Betty Smoot's Day Care Home

10A NCAC 09 .3206 · Violation

Name of Operation: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/23/2026 Number Present: 0 Completed Date: 2/23/2026 Age: From 0 To 0 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable Child Care Requirements for an unannounced annual compliance visit with a rated license. The program currently operates with a Four-Star Child-Care License that was issued on November 27th, 2017. You, Ms. B. Smoot, assisted me with the visit. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety seven percent (97%) as of 2/23/26. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed (0) children.in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play and morning circle time. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, annual professional development plan, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 2/12/26. The last shelter-in-place and lock down drills were conducted on 2/12/26. The last Outdoor inspection was completed on 2-9-26. All staff files were monitored during today’s visit. A follow up visit will be done in two weeks to observe children, EPR plan, written plan of care in children records, menu, activity plan, enrollment. A checklist was used to note the requirements I monitored today. Two violations were observed. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. First aid was expired 1/2026. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. CPR expired in 1/2026. .1703(a)(3) The violation(s) documented must be corrected immediately. On or before 3-9-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance and Consultation 10A NCAC 09 .3206 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to family child care homes that choose to earn two through five-star rated license using the classroom and instructional quality licensure pathway. For a family child care home to earn a three-star rated license, the following requirements shall be met: (1) The operator shall meet education standards at the three-star level as set forth in Rule .3217 of this Section or higher. (2) The operator shall implement the family and community engagement standards set for in Rule .3220 of this Section for a three-star rated license. (3) The operator shall implement the continuous quality improvement standards set forth in Rule .3221 of this Section. (4) The operator shall implement a curriculum for all ages served that is: (A) aligned with the North Carolina Foundations for Early Learning and Development; (B) child focused; (C) developmentally appropriate; and (D) culturally and linguistically appropriate. (5) In curriculum planning the operator shall ensure modifications and adaptations are made to involve all children with special health and developmental needs. (6) The operator shall ensure child observations are conducted for each child enrolled in the family child care home. Child observations shall include evidence of the child's activities and may include the following: (A) anecdotal notes; (B) portfolio of child's work samples; (C) developmental screenings; (D) formative assessment tools; or (E) photographs, audio, pr video recordings with permission from the child's family. (7) The operator participates in one of the following activities regarding classroom and instructional quality practices: (A) annual completion of five hours of coaching or mentoring by a center administrator of a licensed child care center with a star-rating of three stars or higher, an operator of another licensed family child care home with a star-rating of three stars or higher, or a community resource partner; (B) annual completion of five on-going training hours, in addition to applicable requirements in Rule .1703(f) of this Chapter and Rule .3217 of this Section; or (C) annual completion of 0.5 continuing education unit, in addition to applicable requirements in Rule .1703(f) of this Chapter and Rule .3217 of this Section. Program Reminders The Annual professional development plan is due by 3/5/26. Make sure to review, update and print out your EPR plan. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/23/2026 Number Present: 0 Completed Date: 2/23/2026 Age: From 0 To 0 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable Child Care Requirements for an unannounced annual compliance visit with a rated license. The program currently operates with a Four-Star Child-Care License that was issued on November 27th, 2017. You, Ms. B. Smoot, assisted me with the visit. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety seven percent (97%) as of 2/23/26. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed (0) children.in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play and morning circle time. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, annual professional development plan, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 2/12/26. The last shelter-in-place and lock down drills were conducted on 2/12/26. The last Outdoor inspection was completed on 2-9-26. All staff files were monitored during today’s visit. A follow up visit will be done in two weeks to observe children, EPR plan, written plan of care in children records, menu, activity plan, enrollment. A checklist was used to note the requirements I monitored today. Two violations were observed. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. First aid was expired 1/2026. