10A NCAC 09 .0514 · Violation

Name of Operation: LITTLE GEMS DAYCARE CENTER Facility ID: 16000176 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 7 Completed Date: 2/27/2025 Age: From 1 To 4 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:45 AM 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 1-Star license issued August 5, 2020. Due to travel time, I arrived at your facility at 9:45am. The last annual compliance was conducted on March 5, 2024. The sanitation inspection was completed February 24, 2056, with a “Superior” classification. The last fire inspection was conducted on July 8, 2024. Your facility was approved for 1st shift care and a maximum of thirty-five (35) children and six (6) staff members. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percent as of February 27, 2025. The NC Secretary of State website was reviewed on February 27, 2025, and Little GEMS Daycare Center, Inc. was listed as current-active. Fourteen (14) children, between the ages of one (1) and four (4) years old are enrolled and seven (7) were present today. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. 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. Toddlers assigned to indoor space #1 were seated at a table with a staff member coloring with crayons. Older preschool children assigned to indoor space #2b were transitioning to the outdoor space. While in the outdoor space, children were observed running, playing basketball, riding cars, and reading books. Water was available for the children while they played in the outdoor space. Outdoor space one (1) had a variety of gross motor equipment including, two (2) small climbers with slides, two (2) small push car ramps, a log cabin playhouse, riding cars, a covered dramatic play area, a small basketball goal, and picnic tables. wooden sandbox. Outdoor space two (2) had a playhouse, push cars, picnic tables, a small climber with a slide, tables, and chairs. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three (3) out of three (3) employee’s personnel files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 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. Violation number 1232 was corrected during the visit; therefore, a compliance letter is not required. Technical Assistance: Staff Annual Evaluations/Staff Development Plans: Child Care Rule 10A NCAC 09 .2805(f) requires that each employee’s personnel file contains an annual staff evaluation and staff development plan. I encourage you to streamline this process by selecting certain months to conduct evaluations and update staff development plans. This will result in easy tracking and ensure that all evaluations and development plans are completed within the yearly timeframe. Background Checks: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Today, I verified that you have completed the required training to access the ABCMS portal. 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 login 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. Recalls: Cozchique Tebbis, and Beeziac Girls Pajamas: https://www.cpsc.gov/Recalls/2025/Cozchique-Tebbis-and-Beeziac-Girls-Pajamas-Recalled-Due-to-Burn-Hazard-Violation-of-Federal-Flammability-Regulation-Sold-Exclusively-on-Amazon-by-Tupop?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250131 Pearhead, Infant Learning Toy Sets: https://www.cpsc.gov/Recalls/2025/Pearhead-Recalls-Infant-Learning-Toy-Sets-Due-to-Choking-Hazard-Violation-of-Federal-Regulations-for-Rattles?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250131 Hermixa 6-in-1 Convertible Crib: https://www.cpsc.gov/Warnings/2025/CPSC-Warns-Consumers-to-Immediately-Stop-Using-Hermixa-6-in-1-Convertible-Crib-Due-to-Suffocation-Risk-and-Fall-Hazards-Violations-of-Regulations-for-Non-Full-Size-Cribs-Bedside-Sleepers-Crib-Mattresses-and-Bumper-Ban-Sold-Exclusively-at-Am?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250131 Multi-Purpose Children’s Helmets: https://www.cpsc.gov/Recalls/2025/Multi-Purpose-Childrens-Helmets-Recalled-Due-to-Risk-of-Head-Injury-Violation-of-Federal-Regulations-for-Bicycle-Helmets-Sold-Exclusively-on-Amazon-com-Imported-by-Wemfg?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250110 Fisher-Price Dumbbell Toy in Baby Biceps Gift Sets: https://www.cpsc.gov/Recalls/2024/Fisher-Price-Recalls-Dumbbell-Toy-in-Baby-Biceps-Gift-Sets-Due-to-Choking-Hazard?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250110 Reminders: Emergency Drills: Please set a reminder on your calendar to conduct a shelter in place or lockdown drill on or before March 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, my contact information is below. Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@dhhs.nc.gov 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 .2805 · Violation

