10A NCAC 09 .0601 · Violation

Name of Operation: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 32 Completed Date: 4/9/2025 Age: From 0 To 4 Total Minutes: 208 Time In: 09:32 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced An announced rated license assessment visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, childcare consultant with Jenna Walker, Director. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 4/8/25 and Gramsy’s Place, LLC was listed as current and active. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play outside gross motor play and listening to a story read at group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. Foundations were embedded in the lesson plans. The last annual compliance visit was conducted on 1/7/25. A sanitation inspection was completed on 3/18/25 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 8/15/24 by M. Brown and a copy was received on the 1/7/25 annual compliance visit. Required postings were monitored. A fire drill was conducted on 4/3/25 with two (2) minutes and forty-two (42) seconds by J. Walker. A shelter in place drill was documented on 3/25/25 with two (2) minutes thirty-six (36) seconds by J. Walker. An outdoor inspection was documented on 4/1/25 at 9:35 am by J. Walker. Staff files and children’s records were not monitored today since they were monitored on the last annual compliance visit on 1/7/25. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A bolt was missing in the upper inside corner of the the yellow playhouse outside on the large preschool playground. 10A NCAC 09 .0601(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 violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, April 23, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • There is a bolt missing in the upper inside corner of the yellow playhouse located on the large preschool playground. This bolt connects the frame of the house to the roof posing a possible safety hazard for the children. See childcare rule 10A NCAC 09 .0601(a). Rated License Information: Your three-year re-assessment was due by 4/17/23 but assessments were not conducted due to COVID-19. You are still in Hold & Harmless. You submitted your application for re-assessment 2/27/25 and you will be assessed using the new ITERS-3 and ECERS-3 assessments. You stated you have been through the mock assessments for the new Threes with Stacy Daniels from the Wilkes County Partnership. You will be eligible for a new Star Rated License based on the following: • Education: Points are earned based on the lowest level of education for any one position. The Administrator has Level II Administrator Equivalency, NC Early Childhood Credential, is Lead teacher qualified, has BSAC, and has fourteen (14) years’ experience, earning five (5) points. • The facility has four (4) required lead teachers. Each of them has NCECC and fifty (50) percent of them have completed at least nine (9) semester hours in EC/CD. They are not enrolled in three (3) semester hours of Early Childhood, but fifty (50) percent may have ECE Scale Level IV plus one (1) year experience. They have at least four (4) years of experience in childcare, earning four (4) or five (5) points. • Three (3) teachers are required, fifty (50) percent of them have NCECC (in May when J.L. finishes) and one (1) years’ experience earning them four (4) points. • Program Standards: The program meets enhanced space, and enhanced Staff/Child ratios. The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on 2/27/25. The ERS was requested on 3/12/25. ITERS-3, ECERS-3, are requested to be administered in the last two (2) weeks of May 2025. The assessment report will be reviewed during an ERS visit to be announced. • Quality Point: You have chosen to change your Quality Point from All fulltime lead teachers and teachers have completed 20 in service training hours in addition to required annual hours. Part-time workers have completed additional hours based on pro-rated annual hours, to: The Administrator has completed the 30-hour Childcare Business Basics course. I verified J. Walker’s certificate of completion today; therefore, your program will earn 1 Quality Point. Final points in Program will be determined after the assessments have been completed for the new Star Rated License. A scheduled ERS visit will be conducted after scores are received to go over your scores. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me, as it remains the property of the State of North Carolina. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Today we discussed that Ms. Walker wants to change her Quality Point from: staff receive an additional 20 hours annually in addition to the required training hours in service, to the Administrator completing the 30-hour Childcare Business Basics course. I received the certificate from Ms. Walker today for the completion of the Childcare Business Basics course from Superlative Academy. Ms. Walker took this course online beginning 2/20/25 through completion on 3/13/25. Today we also discussed that Ms. Walker requests to have school age care taken off her permit effective today 4/9/25. I received a letter requesting this change be made on the visit today. Due to this change the Program Coordinator and Group Leader will not be evaluated for education points. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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 .0601 · Violation