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. CPR expired in 1/2026. .1703(a)(3) The violation(s) documented must be corrected immediately. On or before 3-9-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Email the information to: Gilette Parker, Child Care Consultant Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance and Consultation 10A NCAC 09 .3206 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to family child care homes that choose to earn two through five-star rated license using the classroom and instructional quality licensure pathway. For a family child care home to earn a three-star rated license, the following requirements shall be met: (1) The operator shall meet education standards at the three-star level as set forth in Rule .3217 of this Section or higher. (2) The operator shall implement the family and community engagement standards set for in Rule .3220 of this Section for a three-star rated license. (3) The operator shall implement the continuous quality improvement standards set forth in Rule .3221 of this Section. (4) The operator shall implement a curriculum for all ages served that is: (A) aligned with the North Carolina Foundations for Early Learning and Development; (B) child focused; (C) developmentally appropriate; and (D) culturally and linguistically appropriate. (5) In curriculum planning the operator shall ensure modifications and adaptations are made to involve all children with special health and developmental needs. (6) The operator shall ensure child observations are conducted for each child enrolled in the family child care home. Child observations shall include evidence of the child's activities and may include the following: (A) anecdotal notes; (B) portfolio of child's work samples; (C) developmental screenings; (D) formative assessment tools; or (E) photographs, audio, pr video recordings with permission from the child's family. (7) The operator participates in one of the following activities regarding classroom and instructional quality practices: (A) annual completion of five hours of coaching or mentoring by a center administrator of a licensed child care center with a star-rating of three stars or higher, an operator of another licensed family child care home with a star-rating of three stars or higher, or a community resource partner; (B) annual completion of five on-going training hours, in addition to applicable requirements in Rule .1703(f) of this Chapter and Rule .3217 of this Section; or (C) annual completion of 0.5 continuing education unit, in addition to applicable requirements in Rule .1703(f) of this Chapter and Rule .3217 of this Section. Program Reminders The Annual professional development plan is due by 3/5/26. Make sure to review, update and print out your EPR plan. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .1724 · Violation

Name of Operation: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 10/9/2024 Number Present: 6 Completed Date: 10/9/2024 Age: From 0 To 9 Total Minutes: 160 Time In: 09:00 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor all applicable Child Care Requirements. The program currently operates with a Four-Star Child-Care License that was issued on November 27th, 2017. The last Annual Compliance Visit was conducted on March 14th, 2024. Upon arrival at the home, I was greeted by the provider, who was present with six children. The children were observed enjoying free play, with an assortment of toys and materials while the infant was being fed a bottle. During the visit I monitored indoor and outdoor spaces. In the home the dining room/playroom is the primary care area and includes a variety of age-appropriate toys and materials. The outdoor play area also contained a variety of toys including slides, climbers, and riding toys. The provider’s license and parental information were posted on a bulletin board in the kitchen. The provider’s file, children’s files, outdoor inspection, and fire drill reports were reviewed. Transportation is not provided. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. I reviewed 2 newly enrolled children’s files. The last fire drill was conducted on 9/18/24. The last shelter and lock down drills were on 7/10/24, the next one is due by 10/31/24. The outdoor inspection was done on 9/10/24. Eight (8) violations were cited during today’s visit; the provider had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 912 Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs. Written feeding schedule was not on file for a child under 15 months of age. .1706(i) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement which attests that a copy of the discipline policy was given to a parent prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A Summary of the NC Child Care Laws statement was not signed by the parent or on file during today's visit. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The written plan of care was not given to and or signed before the first day the child attended the home. .1712(e )(6) 1809 Signed safe sleep statement did not include the date the parent/guardian signed the acknowledgement. 10A NCAC 09 .1724(c)(4) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. One child's file did not have receipt that the provider discussed the operational polices with the parents on or before the first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to parents regarding the tobacco restriction. .1719(a)(11) 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. The parent did not sign that they received the shaken baby policy. .1726(b)(1-6) The violation(s) documented must be corrected immediately. On or before 10-23-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The caregiver and I discussed utilizing the website to ensure they have all updates forms and information. Also making sure all documents are completed in full, signed and dated by the provider and parent prior to enrollment. The facility should maintain a file for each child in one central location within the facility. This file should be kept in a confidential manner but should be immediately available to the child’s caregivers (who should have parental/guardian consent for access to records), the child’s parents/guardians, and the licensing authority upon request. Facilities should have written policies addressing the use and possession of tobacco and electronic cigarette (e-cigarette) products, alcohol, illegal drugs, legal drugs (e.g. medicinal/recreational marijuana, prescribed narcotics, etc.) that have side effects that diminish the ability to properly supervise and care for children or safely drive program vehicles, and other potentially toxic substances. Policies should include that all of these substances are prohibited inside the facility, on facility grounds, and in any vehicle that transport children at all times. Policies should specify that smoking and vaping is prohibited