a variety of free play activities which included drawing family pictures with crayons, magnetic shapes and strips, dinosaurs, animals, and legos. All staff members interacted with the children as they played. All outdoor spaces had a variety of gross motor equipment which included a small toddler climber, a dome climber, tires, riding toys, push toys, and small see saws. Other equipment outside included a small playhouse and a music wall. The sanitation and fire inspections remain current. Health and Safety trainings were monitored today, and requirements were met. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member G. Clouser’s medical report was dated December 9, 2021, and her date of hire was July 31, 2023. 10A NCAC 09 .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. Verification of staff completion of First Aid training from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Verification of staff completion of the CPR course from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(d) 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. Any violations documented must be corrected immediately. On or before Friday, December 22, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: CPR and First Aid: 10A NCAC 09 .1102 (c) HEALTH AND SAFETY TRAINING REQUIREMENTS All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training must be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Activity Plans: Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. Activity plan in rule: Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined into a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. EPR Plan Contact Update: You updated your EPR plan this year; however, you need to change the out of area contact person located at the Carteret County Partnership for Children. Workforce Online Reporting and Knowledge System (WORKS): As we discussed today, any recently hired staff members need to upload official transcripts to the Workforce Education Unit for evaluation. WORKS official transcript submission process can be accessed at the following link. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d Improvements to Criminal Background Check Portal Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employs them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. License Fees: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023, and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Annual Fire Inspection: As we discussed today, your facility’s annual fire inspection must be conducted on or before December 29, 2023. Please set a reminder on your calendar to help ensure this requirement is met. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you. Please print a copy for your files. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 46 Completed Date: 12/12/2023 Age: From 0 To 7 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 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. Your program currently operates with a 3-Star license effective May 9, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of December 12, 2023. The license was posted, and the restrictions were in compliance. There are six (6) approved indoor spaces and one (1) approved outdoor space. Seventy (70) children between the ages of zero (0) and eleven (11) are enrolled and forty-six (46) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today, and both the indoor and outdoor areas were monitored. Infants were observed playing on the floor with infant toys and jumping in activity centers. Toddlers were engaged in free play activities which included dramatic play food and looking at books. Younger preschool children played with cars on a race track, connected blocks, and dressed the baby dolls. Older preschool children were observed participating in a variety of free play activities which included drawing family pictures with crayons, magnetic shapes and strips, dinosaurs, animals, and legos. All staff members interacted with the children as they played. All outdoor spaces had a variety of gross motor equipment which included a small toddler climber, a dome climber, tires, riding toys, push toys, and small see saws. Other equipment outside included a small playhouse and a music wall. The sanitation and fire inspections remain current. Health and Safety trainings were monitored today, and requirements were met. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member G. Clouser’s medical report was dated December 9, 2021, and her date of hire was July 31, 2023. 10A NCAC 09 .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. Verification of staff completion of First Aid training from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Verification of staff completion of the CPR course from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(d) 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. Any violations documented must be corrected immediately. On or before Friday, December 22, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: CPR and First Aid: 10A NCAC 09 .1102 (c) HEALTH AND SAFETY TRAINING REQUIREMENTS All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training must be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Activity Plans: Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. Activity plan in rule: Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined into a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. EPR Plan Contact Update: You updated your EPR plan this year; however, you need to change the out of area contact person located at the Carteret County Partnership for Children. Workforce Online Reporting and Knowledge System (WORKS): As we discussed today, any recently hired staff members need to upload official transcripts to the Workforce Education Unit for evaluation. WORKS official transcript submission process can be accessed at the following link. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d Improvements to Criminal Background Check Portal Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employs them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. License Fees: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023, and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Annual Fire Inspection: As we discussed today, your facility’s annual fire inspection must be conducted on or before December 29, 2023. Please set a reminder on your calendar to help ensure this requirement is met. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you. Please print a copy for your files. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 46 Completed Date: 12/12/2023 Age: From 0 To 7 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 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. Your program currently operates with a 3-Star license effective May 9, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of December 12, 2023. The license was posted, and the restrictions were in compliance. There are six (6) approved indoor spaces and one (1) approved outdoor space. Seventy (70) children between the ages of zero (0) and eleven (11) are enrolled and forty-six (46) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today, and both the indoor and outdoor areas were monitored. Infants were observed playing on the floor with infant toys and jumping in activity centers. Toddlers were engaged in free play activities which included dramatic play food and looking at books. Younger preschool children played with cars on a race track, connected blocks, and dressed the baby dolls. Older preschool children were observed participating in a variety of free play activities which included drawing family pictures with crayons, magnetic shapes and strips, dinosaurs, animals, and legos. All staff members interacted with the children as they played. All outdoor spaces had a variety of gross motor equipment which included a small toddler climber, a dome climber, tires, riding toys, push toys, and small see saws. Other equipment outside included a small playhouse and a music wall. The sanitation and fire inspections remain current. Health and Safety trainings were monitored today, and requirements were met. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member G. Clouser’s medical report was dated December 9, 2021, and her date of hire was July 31, 2023. 10A NCAC 09 .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. Verification of staff completion of First Aid training from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Verification of staff completion of the CPR course from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(d) 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. Any violations documented must be corrected immediately. On or before Friday, December 22, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: CPR and First Aid: 10A NCAC 09 .1102 (c) HEALTH AND SAFETY TRAINING REQUIREMENTS All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training must be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Activity Plans: Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. Activity plan in rule: Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined into a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. EPR Plan Contact Update: You updated your EPR plan this year; however, you need to change the out of area contact person located at the Carteret County Partnership for Children. Workforce Online Reporting and Knowledge System (WORKS): As we discussed today, any recently hired staff members need to upload official transcripts to the Workforce Education Unit for evaluation. WORKS official transcript submission process can be accessed at the following link. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d Improvements to Criminal Background Check Portal Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employs them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. License Fees: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023, and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Annual Fire Inspection: As we discussed today, your facility’s annual fire inspection must be conducted on or before December 29, 2023. Please set a reminder on your calendar to help ensure this requirement is met. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you. Please print a copy for your files. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 46 Completed Date: 12/12/2023 Age: From 0 To 7 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 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. Your program currently operates with a 3-Star license effective May 9, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of December 12, 2023. The license was posted, and the restrictions were in compliance. There are six (6) approved indoor spaces and one (1) approved outdoor space. Seventy (70) children between the ages of zero (0) and eleven (11) are enrolled and forty-six (46) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today, and both the indoor and outdoor areas were monitored. Infants were observed playing on the floor with infant toys and jumping in activity centers. Toddlers were engaged in free play activities which included dramatic play food and looking at books. Younger preschool children played with cars on a race track, connected blocks, and dressed the baby dolls. Older preschool children were observed participating in a variety of free play activities which included drawing family pictures with crayons, magnetic shapes and strips, dinosaurs, animals, and legos. All staff members interacted with the children as they played. All outdoor spaces had a variety of gross motor equipment which included a small toddler climber, a dome climber, tires, riding toys, push toys, and small see saws. Other equipment outside included a small playhouse and a music wall. The sanitation and fire inspections remain current. Health and Safety trainings were monitored today, and requirements were met. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member G. Clouser’s medical report was dated December 9, 2021, and her date of hire was July 31, 2023. 10A NCAC 09 .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. Verification of staff completion of First Aid training from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Verification of staff completion of the CPR course from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(d) 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. Any violations documented must be corrected immediately. On or before Friday, December 22, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: CPR and First Aid: 10A NCAC 09 .1102 (c) HEALTH AND SAFETY TRAINING REQUIREMENTS All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training must be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Activity Plans: Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. Activity plan in rule: Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined into a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. EPR Plan Contact Update: You updated your EPR plan this year; however, you need to change the out of area contact person located at the Carteret County Partnership for Children. Workforce Online Reporting and Knowledge System (WORKS): As we discussed today, any recently hired staff members need to upload official transcripts to the Workforce Education Unit for evaluation. WORKS official transcript submission process can be accessed at the following link. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d Improvements to Criminal Background Check Portal Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employs them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. License Fees: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023, and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Annual Fire Inspection: As we discussed today, your facility’s annual fire inspection must be conducted on or before December 29, 2023. Please set a reminder on your calendar to help ensure this requirement is met. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you. Please print a copy for your files. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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: LAND OF LITTLE PEOPLE PRESCHOOL Facility ID: 16000201 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 46 Completed Date: 12/12/2023 Age: From 0 To 7 Total Minutes: 195 Time In: 10:15 AM Time Out: 01:30 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. Your program currently operates with a 3-Star license effective May 9, 2019. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of December 12, 2023. The license was posted, and the restrictions were in compliance. There are six (6) approved indoor spaces and one (1) approved outdoor space. Seventy (70) children between the ages of zero (0) and eleven (11) are enrolled and forty-six (46) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today, and both the indoor and outdoor areas were monitored. Infants were observed playing on the floor with infant toys and jumping in activity centers. Toddlers were engaged in free play activities which included dramatic play food and looking at books. Younger preschool children played with cars on a race track, connected blocks, and dressed the baby dolls. Older preschool children were observed participating in a variety of free play activities which included drawing family pictures with crayons, magnetic shapes and strips, dinosaurs, animals, and legos. All staff members interacted with the children as they played. All outdoor spaces had a variety of gross motor equipment which included a small toddler climber, a dome climber, tires, riding toys, push toys, and small see saws. Other equipment outside included a small playhouse and a music wall. The sanitation and fire inspections remain current. Health and Safety trainings were monitored today, and requirements were met. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. GS 110-91(12); .0508(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff member G. Clouser’s medical report was dated December 9, 2021, and her date of hire was July 31, 2023. 10A NCAC 09 .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. Verification of staff completion of First Aid training from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Verification of staff completion of the CPR course from an approved training organization was not in one (1) out of six (6) new staff member’s file. .1102(d) 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. Any violations documented must be corrected immediately. On or before Friday, December 22, 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 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance: CPR and First Aid: 10A NCAC 09 .1102 (c) HEALTH AND SAFETY TRAINING REQUIREMENTS All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training must be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. Activity Plans: Activity plans are detailed plans which outline activities that will encourage children’s growth and development. The activities outlined on the activity plan will typically occur during the “Activity Center” times indicated on the daily schedule. They must be posted for easy reference by caregivers and parents. Activity plan in rule: Child Care Rule 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS states (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined into a single document. (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. EPR Plan Contact Update: You updated your EPR plan this year; however, you need to change the out of area contact person located at the Carteret County Partnership for Children. Workforce Online Reporting and Knowledge System (WORKS): As we discussed today, any recently hired staff members need to upload official transcripts to the Workforce Education Unit for evaluation. WORKS official transcript submission process can be accessed at the following link. https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/O/Official_Hard_Copy_Electronic_Transcript_Submission_Process-May_2023.pdf?ver=NubgP6zClMNdJNHCyJjd4Q%3d%3d Improvements to Criminal Background Check Portal Improvements are coming soon to the ABCMS Portal that DCDEE recently launched to manage child care criminal background checks. ABCMS will soon allow individuals to be associated with the child care program that employs them. Directors/Administrators will be able to use their NCID business account to see the criminal background check result for each employee. License Fees: Annual license fees are due. There are a few other changes to the Annual License Fee process: • All invoices will be emailed, and no paper copies will be sent through the U.S. Postal Service. • All invoices will be emailed by December 1, 2023, and will include the invoice number and total amount due. • All payments are due no later than December 31, 2023. Payments must be submitted online only through the Division’s website using a Mastercard or Visa debit or credit card, or by e-check. Providers will need their Facility ID number and their 2023 Invoice number to complete the payment process. Annual license fees do not apply to state or public-school operated child care facilities, or to religious sponsored facilities operated pursuant to a Notice of Compliance. Failure to pay the license fee is a violation of NCGS § 110-90(1a) and can result in a revocation of your child care license. In addition, unpaid license fees will be assessed a 10% late fee and accrued interest as established by NCGS § 147-86.23. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Annual Fire Inspection: As we discussed today, your facility’s annual fire inspection must be conducted on or before December 29, 2023. Please set a reminder on your calendar to help ensure this requirement is met. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you. Please print a copy for your files. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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