Name of Operation: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 32 Completed Date: 4/9/2025 Age: From 0 To 4 Total Minutes: 208 Time In: 09:32 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced An announced rated license assessment visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, childcare consultant with Jenna Walker, Director. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 4/8/25 and Gramsy’s Place, LLC was listed as current and active. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play outside gross motor play and listening to a story read at group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. Foundations were embedded in the lesson plans. The last annual compliance visit was conducted on 1/7/25. A sanitation inspection was completed on 3/18/25 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 8/15/24 by M. Brown and a copy was received on the 1/7/25 annual compliance visit. Required postings were monitored. A fire drill was conducted on 4/3/25 with two (2) minutes and forty-two (42) seconds by J. Walker. A shelter in place drill was documented on 3/25/25 with two (2) minutes thirty-six (36) seconds by J. Walker. An outdoor inspection was documented on 4/1/25 at 9:35 am by J. Walker. Staff files and children’s records were not monitored today since they were monitored on the last annual compliance visit on 1/7/25. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A bolt was missing in the upper inside corner of the the yellow playhouse outside on the large preschool playground. 10A NCAC 09 .0601(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 violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, April 23, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • There is a bolt missing in the upper inside corner of the yellow playhouse located on the large preschool playground. This bolt connects the frame of the house to the roof posing a possible safety hazard for the children. See childcare rule 10A NCAC 09 .0601(a). Rated License Information: Your three-year re-assessment was due by 4/17/23 but assessments were not conducted due to COVID-19. You are still in Hold & Harmless. You submitted your application for re-assessment 2/27/25 and you will be assessed using the new ITERS-3 and ECERS-3 assessments. You stated you have been through the mock assessments for the new Threes with Stacy Daniels from the Wilkes County Partnership. You will be eligible for a new Star Rated License based on the following: • Education: Points are earned based on the lowest level of education for any one position. The Administrator has Level II Administrator Equivalency, NC Early Childhood Credential, is Lead teacher qualified, has BSAC, and has fourteen (14) years’ experience, earning five (5) points. • The facility has four (4) required lead teachers. Each of them has NCECC and fifty (50) percent of them have completed at least nine (9) semester hours in EC/CD. They are not enrolled in three (3) semester hours of Early Childhood, but fifty (50) percent may have ECE Scale Level IV plus one (1) year experience. They have at least four (4) years of experience in childcare, earning four (4) or five (5) points. • Three (3) teachers are required, fifty (50) percent of them have NCECC (in May when J.L. finishes) and one (1) years’ experience earning them four (4) points. • Program Standards: The program meets enhanced space, and enhanced Staff/Child ratios. The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on 2/27/25. The ERS was requested on 3/12/25. ITERS-3, ECERS-3, are requested to be administered in the last two (2) weeks of May 2025. The assessment report will be reviewed during an ERS visit to be announced. • Quality Point: You have chosen to change your Quality Point from All fulltime lead teachers and teachers have completed 20 in service training hours in addition to required annual hours. Part-time workers have completed additional hours based on pro-rated annual hours, to: The Administrator has completed the 30-hour Childcare Business Basics course. I verified J. Walker’s certificate of completion today; therefore, your program will earn 1 Quality Point. Final points in Program will be determined after the assessments have been completed for the new Star Rated License. A scheduled ERS visit will be conducted after scores are received to go over your scores. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me, as it remains the property of the State of North Carolina. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Today we discussed that Ms. Walker wants to change her Quality Point from: staff receive an additional 20 hours annually in addition to the required training hours in service, to the Administrator completing the 30-hour Childcare Business Basics course. I received the certificate from Ms. Walker today for the completion of the Childcare Business Basics course from Superlative Academy. Ms. Walker took this course online beginning 2/20/25 through completion on 3/13/25. Today we also discussed that Ms. Walker requests to have school age care taken off her permit effective today 4/9/25. I received a letter requesting this change be made on the visit today. Due to this change the Program Coordinator and Group Leader will not be evaluated for education points. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 32 Completed Date: 4/9/2025 Age: From 0 To 4 Total Minutes: 208 Time In: 09:32 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced An announced rated license assessment visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, childcare consultant with Jenna Walker, Director. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 4/8/25 and Gramsy’s Place, LLC was listed as current and active. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed staff/child interactions today. I observed children having free choice center play outside gross motor play and listening to a story read at group time. I observed materials and activities that were available to the children in the classrooms. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. Your facility uses Creative Curriculum. Foundations were embedded in the lesson plans. The last annual compliance visit was conducted on 1/7/25. A sanitation inspection was completed on 3/18/25 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 8/15/24 by M. Brown and a copy was received on the 1/7/25 annual compliance visit. Required postings were monitored. A fire drill was conducted on 4/3/25 with two (2) minutes and forty-two (42) seconds by J. Walker. A shelter in place drill was documented on 3/25/25 with two (2) minutes thirty-six (36) seconds by J. Walker. An outdoor inspection was documented on 4/1/25 at 9:35 am by J. Walker. Staff files and children’s records were not monitored today since they were monitored on the last annual compliance visit on 1/7/25. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. No medications were observed nor reported. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A bolt was missing in the upper inside corner of the the yellow playhouse outside on the large preschool playground. 10A NCAC 09 .0601(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 violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, April 23, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action being taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action being taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance discussed during today’s visit: • There is a bolt missing in the upper inside corner of the yellow playhouse located on the large preschool playground. This bolt connects the frame of the house to the roof posing a possible safety hazard for the children. See childcare rule 10A NCAC 09 .0601(a). Rated License Information: Your three-year re-assessment was due by 4/17/23 but assessments were not conducted due to COVID-19. You are still in Hold & Harmless. You submitted your application for re-assessment 2/27/25 and you will be assessed using the new ITERS-3 and ECERS-3 assessments. You stated you have been through the mock assessments for the new Threes with Stacy Daniels from the Wilkes County Partnership. You will be eligible for a new Star Rated License based on the following: • Education: Points are earned based on the lowest level of education for any one position. The Administrator has Level II Administrator Equivalency, NC Early Childhood Credential, is Lead teacher qualified, has BSAC, and has fourteen (14) years’ experience, earning five (5) points. • The facility has four (4) required lead teachers. Each of them has NCECC and fifty (50) percent of them have completed at least nine (9) semester hours in EC/CD. They are not enrolled in three (3) semester hours of Early Childhood, but fifty (50) percent may have ECE Scale Level IV plus one (1) year experience. They have at least four (4) years of experience in childcare, earning four (4) or five (5) points. • Three (3) teachers are required, fifty (50) percent of them have NCECC (in May when J.L. finishes) and one (1) years’ experience earning them four (4) points. • Program Standards: The program meets enhanced space, and enhanced Staff/Child ratios. The facility completed the request for the Environment Rating Scales and submitted it with the reassessment packet on 2/27/25. The ERS was requested on 3/12/25. ITERS-3, ECERS-3, are requested to be administered in the last two (2) weeks of May 2025. The assessment report will be reviewed during an ERS visit to be announced. • Quality Point: You have chosen to change your Quality Point from All fulltime lead teachers and teachers have completed 20 in service training hours in addition to required annual hours. Part-time workers have completed additional hours based on pro-rated annual hours, to: The Administrator has completed the 30-hour Childcare Business Basics course. I verified J. Walker’s certificate of completion today; therefore, your program will earn 1 Quality Point. Final points in Program will be determined after the assessments have been completed for the new Star Rated License. A scheduled ERS visit will be conducted after scores are received to go over your scores. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me, as it remains the property of the State of North Carolina. Additional Information/Consultation: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • Today we discussed that Ms. Walker wants to change her Quality Point from: staff receive an additional 20 hours annually in addition to the required training hours in service, to the Administrator completing the 30-hour Childcare Business Basics course. I received the certificate from Ms. Walker today for the completion of the Childcare Business Basics course from Superlative Academy. Ms. Walker took this course online beginning 2/20/25 through completion on 3/13/25. Today we also discussed that Ms. Walker requests to have school age care taken off her permit effective today 4/9/25. I received a letter requesting this change be made on the visit today. Due to this change the Program Coordinator and Group Leader will not be evaluated for education points. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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 .0604 · Violation

Name of Operation: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 38 Completed Date: 7/17/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 10:00 AM Time Out: 12:25 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 childcare requirements for a routine unannounced visit, Jenna Walker, director, assisted me with the visit. Your program currently operates with a THREE (3) Star license effective 4/17/20. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, and outside time. Four (4) new staff and one volunteer were reported at this program. One (1) medication was observed and reported. There was one (1) inhaler in Space 2. Storage hazardous items was monitored today. A playground inspection was recorded 7/1/24. A fire drill was recorded 6/25/24. A lockdown drill for the facility was last recorded 6/28/24. The most recent fire inspection was on 8/15/23. I observed a sanitation inspection was last conducted on 1/30/24 earning a Superior classification with twelve (12) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 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. I observed an outlet uncovered on the porch ramp to the playground where children go up and down the ramp to the playground.This was corrected during the visit today. 10A NCAC 09 .0604(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. I observed the depth of mulch was less than six (6) inches under the slide on the large playground. Mulch was ordered two (2) weeks ago per the director. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, July 31, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: * Outlet covers should be in place in all areas where children are in care and are walking past going to and from the playground. Refer to child care rule 10A NCAC 09 .0604(c). * Mulch is needed under the movable slide since it is over eighteen (18) inches in height. Refer to child care rule 10A NCAC 09 .0605(k)(1-4). Consultation: · Go to the EPR portal, check your plan for any updates, print 1st page of the EPR plan and review the updated plan with staff. · You are in Cohort 2 and your prep year started July 1, 2024. Jenna had a question about the stabilization grant, and I suggested she go on the website and contact the phone number to stabilization grant. Jenna stated that they are rezoning her area around her center to place a homeless shelter on the road of her center. We suggested that she seek legal council. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 38 Completed Date: 7/17/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 10:00 AM Time Out: 12:25 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 childcare requirements for a routine unannounced visit, Jenna Walker, director, assisted me with the visit. Your program currently operates with a THREE (3) Star license effective 4/17/20. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, and outside time. Four (4) new staff and one volunteer were reported at this program. One (1) medication was observed and reported. There was one (1) inhaler in Space 2. Storage hazardous items was monitored today. A playground inspection was recorded 7/1/24. A fire drill was recorded 6/25/24. A lockdown drill for the facility was last recorded 6/28/24. The most recent fire inspection was on 8/15/23. I observed a sanitation inspection was last conducted on 1/30/24 earning a Superior classification with twelve (12) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 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. I observed an outlet uncovered on the porch ramp to the playground where children go up and down the ramp to the playground.This was corrected during the visit today. 10A NCAC 09 .0604(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. I observed the depth of mulch was less than six (6) inches under the slide on the large playground. Mulch was ordered two (2) weeks ago per the director. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, July 31, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: * Outlet covers should be in place in all areas where children are in care and are walking past going to and from the playground. Refer to child care rule 10A NCAC 09 .0604(c). * Mulch is needed under the movable slide since it is over eighteen (18) inches in height. Refer to child care rule 10A NCAC 09 .0605(k)(1-4). Consultation: · Go to the EPR portal, check your plan for any updates, print 1st page of the EPR plan and review the updated plan with staff. · You are in Cohort 2 and your prep year started July 1, 2024. Jenna had a question about the stabilization grant, and I suggested she go on the website and contact the phone number to stabilization grant. Jenna stated that they are rezoning her area around her center to place a homeless shelter on the road of her center. We suggested that she seek legal council. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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 .0605 · Violation

Name of Operation: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 38 Completed Date: 7/17/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 10:00 AM Time Out: 12:25 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 childcare requirements for a routine unannounced visit, Jenna Walker, director, assisted me with the visit. Your program currently operates with a THREE (3) Star license effective 4/17/20. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, and outside time. Four (4) new staff and one volunteer were reported at this program. One (1) medication was observed and reported. There was one (1) inhaler in Space 2. Storage hazardous items was monitored today. A playground inspection was recorded 7/1/24. A fire drill was recorded 6/25/24. A lockdown drill for the facility was last recorded 6/28/24. The most recent fire inspection was on 8/15/23. I observed a sanitation inspection was last conducted on 1/30/24 earning a Superior classification with twelve (12) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 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. I observed an outlet uncovered on the porch ramp to the playground where children go up and down the ramp to the playground.This was corrected during the visit today. 10A NCAC 09 .0604(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. I observed the depth of mulch was less than six (6) inches under the slide on the large playground. Mulch was ordered two (2) weeks ago per the director. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, July 31, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: * Outlet covers should be in place in all areas where children are in care and are walking past going to and from the playground. Refer to child care rule 10A NCAC 09 .0604(c). * Mulch is needed under the movable slide since it is over eighteen (18) inches in height. Refer to child care rule 10A NCAC 09 .0605(k)(1-4). Consultation: · Go to the EPR portal, check your plan for any updates, print 1st page of the EPR plan and review the updated plan with staff. · You are in Cohort 2 and your prep year started July 1, 2024. Jenna had a question about the stabilization grant, and I suggested she go on the website and contact the phone number to stabilization grant. Jenna stated that they are rezoning her area around her center to place a homeless shelter on the road of her center. We suggested that she seek legal council. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/17/2024 Number Present: 38 Completed Date: 7/17/2024 Age: From 0 To 4 Total Minutes: 145 Time In: 10:00 AM Time Out: 12:25 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 childcare requirements for a routine unannounced visit, Jenna Walker, director, assisted me with the visit. Your program currently operates with a THREE (3) Star license effective 4/17/20. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The program’s compliance history was 93% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time, circle time, and outside time. Four (4) new staff and one volunteer were reported at this program. One (1) medication was observed and reported. There was one (1) inhaler in Space 2. Storage hazardous items was monitored today. A playground inspection was recorded 7/1/24. A fire drill was recorded 6/25/24. A lockdown drill for the facility was last recorded 6/28/24. The most recent fire inspection was on 8/15/23. I observed a sanitation inspection was last conducted on 1/30/24 earning a Superior classification with twelve (12) demerits. You stated that you do not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 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. I observed an outlet uncovered on the porch ramp to the playground where children go up and down the ramp to the playground.This was corrected during the visit today. 10A NCAC 09 .0604(c) 1867 The depth of the loose surfacing was not based on critical height of the equipment. I observed the depth of mulch was less than six (6) inches under the slide on the large playground. Mulch was ordered two (2) weeks ago per the director. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Wednesday, July 31, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: * Outlet covers should be in place in all areas where children are in care and are walking past going to and from the playground. Refer to child care rule 10A NCAC 09 .0604(c). * Mulch is needed under the movable slide since it is over eighteen (18) inches in height. Refer to child care rule 10A NCAC 09 .0605(k)(1-4). Consultation: · Go to the EPR portal, check your plan for any updates, print 1st page of the EPR plan and review the updated plan with staff. · You are in Cohort 2 and your prep year started July 1, 2024. Jenna had a question about the stabilization grant, and I suggested she go on the website and contact the phone number to stabilization grant. Jenna stated that they are rezoning her area around her center to place a homeless shelter on the road of her center. We suggested that she seek legal council. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 33 Completed Date: 1/23/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:10 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Jenna Walker, Director. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 1/22/24 and Gramsy’s Place, LLC was listed as current and active. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the inside, in Space 1B, the books for the two (2) year old children are worn and torn. I recommend replacing the books on the shelf and repurposing the worn books by laminating and putting pages on a "O" clasp to use when going to the outdoor environment. On the outside areas, there are two (2) holes in the underpinning of the wall to building 2 on the right side of the steps that lead into building 2. There is an exposed sharp staple where the corner of the lattice work comes together on the right side of the front ramp at Buliding 1. There is exposed ground cover material showing through the rubber mulch on the two (2) year old playground, causing a tripping hazard to children and adults. There is only two (2) inches of ground surfacing underneath a 2.5 ft. tall movable slide structure for three (3) to four (4) year old children. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time and having lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. You reported your Three (3) Star facility uses Creative Curriculum. The last annual compliance visit was conducted on 2/23/23. A sanitation inspection was completed 10/24/23 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 8/15/23 and a copy was scanned to me on 8/15/23. Program records and required postings were monitored. A fire drill was conducted on 12/12/23 at 10 am with two (2) minutes and thirty-nine (39) seconds to evacuate by Robin Southern. A lockdown drill was documented on 12/13/23 at 10:15 am with thirty (30) seconds to lockdown by R. Souther. An outdoor inspection was documented on 1/20/23 with no issues noted on the playground inspection checklist by J. Walker. I recommend that you note on the playground inspection checklist where any issues occur and on which of the three (3) playgrounds. Staff files and children’s records were monitored per DCDEE procedures. Two staff files and one new staff file were monitored today. Four (4) children's files were monitored today. No violations were cited on either staff or children's files today. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. There were no medications or allergies reported to monitor today. There were two (2) milk sensitivities in Space 2B. Parents provide milk for these two (2) children with milk sensitivities. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The books on the shelf in the two (2) year old classroom are worn and torn. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for the 3 and 4 year old children there are two (2) holes in the underpinning wall of the building which could allow vermin to come onto the playground. The lattice work at the bottom of the right front ramp area has come unattached at the corner exposing a sharp staple where it was once attatched. On the playground for the two (2) year old children, the ground cover is exposed through the rubber mulch causing a tripping hazard for children and adults. 10A NCAC 09 .0601(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is only two (2) inches of mulch goround cover for the fall zone underneath a moveable 2.5 ft. high plastic slide structure. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, February 6, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Mulch must be at least six (6) inches in a fall zone around the lower plastic playground structures. See child care Rule 10 A NCAC 09 .0605(k), (l), (m). • Holes in walls of building 2 going out to the playground. See Sanitation Rule 15A NCAC 18A .2825(a) • Exposed ground cover causing a tripping hazard for children and/or staff on the two (2) year old children’s playground. See child care rule 10 A NCAC 09.0807. • Books in the two (2) year old room worn and torn. Refer to GS-110-91(6) and 10A NCAC .0601(b). Equipment and furnishings must be in goof repair. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 2 for license reassessment which means your prep year will be 7/1/24- 6/30/25 and your license reassessment year will be 7/1/25-6/30/26. • On 6/28/23 I sent you information on the Cohorts with tasks and activities for you to complete as you prepare for your license reassessment. • I will be in contact with you as it gets closer to your prep year to send more helpful information and website links for resources as you prepare. • We discussed your quality point and that you can change it at your next license reassessment. You have an additional twenty (20) hours required for staff. Ms. Walker will review her Quality point options and choose from them. At the completion of the visit, this visit summary was reviewed with you. The visit summary will be scanned to you due to issues with our Regulatory system today. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 33 Completed Date: 1/23/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:10 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Jenna Walker, Director. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 1/22/24 and Gramsy’s Place, LLC was listed as current and active. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the inside, in Space 1B, the books for the two (2) year old children are worn and torn. I recommend replacing the books on the shelf and repurposing the worn books by laminating and putting pages on a "O" clasp to use when going to the outdoor environment. On the outside areas, there are two (2) holes in the underpinning of the wall to building 2 on the right side of the steps that lead into building 2. There is an exposed sharp staple where the corner of the lattice work comes together on the right side of the front ramp at Buliding 1. There is exposed ground cover material showing through the rubber mulch on the two (2) year old playground, causing a tripping hazard to children and adults. There is only two (2) inches of ground surfacing underneath a 2.5 ft. tall movable slide structure for three (3) to four (4) year old children. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time and having lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. You reported your Three (3) Star facility uses Creative Curriculum. The last annual compliance visit was conducted on 2/23/23. A sanitation inspection was completed 10/24/23 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 8/15/23 and a copy was scanned to me on 8/15/23. Program records and required postings were monitored. A fire drill was conducted on 12/12/23 at 10 am with two (2) minutes and thirty-nine (39) seconds to evacuate by Robin Southern. A lockdown drill was documented on 12/13/23 at 10:15 am with thirty (30) seconds to lockdown by R. Souther. An outdoor inspection was documented on 1/20/23 with no issues noted on the playground inspection checklist by J. Walker. I recommend that you note on the playground inspection checklist where any issues occur and on which of the three (3) playgrounds. Staff files and children’s records were monitored per DCDEE procedures. Two staff files and one new staff file were monitored today. Four (4) children's files were monitored today. No violations were cited on either staff or children's files today. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. There were no medications or allergies reported to monitor today. There were two (2) milk sensitivities in Space 2B. Parents provide milk for these two (2) children with milk sensitivities. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The books on the shelf in the two (2) year old classroom are worn and torn. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for the 3 and 4 year old children there are two (2) holes in the underpinning wall of the building which could allow vermin to come onto the playground. The lattice work at the bottom of the right front ramp area has come unattached at the corner exposing a sharp staple where it was once attatched. On the playground for the two (2) year old children, the ground cover is exposed through the rubber mulch causing a tripping hazard for children and adults. 10A NCAC 09 .0601(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is only two (2) inches of mulch goround cover for the fall zone underneath a moveable 2.5 ft. high plastic slide structure. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, February 6, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Mulch must be at least six (6) inches in a fall zone around the lower plastic playground structures. See child care Rule 10 A NCAC 09 .0605(k), (l), (m). • Holes in walls of building 2 going out to the playground. See Sanitation Rule 15A NCAC 18A .2825(a) • Exposed ground cover causing a tripping hazard for children and/or staff on the two (2) year old children’s playground. See child care rule 10 A NCAC 09.0807. • Books in the two (2) year old room worn and torn. Refer to GS-110-91(6) and 10A NCAC .0601(b). Equipment and furnishings must be in goof repair. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 2 for license reassessment which means your prep year will be 7/1/24- 6/30/25 and your license reassessment year will be 7/1/25-6/30/26. • On 6/28/23 I sent you information on the Cohorts with tasks and activities for you to complete as you prepare for your license reassessment. • I will be in contact with you as it gets closer to your prep year to send more helpful information and website links for resources as you prepare. • We discussed your quality point and that you can change it at your next license reassessment. You have an additional twenty (20) hours required for staff. Ms. Walker will review her Quality point options and choose from them. At the completion of the visit, this visit summary was reviewed with you. The visit summary will be scanned to you due to issues with our Regulatory system today. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 1/23/2024 Number Present: 33 Completed Date: 1/23/2024 Age: From 0 To 4 Total Minutes: 255 Time In: 09:10 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this childcare center to monitor compliance with applicable childcare requirements. This visit was conducted by Karen Young, Childcare Consultant, with Jenna Walker, Director. Your program currently operates with a THREE (3) Star license. Restrictions include 1st shift daytime care; meets enhanced ratios; meets enhanced space; No cooking allowed; Bldg. 1: capacity 37; Bldg. 2: capacity 37. The license was observed, and the restrictions were found in compliance. The NC Secretary of State website was reviewed on 1/22/24 and Gramsy’s Place, LLC was listed as current and active. The program’s compliance history was 94% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. On the inside, in Space 1B, the books for the two (2) year old children are worn and torn. I recommend replacing the books on the shelf and repurposing the worn books by laminating and putting pages on a "O" clasp to use when going to the outdoor environment. On the outside areas, there are two (2) holes in the underpinning of the wall to building 2 on the right side of the steps that lead into building 2. There is an exposed sharp staple where the corner of the lattice work comes together on the right side of the front ramp at Buliding 1. There is exposed ground cover material showing through the rubber mulch on the two (2) year old playground, causing a tripping hazard to children and adults. There is only two (2) inches of ground surfacing underneath a 2.5 ft. tall movable slide structure for three (3) to four (4) year old children. Staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children having free choice center time and having lunch. I observed developmentally appropriate materials and activities were available to the children in the classrooms. You reported your Three (3) Star facility uses Creative Curriculum. The last annual compliance visit was conducted on 2/23/23. A sanitation inspection was completed 10/24/23 with a Superior classification and thirteen (13) demerits. The last fire inspection was conducted on 8/15/23 and a copy was scanned to me on 8/15/23. Program records and required postings were monitored. A fire drill was conducted on 12/12/23 at 10 am with two (2) minutes and thirty-nine (39) seconds to evacuate by Robin Southern. A lockdown drill was documented on 12/13/23 at 10:15 am with thirty (30) seconds to lockdown by R. Souther. An outdoor inspection was documented on 1/20/23 with no issues noted on the playground inspection checklist by J. Walker. I recommend that you note on the playground inspection checklist where any issues occur and on which of the three (3) playgrounds. Staff files and children’s records were monitored per DCDEE procedures. Two staff files and one new staff file were monitored today. Four (4) children's files were monitored today. No violations were cited on either staff or children's files today. Nutrition requirements were monitored per DCDEE procedures. Storage of hazardous items was monitored today. There were no medications or allergies reported to monitor today. There were two (2) milk sensitivities in Space 2B. Parents provide milk for these two (2) children with milk sensitivities. The program does not provide transportation. The following violations were cited during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The books on the shelf in the two (2) year old classroom are worn and torn. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor play area for the 3 and 4 year old children there are two (2) holes in the underpinning wall of the building which could allow vermin to come onto the playground. The lattice work at the bottom of the right front ramp area has come unattached at the corner exposing a sharp staple where it was once attatched. On the playground for the two (2) year old children, the ground cover is exposed through the rubber mulch causing a tripping hazard for children and adults. 10A NCAC 09 .0601(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. There is only two (2) inches of mulch goround cover for the fall zone underneath a moveable 2.5 ft. high plastic slide structure. .0605(k)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Tuesday, February 6, 2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • Mulch must be at least six (6) inches in a fall zone around the lower plastic playground structures. See child care Rule 10 A NCAC 09 .0605(k), (l), (m). • Holes in walls of building 2 going out to the playground. See Sanitation Rule 15A NCAC 18A .2825(a) • Exposed ground cover causing a tripping hazard for children and/or staff on the two (2) year old children’s playground. See child care rule 10 A NCAC 09.0807. • Books in the two (2) year old room worn and torn. Refer to GS-110-91(6) and 10A NCAC .0601(b). Equipment and furnishings must be in goof repair. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • You are in Cohort 2 for license reassessment which means your prep year will be 7/1/24- 6/30/25 and your license reassessment year will be 7/1/25-6/30/26. • On 6/28/23 I sent you information on the Cohorts with tasks and activities for you to complete as you prepare for your license reassessment. • I will be in contact with you as it gets closer to your prep year to send more helpful information and website links for resources as you prepare. • We discussed your quality point and that you can change it at your next license reassessment. You have an additional twenty (20) hours required for staff. Ms. Walker will review her Quality point options and choose from them. At the completion of the visit, this visit summary was reviewed with you. The visit summary will be scanned to you due to issues with our Regulatory system today. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 34 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Jenna Walker, Director, assisted me with the visit. Your program currently operates with a Three (3) Star license effective 4/17/20. Restrictions include daytime care only; meets enhanced ratios; meets enhanced space; Bldg. 1 cap 37; Bldg. 2 cap 37. The NC Secretary of State website was reviewed on 7/18/23 and Gramsy’s Place, LLC was listed as current and active. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. The were no violations cited in the indoor area. On the outdoor area,, there was an opening between the fence and the ground on the toddler playground causing a possible entrapment for a child. On the preschool playground, there was a gate at the bottom left corner of the playground that was easily opened with a forceful push. There was also an opening at the top of the gate that was 3 plus inches. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing outside on the playgrounds, coming in from outside, and infants having individual needs met. Four (4) new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 7/13/23. A fire drill was recorded 7/14/23. A lock down drill for the facility was recorded 6/15/23. The most recent fire inspection was on 8/17/22. I observed a sanitation inspection was last conducted on 2/1/23 earning a Superior classification. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor area, the toddler playground had an opening at the bottom, between the fence and the ground, causing a possible entrapment for a child. The preschool playground had an opening at the top of the gate at the bottom left corner of the playground. The gate could also be pushed open even with the latch on. 10A NCAC 09 .0601(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 violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, August 3, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: · You must notify your consultant 30 days prior to changing the ownership status of your facility. · You are in Cohort 2 for license reassessment. This means that 7/1/24-6/30/25 is your prep year. Your reassessment year will be 7/1/25-6/30/26. You received a letter from me on 6/28/23 telling you about the license reassessment process and that you are in Cohort 2. You will receive more information from me as your prep year approaches. · Continue to rake mulch around fall zones. · Add sand or mulch around stepping stones to prevent tripping hazards. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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: GRAMSY'S PLACE Facility ID: 97000298 Consultant: KAREN YOUNG Operation Type: Center Case Number: Visit Date: 7/20/2023 Number Present: 34 Completed Date: 7/20/2023 Age: From 0 To 5 Total Minutes: 150 Time In: 09:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. Jenna Walker, Director, assisted me with the visit. Your program currently operates with a Three (3) Star license effective 4/17/20. Restrictions include daytime care only; meets enhanced ratios; meets enhanced space; Bldg. 1 cap 37; Bldg. 2 cap 37. The NC Secretary of State website was reviewed on 7/18/23 and Gramsy’s Place, LLC was listed as current and active. The program’s compliance history was 92% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Staff / Child Ratio • CPR / First Aid • Special Training • CBC Qualification • ITS – SIDS • Emergency Medical Care Plan • Administration of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • Discipline • Adequate / Approved Space • Program Records • License Posted • Permit Restrictions The license was observed, and the restrictions were found in compliance. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. The were no violations cited in the indoor area. On the outdoor area,, there was an opening between the fence and the ground on the toddler playground causing a possible entrapment for a child. On the preschool playground, there was a gate at the bottom left corner of the playground that was easily opened with a forceful push. There was also an opening at the top of the gate that was 3 plus inches. Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing outside on the playgrounds, coming in from outside, and infants having individual needs met. Four (4) new staff were reported at this program. Files for new staff were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Storage and administration of medication were monitored. Medication authorization was monitored. Storage hazardous items was monitored today. A playground inspection was recorded 7/13/23. A fire drill was recorded 7/14/23. A lock down drill for the facility was recorded 6/15/23. The most recent fire inspection was on 8/17/22. I observed a sanitation inspection was last conducted on 2/1/23 earning a Superior classification. The program does not provide transportation. The following violation was cited during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On the outdoor area, the toddler playground had an opening at the bottom, between the fence and the ground, causing a possible entrapment for a child. The preschool playground had an opening at the top of the gate at the bottom left corner of the playground. The gate could also be pushed open even with the latch on. 10A NCAC 09 .0601(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 violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before Thursday, August 3, 2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. You may email the letter to karen.young@dhhs.nc.gov or mail two copies of the letter to: Karen Young P.O. Box 1012 Lewisville, NC 27023 Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: · You must notify your consultant 30 days prior to changing the ownership status of your facility. · You are in Cohort 2 for license reassessment. This means that 7/1/24-6/30/25 is your prep year. Your reassessment year will be 7/1/25-6/30/26. You received a letter from me on 6/28/23 telling you about the license reassessment process and that you are in Cohort 2. You will receive more information from me as your prep year approaches. · Continue to rake mulch around fall zones. · Add sand or mulch around stepping stones to prevent tripping hazards. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Karen Young, Child Care Consultant (336) 207-2151 karen.young@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov 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/ 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