at all times and in all areas (indoor and outdoor) of the program. This includes any vehicles that are used to transport children. Policies must also specify that the use and possession of all substances referred to above are prohibited during all times when caregivers are responsible for the supervision of children, including times when children are transported, when playing in outdoor play areas not attached to the facility, and during field trips and staff breaks. Child care centers and large family child care homes should provide information to employees about available drug, alcohol, and tobacco counseling and rehabilitation, and any available employee assistance programs. The facility should keep records detailing whether an infant is breastfed, or formula fed, along with the type of formula being served. An infant feeding record of human (breast) milk and/or all formula given to the infant should be completed daily. Food should be appropriate for the infant’s individual nutrition requirements and developmental stage as determined by written instructions obtained from the child’s parent/guardian or primary health care provider. Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward the requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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. 1715 · Violation

Name of Operation: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 10/9/2024 Number Present: 6 Completed Date: 10/9/2024 Age: From 0 To 9 Total Minutes: 160 Time In: 09:00 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor all applicable Child Care Requirements. The program currently operates with a Four-Star Child-Care License that was issued on November 27th, 2017. The last Annual Compliance Visit was conducted on March 14th, 2024. Upon arrival at the home, I was greeted by the provider, who was present with six children. The children were observed enjoying free play, with an assortment of toys and materials while the infant was being fed a bottle. During the visit I monitored indoor and outdoor spaces. In the home the dining room/playroom is the primary care area and includes a variety of age-appropriate toys and materials. The outdoor play area also contained a variety of toys including slides, climbers, and riding toys. The provider’s license and parental information were posted on a bulletin board in the kitchen. The provider’s file, children’s files, outdoor inspection, and fire drill reports were reviewed. Transportation is not provided. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. I reviewed 2 newly enrolled children’s files. The last fire drill was conducted on 9/18/24. The last shelter and lock down drills were on 7/10/24, the next one is due by 10/31/24. The outdoor inspection was done on 9/10/24. Eight (8) violations were cited during today’s visit; the provider had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 912 Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs. Written feeding schedule was not on file for a child under 15 months of age. .1706(i) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement which attests that a copy of the discipline policy was given to a parent prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A Summary of the NC Child Care Laws statement was not signed by the parent or on file during today's visit. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The written plan of care was not given to and or signed before the first day the child attended the home. .1712(e )(6) 1809 Signed safe sleep statement did not include the date the parent/guardian signed the acknowledgement. 10A NCAC 09 .1724(c)(4) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. One child's file did not have receipt that the provider discussed the operational polices with the parents on or before the first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to parents regarding the tobacco restriction. .1719(a)(11) 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. The parent did not sign that they received the shaken baby policy. .1726(b)(1-6) The violation(s) documented must be corrected immediately. On or before 10-23-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The caregiver and I discussed utilizing the website to ensure they have all updates forms and information. Also making sure all documents are completed in full, signed and dated by the provider and parent prior to enrollment. The facility should maintain a file for each child in one central location within the facility. This file should be kept in a confidential manner but should be immediately available to the child’s caregivers (who should have parental/guardian consent for access to records), the child’s parents/guardians, and the licensing authority upon request. Facilities should have written policies addressing the use and possession of tobacco and electronic cigarette (e-cigarette) products, alcohol, illegal drugs, legal drugs (e.g. medicinal/recreational marijuana, prescribed narcotics, etc.) that have side effects that diminish the ability to properly supervise and care for children or safely drive program vehicles, and other potentially toxic substances. Policies should include that all of these substances are prohibited inside the facility, on facility grounds, and in any vehicle that transport children at all times. Policies should specify that smoking and vaping is prohibited at all times and in all areas (indoor and outdoor) of the program. This includes any vehicles that are used to transport children. Policies must also specify that the use and possession of all substances referred to above are prohibited during all times when caregivers are responsible for the supervision of children, including times when children are transported, when playing in outdoor play areas not attached to the facility, and during field trips and staff breaks. Child care centers and large family child care homes should provide information to employees about available drug, alcohol, and tobacco counseling and rehabilitation, and any available employee assistance programs. The facility should keep records detailing whether an infant is breastfed, or formula fed, along with the type of formula being served. An infant feeding record of human (breast) milk and/or all formula given to the infant should be completed daily. Food should be appropriate for the infant’s individual nutrition requirements and developmental stage as determined by written instructions obtained from the child’s parent/guardian or primary health care provider. Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward the requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 10/9/2024 Number Present: 6 Completed Date: 10/9/2024 Age: From 0 To 9 Total Minutes: 160 Time In: 09:00 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor all applicable Child Care Requirements. The program currently operates with a Four-Star Child-Care License that was issued on November 27th, 2017. The last Annual Compliance Visit was conducted on March 14th, 2024. Upon arrival at the home, I was greeted by the provider, who was present with six children. The children were observed enjoying free play, with an assortment of toys and materials while the infant was being fed a bottle. During the visit I monitored indoor and outdoor spaces. In the home the dining room/playroom is the primary care area and includes a variety of age-appropriate toys and materials. The outdoor play area also contained a variety of toys including slides, climbers, and riding toys. The provider’s license and parental information were posted on a bulletin board in the kitchen. The provider’s file, children’s files, outdoor inspection, and fire drill reports were reviewed. Transportation is not provided. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. I reviewed 2 newly enrolled children’s files. The last fire drill was conducted on 9/18/24. The last shelter and lock down drills were on 7/10/24, the next one is due by 10/31/24. The outdoor inspection was done on 9/10/24. Eight (8) violations were cited during today’s visit; the provider had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 912 Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs. Written feeding schedule was not on file for a child under 15 months of age. .1706(i) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement which attests that a copy of the discipline policy was given to a parent prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A Summary of the NC Child Care Laws statement was not signed by the parent or on file during today's visit. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The written plan of care was not given to and or signed before the first day the child attended the home. .1712(e )(6) 1809 Signed safe sleep statement did not include the date the parent/guardian signed the acknowledgement. 10A NCAC 09 .1724(c)(4) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. One child's file did not have receipt that the provider discussed the operational polices with the parents on or before the first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to parents regarding the tobacco restriction. .1719(a)(11) 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. The parent did not sign that they received the shaken baby policy. .1726(b)(1-6) The violation(s) documented must be corrected immediately. On or before 10-23-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The caregiver and I discussed utilizing the website to ensure they have all updates forms and information. Also making sure all documents are completed in full, signed and dated by the provider and parent prior to enrollment. The facility should maintain a file for each child in one central location within the facility. This file should be kept in a confidential manner but should be immediately available to the child’s caregivers (who should have parental/guardian consent for access to records), the child’s parents/guardians, and the licensing authority upon request. Facilities should have written policies addressing the use and possession of tobacco and electronic cigarette (e-cigarette) products, alcohol, illegal drugs, legal drugs (e.g. medicinal/recreational marijuana, prescribed narcotics, etc.) that have side effects that diminish the ability to properly supervise and care for children or safely drive program vehicles, and other potentially toxic substances. Policies should include that all of these substances are prohibited inside the facility, on facility grounds, and in any vehicle that transport children at all times. Policies should specify that smoking and vaping is prohibited at all times and in all areas (indoor and outdoor) of the program. This includes any vehicles that are used to transport children. Policies must also specify that the use and possession of all substances referred to above are prohibited during all times when caregivers are responsible for the supervision of children, including times when children are transported, when playing in outdoor play areas not attached to the facility, and during field trips and staff breaks. Child care centers and large family child care homes should provide information to employees about available drug, alcohol, and tobacco counseling and rehabilitation, and any available employee assistance programs. The facility should keep records detailing whether an infant is breastfed, or formula fed, along with the type of formula being served. An infant feeding record of human (breast) milk and/or all formula given to the infant should be completed daily. Food should be appropriate for the infant’s individual nutrition requirements and developmental stage as determined by written instructions obtained from the child’s parent/guardian or primary health care provider. Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward the requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 10/9/2024 Number Present: 6 Completed Date: 10/9/2024 Age: From 0 To 9 Total Minutes: 160 Time In: 09:00 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor all applicable Child Care Requirements. The program currently operates with a Four-Star Child-Care License that was issued on November 27th, 2017. The last Annual Compliance Visit was conducted on March 14th, 2024. Upon arrival at the home, I was greeted by the provider, who was present with six children. The children were observed enjoying free play, with an assortment of toys and materials while the infant was being fed a bottle. During the visit I monitored indoor and outdoor spaces. In the home the dining room/playroom is the primary care area and includes a variety of age-appropriate toys and materials. The outdoor play area also contained a variety of toys including slides, climbers, and riding toys. The provider’s license and parental information were posted on a bulletin board in the kitchen. The provider’s file, children’s files, outdoor inspection, and fire drill reports were reviewed. Transportation is not provided. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. I reviewed 2 newly enrolled children’s files. The last fire drill was conducted on 9/18/24. The last shelter and lock down drills were on 7/10/24, the next one is due by 10/31/24. The outdoor inspection was done on 9/10/24. Eight (8) violations were cited during today’s visit; the provider had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 912 Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs. Written feeding schedule was not on file for a child under 15 months of age. .1706(i) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement which attests that a copy of the discipline policy was given to a parent prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A Summary of the NC Child Care Laws statement was not signed by the parent or on file during today's visit. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The written plan of care was not given to and or signed before the first day the child attended the home. .1712(e )(6) 1809 Signed safe sleep statement did not include the date the parent/guardian signed the acknowledgement. 10A NCAC 09 .1724(c)(4) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. One child's file did not have receipt that the provider discussed the operational polices with the parents on or before the first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to parents regarding the tobacco restriction. .1719(a)(11) 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. The parent did not sign that they received the shaken baby policy. .1726(b)(1-6) The violation(s) documented must be corrected immediately. On or before 10-23-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The caregiver and I discussed utilizing the website to ensure they have all updates forms and information. Also making sure all documents are completed in full, signed and dated by the provider and parent prior to enrollment. The facility should maintain a file for each child in one central location within the facility. This file should be kept in a confidential manner but should be immediately available to the child’s caregivers (who should have parental/guardian consent for access to records), the child’s parents/guardians, and the licensing authority upon request. Facilities should have written policies addressing the use and possession of tobacco and electronic cigarette (e-cigarette) products, alcohol, illegal drugs, legal drugs (e.g. medicinal/recreational marijuana, prescribed narcotics, etc.) that have side effects that diminish the ability to properly supervise and care for children or safely drive program vehicles, and other potentially toxic substances. Policies should include that all of these substances are prohibited inside the facility, on facility grounds, and in any vehicle that transport children at all times. Policies should specify that smoking and vaping is prohibited at all times and in all areas (indoor and outdoor) of the program. This includes any vehicles that are used to transport children. Policies must also specify that the use and possession of all substances referred to above are prohibited during all times when caregivers are responsible for the supervision of children, including times when children are transported, when playing in outdoor play areas not attached to the facility, and during field trips and staff breaks. Child care centers and large family child care homes should provide information to employees about available drug, alcohol, and tobacco counseling and rehabilitation, and any available employee assistance programs. The facility should keep records detailing whether an infant is breastfed, or formula fed, along with the type of formula being served. An infant feeding record of human (breast) milk and/or all formula given to the infant should be completed daily. Food should be appropriate for the infant’s individual nutrition requirements and developmental stage as determined by written instructions obtained from the child’s parent/guardian or primary health care provider. Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward the requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 10/9/2024 Number Present: 6 Completed Date: 10/9/2024 Age: From 0 To 9 Total Minutes: 160 Time In: 09:00 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s routine unannounced visit was to monitor all applicable Child Care Requirements. The program currently operates with a Four-Star Child-Care License that was issued on November 27th, 2017. The last Annual Compliance Visit was conducted on March 14th, 2024. Upon arrival at the home, I was greeted by the provider, who was present with six children. The children were observed enjoying free play, with an assortment of toys and materials while the infant was being fed a bottle. During the visit I monitored indoor and outdoor spaces. In the home the dining room/playroom is the primary care area and includes a variety of age-appropriate toys and materials. The outdoor play area also contained a variety of toys including slides, climbers, and riding toys. The provider’s license and parental information were posted on a bulletin board in the kitchen. The provider’s file, children’s files, outdoor inspection, and fire drill reports were reviewed. Transportation is not provided. During today’s visit, a partial assessment of applicable Child Care Requirements was conducted. I reviewed 2 newly enrolled children’s files. The last fire drill was conducted on 9/18/24. The last shelter and lock down drills were on 7/10/24, the next one is due by 10/31/24. The outdoor inspection was done on 9/10/24. Eight (8) violations were cited during today’s visit; the provider had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 912 Written feeding schedule was not on file for each child under 15 months of age and/or was not updated regularly to reflect changes in the child's needs. Written feeding schedule was not on file for a child under 15 months of age. .1706(i) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement which attests that a copy of the discipline policy was given to a parent prior to enrollment was not on file in the home. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A Summary of the NC Child Care Laws statement was not signed by the parent or on file during today's visit. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The written plan of care was not given to and or signed before the first day the child attended the home. .1712(e )(6) 1809 Signed safe sleep statement did not include the date the parent/guardian signed the acknowledgement. 10A NCAC 09 .1724(c)(4) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. One child's file did not have receipt that the provider discussed the operational polices with the parents on or before the first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to parents regarding the tobacco restriction. .1719(a)(11) 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. The parent did not sign that they received the shaken baby policy. .1726(b)(1-6) The violation(s) documented must be corrected immediately. On or before 10-23-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance The caregiver and I discussed utilizing the website to ensure they have all updates forms and information. Also making sure all documents are completed in full, signed and dated by the provider and parent prior to enrollment. The facility should maintain a file for each child in one central location within the facility. This file should be kept in a confidential manner but should be immediately available to the child’s caregivers (who should have parental/guardian consent for access to records), the child’s parents/guardians, and the licensing authority upon request. Facilities should have written policies addressing the use and possession of tobacco and electronic cigarette (e-cigarette) products, alcohol, illegal drugs, legal drugs (e.g. medicinal/recreational marijuana, prescribed narcotics, etc.) that have side effects that diminish the ability to properly supervise and care for children or safely drive program vehicles, and other potentially toxic substances. Policies should include that all of these substances are prohibited inside the facility, on facility grounds, and in any vehicle that transport children at all times. Policies should specify that smoking and vaping is prohibited at all times and in all areas (indoor and outdoor) of the program. This includes any vehicles that are used to transport children. Policies must also specify that the use and possession of all substances referred to above are prohibited during all times when caregivers are responsible for the supervision of children, including times when children are transported, when playing in outdoor play areas not attached to the facility, and during field trips and staff breaks. Child care centers and large family child care homes should provide information to employees about available drug, alcohol, and tobacco counseling and rehabilitation, and any available employee assistance programs. The facility should keep records detailing whether an infant is breastfed, or formula fed, along with the type of formula being served. An infant feeding record of human (breast) milk and/or all formula given to the infant should be completed daily. Food should be appropriate for the infant’s individual nutrition requirements and developmental stage as determined by written instructions obtained from the child’s parent/guardian or primary health care provider. Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward the requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .1703 · Violation

Name of Operation: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 10/4/2023 Number Present: 5 Completed Date: 10/4/2023 Age: From 2 To 4 Total Minutes: 110 Time In: 08:55 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Ms. Smoot assisted me with the visit. Your program currently operates with a Four-Star issued November 27th, 2017. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine percent as of 10/4/23. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, circle time, transitions and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 9/1/23. The last outdoor inspection was 9/6/23. The last shelter and lock down drill were 7/17/23. The next is due this month (October) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 1734 All children's records except the medication permission slips as required in Rule .1720(b)(13), were not maintained on file for at least one year from the date the child was no longer enrolled in the facility. One child's file was not on file during today's visit. .1721(f)(1) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.The operator working with children did not complete health and safety training every five years. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before 10-18-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (f) Written records shall be maintained as follows in a family child care home: (1) All children's records as required in this Section, except medication permission slips as required in Rule .1720(b)(13) of this Section, shall be kept on file as long as the child is enrolled and for one year from the date the child is no longer enrolled. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Program Reminders 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in March 2024. You can start in December or January. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. 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 .1721 · Violation