Name of Operation: LITTLE GEMS DAYCARE CENTER Facility ID: 16000176 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 7 Completed Date: 2/27/2025 Age: From 1 To 4 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:45 AM 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 1-Star license issued August 5, 2020. Due to travel time, I arrived at your facility at 9:45am. The last annual compliance was conducted on March 5, 2024. The sanitation inspection was completed February 24, 2056, with a “Superior” classification. The last fire inspection was conducted on July 8, 2024. Your facility was approved for 1st shift care and a maximum of thirty-five (35) children and six (6) staff members. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percent as of February 27, 2025. The NC Secretary of State website was reviewed on February 27, 2025, and Little GEMS Daycare Center, Inc. was listed as current-active. Fourteen (14) children, between the ages of one (1) and four (4) years old are enrolled and seven (7) were present today. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. 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. Toddlers assigned to indoor space #1 were seated at a table with a staff member coloring with crayons. Older preschool children assigned to indoor space #2b were transitioning to the outdoor space. While in the outdoor space, children were observed running, playing basketball, riding cars, and reading books. Water was available for the children while they played in the outdoor space. Outdoor space one (1) had a variety of gross motor equipment including, two (2) small climbers with slides, two (2) small push car ramps, a log cabin playhouse, riding cars, a covered dramatic play area, a small basketball goal, and picnic tables. wooden sandbox. Outdoor space two (2) had a playhouse, push cars, picnic tables, a small climber with a slide, tables, and chairs. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three (3) out of three (3) employee’s personnel files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 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. Violation number 1232 was corrected during the visit; therefore, a compliance letter is not required. Technical Assistance: Staff Annual Evaluations/Staff Development Plans: Child Care Rule 10A NCAC 09 .2805(f) requires that each employee’s personnel file contains an annual staff evaluation and staff development plan. I encourage you to streamline this process by selecting certain months to conduct evaluations and update staff development plans. This will result in easy tracking and ensure that all evaluations and development plans are completed within the yearly timeframe. Background Checks: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Today, I verified that you have completed the required training to access the ABCMS portal. 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 login 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. Recalls: Cozchique Tebbis, and Beeziac Girls Pajamas: https://www.cpsc.gov/Recalls/2025/Cozchique-Tebbis-and-Beeziac-Girls-Pajamas-Recalled-Due-to-Burn-Hazard-Violation-of-Federal-Flammability-Regulation-Sold-Exclusively-on-Amazon-by-Tupop?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250131 Pearhead, Infant Learning Toy Sets: https://www.cpsc.gov/Recalls/2025/Pearhead-Recalls-Infant-Learning-Toy-Sets-Due-to-Choking-Hazard-Violation-of-Federal-Regulations-for-Rattles?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250131 Hermixa 6-in-1 Convertible Crib: https://www.cpsc.gov/Warnings/2025/CPSC-Warns-Consumers-to-Immediately-Stop-Using-Hermixa-6-in-1-Convertible-Crib-Due-to-Suffocation-Risk-and-Fall-Hazards-Violations-of-Regulations-for-Non-Full-Size-Cribs-Bedside-Sleepers-Crib-Mattresses-and-Bumper-Ban-Sold-Exclusively-at-Am?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250131 Multi-Purpose Children’s Helmets: https://www.cpsc.gov/Recalls/2025/Multi-Purpose-Childrens-Helmets-Recalled-Due-to-Risk-of-Head-Injury-Violation-of-Federal-Regulations-for-Bicycle-Helmets-Sold-Exclusively-on-Amazon-com-Imported-by-Wemfg?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250110 Fisher-Price Dumbbell Toy in Baby Biceps Gift Sets: https://www.cpsc.gov/Recalls/2024/Fisher-Price-Recalls-Dumbbell-Toy-in-Baby-Biceps-Gift-Sets-Due-to-Choking-Hazard?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250110 Reminders: Emergency Drills: Please set a reminder on your calendar to conduct a shelter in place or lockdown drill on or before March 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, my contact information is below. Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@dhhs.nc.gov 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: LITTLE GEMS DAYCARE CENTER Facility ID: 16000176 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 2/27/2025 Number Present: 7 Completed Date: 2/27/2025 Age: From 1 To 4 Total Minutes: 120 Time In: 09:45 AM Time Out: 11:45 AM 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 1-Star license issued August 5, 2020. Due to travel time, I arrived at your facility at 9:45am. The last annual compliance was conducted on March 5, 2024. The sanitation inspection was completed February 24, 2056, with a “Superior” classification. The last fire inspection was conducted on July 8, 2024. Your facility was approved for 1st shift care and a maximum of thirty-five (35) children and six (6) staff members. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99%) percent as of February 27, 2025. The NC Secretary of State website was reviewed on February 27, 2025, and Little GEMS Daycare Center, Inc. was listed as current-active. Fourteen (14) children, between the ages of one (1) and four (4) years old are enrolled and seven (7) were present today. There are three (3) approved indoor spaces and two (2) approved outdoor spaces. 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. Toddlers assigned to indoor space #1 were seated at a table with a staff member coloring with crayons. Older preschool children assigned to indoor space #2b were transitioning to the outdoor space. While in the outdoor space, children were observed running, playing basketball, riding cars, and reading books. Water was available for the children while they played in the outdoor space. Outdoor space one (1) had a variety of gross motor equipment including, two (2) small climbers with slides, two (2) small push car ramps, a log cabin playhouse, riding cars, a covered dramatic play area, a small basketball goal, and picnic tables. wooden sandbox. Outdoor space two (2) had a playhouse, push cars, picnic tables, a small climber with a slide, tables, and chairs. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three (3) out of three (3) employee’s personnel files did not contain an annual staff evaluation. 10A NCAC 09 .0514(f) 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. Violation number 1232 was corrected during the visit; therefore, a compliance letter is not required. Technical Assistance: Staff Annual Evaluations/Staff Development Plans: Child Care Rule 10A NCAC 09 .2805(f) requires that each employee’s personnel file contains an annual staff evaluation and staff development plan. I encourage you to streamline this process by selecting certain months to conduct evaluations and update staff development plans. This will result in easy tracking and ensure that all evaluations and development plans are completed within the yearly timeframe. Background Checks: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Today, I verified that you have completed the required training to access the ABCMS portal. 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 login 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. Recalls: Cozchique Tebbis, and Beeziac Girls Pajamas: https://www.cpsc.gov/Recalls/2025/Cozchique-Tebbis-and-Beeziac-Girls-Pajamas-Recalled-Due-to-Burn-Hazard-Violation-of-Federal-Flammability-Regulation-Sold-Exclusively-on-Amazon-by-Tupop?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250131 Pearhead, Infant Learning Toy Sets: https://www.cpsc.gov/Recalls/2025/Pearhead-Recalls-Infant-Learning-Toy-Sets-Due-to-Choking-Hazard-Violation-of-Federal-Regulations-for-Rattles?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250131 Hermixa 6-in-1 Convertible Crib: https://www.cpsc.gov/Warnings/2025/CPSC-Warns-Consumers-to-Immediately-Stop-Using-Hermixa-6-in-1-Convertible-Crib-Due-to-Suffocation-Risk-and-Fall-Hazards-Violations-of-Regulations-for-Non-Full-Size-Cribs-Bedside-Sleepers-Crib-Mattresses-and-Bumper-Ban-Sold-Exclusively-at-Am?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250131 Multi-Purpose Children’s Helmets: https://www.cpsc.gov/Recalls/2025/Multi-Purpose-Childrens-Helmets-Recalled-Due-to-Risk-of-Head-Injury-Violation-of-Federal-Regulations-for-Bicycle-Helmets-Sold-Exclusively-on-Amazon-com-Imported-by-Wemfg?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250110 Fisher-Price Dumbbell Toy in Baby Biceps Gift Sets: https://www.cpsc.gov/Recalls/2024/Fisher-Price-Recalls-Dumbbell-Toy-in-Baby-Biceps-Gift-Sets-Due-to-Choking-Hazard?utm_campaign=&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term=20250110 Reminders: Emergency Drills: Please set a reminder on your calendar to conduct a shelter in place or lockdown drill on or before March 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, my contact information is below. Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@dhhs.nc.gov 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: LITTLE GEMS DAYCARE CENTER Facility ID: 16000176 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 3/5/2024 Number Present: 11 Completed Date: 3/5/2024 Age: From 0 To 4 Total Minutes: 156 Time In: 08:24 AM Time Out: 11:00 AM 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 1-Star license issued august 5, 2020. The last annual compliance was conducted on March 16, 2023. The sanitation inspection was completed January 22, 2024, with a “Superior” classification. The last fire inspection was conducted on July 17, 2023. Your facility was approved for 1st shift care and a maximum of thirty-five (35) children and six (6) staff members. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred (100) percent. The NC Secretary of State website was reviewed on March 5, 2024, and Little Gems Daycare Center, Inc. was listed as current-active. Eighteen (18) children, between the ages of zero (0) and four (4) years old are enrolled and eleven (11) were present today. There are five (5) approved indoor spaces and two (2) approved outdoor spaces. 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 care based on their individual needs. Diaper changing and handwashing routines were monitored, and requirements were met. An infant was placed in a bouncy activity center which had a variety of infant sensory toys on it. A staff member was seated on the carpet and read a book to the toddler. Younger preschoolers assigned to indoor space #2a were observed in group time. A staff member and the children took turns naming colors on a color chart. After group time the children transitioned to toileting routines. Older preschool children assigned to indoor space #2b were observed transitioning from toileting routines to group time. During the group time activity, a staff member assisted each child with putting on their individual Cat in The Hat mask and then she read the book, “Green Eggs and Ham”. Toileting and handwashing procedures were monitored and found to be in compliance. All staff members were actively engaged with the children. Outdoor space one (1) had a variety of gross motor equipment including, two (2) small climbers with slides, two (2) small push car ramps, a log cabin playhouse, riding cars, a covered dramatic play area, a small basketball goal, and picnic tables. wooden sandbox. Outdoor space two (2) had a playhouse, push cars, picnic tables, a small climber with a slide, tables, and chairs. Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One (1) out of three (3) infant bottles was not labeled with the current date. The infant bottle was dated March 4, 2024. 15A NCAC 18A .2804(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. During the facility observations and review of documentation, violation number 0533 was sited and corrected during the visit; therefore, a compliance letter was not required. Remember it is your responsibility to ensure you comply with all applicable requirements at all times. If you have questions or need assistance, please contact me. My contact information is as follows: Andrea Johnson andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 Technical Assistance: Provider Access to the Background Check Management System: This access will allow providers to: • See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster • See the real-time background check status of staff members • Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position, and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. Updated COVID and Flu Vaccines: As seasonal respiratory illnesses surge, NCDHHS is urging people to get tested and seek treatment early to prevent severe illness. The latest data show high numbers of people being seen in hospital emergency departments with respiratory illness symptoms across North Carolina. People with mild symptoms should seek testing and treatment from their regular health care provider, urgent care, or a telehealth provider, rather than going to the emergency department during this spike in COVID-19, flu, RSV, and other respiratory illnesses. In addition to testing and treatment, flu and COVID-19 vaccinations are readily available at pharmacies, private medical offices and some federally qualified health care centers and local health departments. Go to vaccines.gov today to find a vaccine location near you. If you have any questions, check the short Frequently Asked Questions on our website for answers or email DCDEE_LF@dhhs.nc.gov Reminders: Upcoming Facility Requirements: Emergency Medical Care Plan: Your facility’s EMC Plan must be updated on or before June 16, 2024. Shelter-In-Place or Lockdown Drill: A shelter-in-place or lockdown drill must be conducted on or before March 31, 2024. Emergency Preparedness and Response Plan: Your facility’s EPR Plan must be updated on or before March 16, 2024. I suggest you set reminders on your calendar to ensure these requirements are completed. 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 you signed the visit summary. 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 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.