Name of Operation: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 10/4/2023 Number Present: 5 Completed Date: 10/4/2023 Age: From 2 To 4 Total Minutes: 110 Time In: 08:55 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Ms. Smoot assisted me with the visit. Your program currently operates with a Four-Star issued November 27th, 2017. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine percent as of 10/4/23. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, circle time, transitions and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 9/1/23. The last outdoor inspection was 9/6/23. The last shelter and lock down drill were 7/17/23. The next is due this month (October) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 1734 All children's records except the medication permission slips as required in Rule .1720(b)(13), were not maintained on file for at least one year from the date the child was no longer enrolled in the facility. One child's file was not on file during today's visit. .1721(f)(1) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.The operator working with children did not complete health and safety training every five years. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before 10-18-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (f) Written records shall be maintained as follows in a family child care home: (1) All children's records as required in this Section, except medication permission slips as required in Rule .1720(b)(13) of this Section, shall be kept on file as long as the child is enrolled and for one year from the date the child is no longer enrolled. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Program Reminders 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in March 2024. You can start in December or January. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. 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 .2828 · Violation

Name of Operation: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 10/4/2023 Number Present: 5 Completed Date: 10/4/2023 Age: From 2 To 4 Total Minutes: 110 Time In: 08:55 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Ms. Smoot assisted me with the visit. Your program currently operates with a Four-Star issued November 27th, 2017. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine percent as of 10/4/23. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, circle time, transitions and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 9/1/23. The last outdoor inspection was 9/6/23. The last shelter and lock down drill were 7/17/23. The next is due this month (October) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 1734 All children's records except the medication permission slips as required in Rule .1720(b)(13), were not maintained on file for at least one year from the date the child was no longer enrolled in the facility. One child's file was not on file during today's visit. .1721(f)(1) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.The operator working with children did not complete health and safety training every five years. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before 10-18-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (f) Written records shall be maintained as follows in a family child care home: (1) All children's records as required in this Section, except medication permission slips as required in Rule .1720(b)(13) of this Section, shall be kept on file as long as the child is enrolled and for one year from the date the child is no longer enrolled. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Program Reminders 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in March 2024. You can start in December or January. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. 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: BETTY SMOOT'S DAY CARE HOME Facility ID: 39000026 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 10/4/2023 Number Present: 5 Completed Date: 10/4/2023 Age: From 2 To 4 Total Minutes: 110 Time In: 08:55 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Ms. Smoot assisted me with the visit. Your program currently operates with a Four-Star issued November 27th, 2017. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-nine percent as of 10/4/23. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, circle time, transitions and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 9/1/23. The last outdoor inspection was 9/6/23. The last shelter and lock down drill were 7/17/23. The next is due this month (October) Two violations were cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 1734 All children's records except the medication permission slips as required in Rule .1720(b)(13), were not maintained on file for at least one year from the date the child was no longer enrolled in the facility. One child's file was not on file during today's visit. .1721(f)(1) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered.The operator working with children did not complete health and safety training every five years. .1703(d)(2) The violation(s) documented must be corrected immediately. On or before 10-18-23, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. 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. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (a) The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (f) Written records shall be maintained as follows in a family child care home: (1) All children's records as required in this Section, except medication permission slips as required in Rule .1720(b)(13) of this Section, shall be kept on file as long as the child is enrolled and for one year from the date the child is no longer enrolled. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; Program Reminders 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in March 2024. You can start in December or January. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at 919-939-7519 or via email at gilette.parker@dhhs.nc.gov or my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov if you have questions. 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