Busy B's Child Care

10A NCAC 09 .1712 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/13/2025 Number Present: 5 Completed Date: 11/13/2025 Age: From 2 To 3 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 conduct an annual compliance Unannounced Visit. Ms. B. Russel was present and assisted me during the visit. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. The last Annual Compliance Visit was conducted on November 27th, 2024. \ Upon arrival at home, I was greeted by the provider, who was present with four children. The children were observed enjoying free play, outside time, lunch and quiet time. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I monitored indoor and outdoor spaces. In the home the playroom space is the primary care area and includes a variety of age-appropriate toys and materials. The provider’s license and parental information were posted on a bulletin board right outside the door of the play area. The provider’s file, professional development plan, EPR plan and all enrolled children’s files, outdoor inspections, and fire drill reports were reviewed. Transportation requirements were observed as well for two vehicles. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent (95%) as of 11/13/25. 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. The NC Secretary of State website was reviewed on (11/13/25) BUSY B'S Child Care LLC, was listed current-active. The last fire drill was conducted on 10/16/25. The last shelter and lock down drills were on 9/19/25. The outdoor inspection was done on 11/6/25. Four violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Some of the outdoor area was not free of items which are potentially hazardous to children. .1719(a)(1)&(17) 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Medication that expired in March of 2025 was not returned to the parent or discarded. 10A NCAC 09 .1720(c)(5) 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. K. Durham's file did not have a signed statement on file by the parent or guardian. 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. D. Blue's file did not have a signed statement acknowledging the receipt and explanation of the plan on file. .1712(e )(6) The violation(s) documented must be corrected immediately. On or before 11-27-25, 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 provider and I discussed the rules and topics listed below. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: the date the authorization was signed by the parent; and (G) the length of time the authorization is valid, if less than 12 months. Please review the following rules: 10A NCAC 09 .1720 MEDICATION REQUIREMENTS as it pertains to E. Martin, T. Smith, and K. Durham forms. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS regarding Infants and toddlers and school age children. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE regarding D. blue’s file. § 110 102. Information for parents. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110 99. Program reminders Update the EPR plan with the new floor plan and any other information that needs to be updated. Add a copy of the transportation and off-premises form to transportation notebook, create an activity plan for all ages served. Once you can provide that the insurance is current on the van you can start using that vehicle as well. 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 trainings 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 .1718 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/13/2025 Number Present: 5 Completed Date: 11/13/2025 Age: From 2 To 3 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 conduct an annual compliance Unannounced Visit. Ms. B. Russel was present and assisted me during the visit. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. The last Annual Compliance Visit was conducted on November 27th, 2024. \ Upon arrival at home, I was greeted by the provider, who was present with four children. The children were observed enjoying free play, outside time, lunch and quiet time. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I monitored indoor and outdoor spaces. In the home the playroom space is the primary care area and includes a variety of age-appropriate toys and materials. The provider’s license and parental information were posted on a bulletin board right outside the door of the play area. The provider’s file, professional development plan, EPR plan and all enrolled children’s files, outdoor inspections, and fire drill reports were reviewed. Transportation requirements were observed as well for two vehicles. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent (95%) as of 11/13/25. 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. The NC Secretary of State website was reviewed on (11/13/25) BUSY B'S Child Care LLC, was listed current-active. The last fire drill was conducted on 10/16/25. The last shelter and lock down drills were on 9/19/25. The outdoor inspection was done on 11/6/25. Four violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Some of the outdoor area was not free of items which are potentially hazardous to children. .1719(a)(1)&(17) 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Medication that expired in March of 2025 was not returned to the parent or discarded. 10A NCAC 09 .1720(c)(5) 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. K. Durham's file did not have a signed statement on file by the parent or guardian. 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. D. Blue's file did not have a signed statement acknowledging the receipt and explanation of the plan on file. .1712(e )(6) The violation(s) documented must be corrected immediately. On or before 11-27-25, 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 provider and I discussed the rules and topics listed below. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: the date the authorization was signed by the parent; and (G) the length of time the authorization is valid, if less than 12 months. Please review the following rules: 10A NCAC 09 .1720 MEDICATION REQUIREMENTS as it pertains to E. Martin, T. Smith, and K. Durham forms. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS regarding Infants and toddlers and school age children. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE regarding D. blue’s file. § 110 102. Information for parents. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110 99. Program reminders Update the EPR plan with the new floor plan and any other information that needs to be updated. Add a copy of the transportation and off-premises form to transportation notebook, create an activity plan for all ages served. Once you can provide that the insurance is current on the van you can start using that vehicle as well. 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 trainings 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 .1719 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/13/2025 Number Present: 5 Completed Date: 11/13/2025 Age: From 2 To 3 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 conduct an annual compliance Unannounced Visit. Ms. B. Russel was present and assisted me during the visit. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. The last Annual Compliance Visit was conducted on November 27th, 2024. \ Upon arrival at home, I was greeted by the provider, who was present with four children. The children were observed enjoying free play, outside time, lunch and quiet time. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I monitored indoor and outdoor spaces. In the home the playroom space is the primary care area and includes a variety of age-appropriate toys and materials. The provider’s license and parental information were posted on a bulletin board right outside the door of the play area. The provider’s file, professional development plan, EPR plan and all enrolled children’s files, outdoor inspections, and fire drill reports were reviewed. Transportation requirements were observed as well for two vehicles. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent (95%) as of 11/13/25. 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. The NC Secretary of State website was reviewed on (11/13/25) BUSY B'S Child Care LLC, was listed current-active. The last fire drill was conducted on 10/16/25. The last shelter and lock down drills were on 9/19/25. The outdoor inspection was done on 11/6/25. Four violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Some of the outdoor area was not free of items which are potentially hazardous to children. .1719(a)(1)&(17) 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Medication that expired in March of 2025 was not returned to the parent or discarded. 10A NCAC 09 .1720(c)(5) 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. K. Durham's file did not have a signed statement on file by the parent or guardian. 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. D. Blue's file did not have a signed statement acknowledging the receipt and explanation of the plan on file. .1712(e )(6) The violation(s) documented must be corrected immediately. On or before 11-27-25, 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 provider and I discussed the rules and topics listed below. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: the date the authorization was signed by the parent; and (G) the length of time the authorization is valid, if less than 12 months. Please review the following rules: 10A NCAC 09 .1720 MEDICATION REQUIREMENTS as it pertains to E. Martin, T. Smith, and K. Durham forms. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS regarding Infants and toddlers and school age children. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE regarding D. blue’s file. § 110 102. Information for parents. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110 99. Program reminders Update the EPR plan with the new floor plan and any other information that needs to be updated. Add a copy of the transportation and off-premises form to transportation notebook, create an activity plan for all ages served. Once you can provide that the insurance is current on the van you can start using that vehicle as well. 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 trainings 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 .1720 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/13/2025 Number Present: 5 Completed Date: 11/13/2025 Age: From 2 To 3 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 conduct an annual compliance Unannounced Visit. Ms. B. Russel was present and assisted me during the visit. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. The last Annual Compliance Visit was conducted on November 27th, 2024. \ Upon arrival at home, I was greeted by the provider, who was present with four children. The children were observed enjoying free play, outside time, lunch and quiet time. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I monitored indoor and outdoor spaces. In the home the playroom space is the primary care area and includes a variety of age-appropriate toys and materials. The provider’s license and parental information were posted on a bulletin board right outside the door of the play area. The provider’s file, professional development plan, EPR plan and all enrolled children’s files, outdoor inspections, and fire drill reports were reviewed. Transportation requirements were observed as well for two vehicles. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent (95%) as of 11/13/25. 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. The NC Secretary of State website was reviewed on (11/13/25) BUSY B'S Child Care LLC, was listed current-active. The last fire drill was conducted on 10/16/25. The last shelter and lock down drills were on 9/19/25. The outdoor inspection was done on 11/6/25. Four violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Some of the outdoor area was not free of items which are potentially hazardous to children. .1719(a)(1)&(17) 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Medication that expired in March of 2025 was not returned to the parent or discarded. 10A NCAC 09 .1720(c)(5) 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. K. Durham's file did not have a signed statement on file by the parent or guardian. 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. D. Blue's file did not have a signed statement acknowledging the receipt and explanation of the plan on file. .1712(e )(6) The violation(s) documented must be corrected immediately. On or before 11-27-25, 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 provider and I discussed the rules and topics listed below. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: the date the authorization was signed by the parent; and (G) the length of time the authorization is valid, if less than 12 months. Please review the following rules: 10A NCAC 09 .1720 MEDICATION REQUIREMENTS as it pertains to E. Martin, T. Smith, and K. Durham forms. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS regarding Infants and toddlers and school age children. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE regarding D. blue’s file. § 110 102. Information for parents. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110 99. Program reminders Update the EPR plan with the new floor plan and any other information that needs to be updated. Add a copy of the transportation and off-premises form to transportation notebook, create an activity plan for all ages served. Once you can provide that the insurance is current on the van you can start using that vehicle as well. 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 trainings 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 99 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/13/2025 Number Present: 5 Completed Date: 11/13/2025 Age: From 2 To 3 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 conduct an annual compliance Unannounced Visit. Ms. B. Russel was present and assisted me during the visit. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. The last Annual Compliance Visit was conducted on November 27th, 2024. \ Upon arrival at home, I was greeted by the provider, who was present with four children. The children were observed enjoying free play, outside time, lunch and quiet time. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I monitored indoor and outdoor spaces. In the home the playroom space is the primary care area and includes a variety of age-appropriate toys and materials. The provider’s license and parental information were posted on a bulletin board right outside the door of the play area. The provider’s file, professional development plan, EPR plan and all enrolled children’s files, outdoor inspections, and fire drill reports were reviewed. Transportation requirements were observed as well for two vehicles. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent (95%) as of 11/13/25. 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. The NC Secretary of State website was reviewed on (11/13/25) BUSY B'S Child Care LLC, was listed current-active. The last fire drill was conducted on 10/16/25. The last shelter and lock down drills were on 9/19/25. The outdoor inspection was done on 11/6/25. Four violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Some of the outdoor area was not free of items which are potentially hazardous to children. .1719(a)(1)&(17) 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Medication that expired in March of 2025 was not returned to the parent or discarded. 10A NCAC 09 .1720(c)(5) 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. K. Durham's file did not have a signed statement on file by the parent or guardian. 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. D. Blue's file did not have a signed statement acknowledging the receipt and explanation of the plan on file. .1712(e )(6) The violation(s) documented must be corrected immediately. On or before 11-27-25, 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 provider and I discussed the rules and topics listed below. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: the date the authorization was signed by the parent; and (G) the length of time the authorization is valid, if less than 12 months. Please review the following rules: 10A NCAC 09 .1720 MEDICATION REQUIREMENTS as it pertains to E. Martin, T. Smith, and K. Durham forms. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS regarding Infants and toddlers and school age children. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE regarding D. blue’s file. § 110 102. Information for parents. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110 99. Program reminders Update the EPR plan with the new floor plan and any other information that needs to be updated. Add a copy of the transportation and off-premises form to transportation notebook, create an activity plan for all ages served. Once you can provide that the insurance is current on the van you can start using that vehicle as well. 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 trainings 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: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/13/2025 Number Present: 5 Completed Date: 11/13/2025 Age: From 2 To 3 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 conduct an annual compliance Unannounced Visit. Ms. B. Russel was present and assisted me during the visit. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. The last Annual Compliance Visit was conducted on November 27th, 2024. \ Upon arrival at home, I was greeted by the provider, who was present with four children. The children were observed enjoying free play, outside time, lunch and quiet time. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I monitored indoor and outdoor spaces. In the home the playroom space is the primary care area and includes a variety of age-appropriate toys and materials. The provider’s license and parental information were posted on a bulletin board right outside the door of the play area. The provider’s file, professional development plan, EPR plan and all enrolled children’s files, outdoor inspections, and fire drill reports were reviewed. Transportation requirements were observed as well for two vehicles. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent (95%) as of 11/13/25. 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. The NC Secretary of State website was reviewed on (11/13/25) BUSY B'S Child Care LLC, was listed current-active. The last fire drill was conducted on 10/16/25. The last shelter and lock down drills were on 9/19/25. The outdoor inspection was done on 11/6/25. Four violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Some of the outdoor area was not free of items which are potentially hazardous to children. .1719(a)(1)&(17) 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Medication that expired in March of 2025 was not returned to the parent or discarded. 10A NCAC 09 .1720(c)(5) 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. K. Durham's file did not have a signed statement on file by the parent or guardian. 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. D. Blue's file did not have a signed statement acknowledging the receipt and explanation of the plan on file. .1712(e )(6) The violation(s) documented must be corrected immediately. On or before 11-27-25, 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 provider and I discussed the rules and topics listed below. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: the date the authorization was signed by the parent; and (G) the length of time the authorization is valid, if less than 12 months. Please review the following rules: 10A NCAC 09 .1720 MEDICATION REQUIREMENTS as it pertains to E. Martin, T. Smith, and K. Durham forms. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS regarding Infants and toddlers and school age children. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE regarding D. blue’s file. § 110 102. Information for parents. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110 99. Program reminders Update the EPR plan with the new floor plan and any other information that needs to be updated. Add a copy of the transportation and off-premises form to transportation notebook, create an activity plan for all ages served. Once you can provide that the insurance is current on the van you can start using that vehicle as well. 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 trainings 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: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/13/2025 Number Present: 5 Completed Date: 11/13/2025 Age: From 2 To 3 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 conduct an annual compliance Unannounced Visit. Ms. B. Russel was present and assisted me during the visit. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. The last Annual Compliance Visit was conducted on November 27th, 2024. \ Upon arrival at home, I was greeted by the provider, who was present with four children. The children were observed enjoying free play, outside time, lunch and quiet time. During today’s visit, a full assessment of applicable Child Care Requirements was conducted. I monitored indoor and outdoor spaces. In the home the playroom space is the primary care area and includes a variety of age-appropriate toys and materials. The provider’s license and parental information were posted on a bulletin board right outside the door of the play area. The provider’s file, professional development plan, EPR plan and all enrolled children’s files, outdoor inspections, and fire drill reports were reviewed. Transportation requirements were observed as well for two vehicles. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety five percent (95%) as of 11/13/25. 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. The NC Secretary of State website was reviewed on (11/13/25) BUSY B'S Child Care LLC, was listed current-active. The last fire drill was conducted on 10/16/25. The last shelter and lock down drills were on 9/19/25. The outdoor inspection was done on 11/6/25. Four violations were cited during today’s visit. The providers had a chance to ask questions to ensure staying in compliance. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Some of the outdoor area was not free of items which are potentially hazardous to children. .1719(a)(1)&(17) 1404 Medication remaining after the course of treatment is completed, after authorization is withdrawn. or after authorization has expired, was not returned to the parent/guardian. Any medication not retrieved by parent/guardian within 72 hours of completion of treatment, or withdrawal of authorization, was not discarded. Medication that expired in March of 2025 was not returned to the parent or discarded. 10A NCAC 09 .1720(c)(5) 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. K. Durham's file did not have a signed statement on file by the parent or guardian. 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. D. Blue's file did not have a signed statement acknowledging the receipt and explanation of the plan on file. .1712(e )(6) The violation(s) documented must be corrected immediately. On or before 11-27-25, 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 provider and I discussed the rules and topics listed below. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. A parent may give a caregiver standing authorization for up to 12 months to apply over the counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: the date the authorization was signed by the parent; and (G) the length of time the authorization is valid, if less than 12 months. Please review the following rules: 10A NCAC 09 .1720 MEDICATION REQUIREMENTS as it pertains to E. Martin, T. Smith, and K. Durham forms. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS regarding Infants and toddlers and school age children. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (1) keep all areas used by the children, both indoors and outdoors, clean and orderly and free of items that are potentially hazardous to children. Potentially hazardous items including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. This includes the removal of items that a child can swallow. In addition, loose nails or screws and splinters shall be removed on inside and outside equipment. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE regarding D. blue’s file. § 110 102. Information for parents. The summary of this Article shall be posted with the facility's license in accordance with G.S. 110 99. Program reminders Update the EPR plan with the new floor plan and any other information that needs to be updated. Add a copy of the transportation and off-premises form to transportation notebook, create an activity plan for all ages served. Once you can provide that the insurance is current on the van you can start using that vehicle as well. 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 trainings 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 .1719 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/15/2025 Number Present: 3 Completed Date: 5/15/2025 Age: From 2 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 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 childcare requirements for a routine unannounced visit. You, Ms. Russell, assisted me with the visit. Your program currently operates with a Four-Star issued July 9thth, 2024. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percent as of 5/15/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed 3 children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in a group activity. The caregiver was interacting and meeting the developmental needs for the children. I reviewed one new child’s file during today’s visit. During today’s visit I observed new construction to the home and the space has been approved. I observed the providers vehicle for compliance. The last fire drill was conducted on 4/22/25. The last shelter and lock down drill were 3/13/25. The last Outdoor inspection was completed on 4/5/25. One violation weas cited during today’s visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Each child being transported did not have a photograph. .1723(13) The violation(s) documented must be corrected immediately. On or before 5-29-25, 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 The compliance letter 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 You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the childcare law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Technical Assistance The provider and I discussed ways to stay in compliance in her new space. Keep in mind the whole home is license and must be in compliance. Suggestions were made to put a camera on the outside entrance for parents and keep the rest of the home locked. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following (28) ensure that, for appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord, is accessible to children; Program Reminders Four more hours of on-going training are due by 11/26/25. K. Watson needs medical report by 5/22/25 Contact me when the new space is ready. Start working on your professional development 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. Childcare 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 .1723 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/15/2025 Number Present: 3 Completed Date: 5/15/2025 Age: From 2 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 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 childcare requirements for a routine unannounced visit. You, Ms. Russell, assisted me with the visit. Your program currently operates with a Four-Star issued July 9thth, 2024. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percent as of 5/15/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed 3 children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in a group activity. The caregiver was interacting and meeting the developmental needs for the children. I reviewed one new child’s file during today’s visit. During today’s visit I observed new construction to the home and the space has been approved. I observed the providers vehicle for compliance. The last fire drill was conducted on 4/22/25. The last shelter and lock down drill were 3/13/25. The last Outdoor inspection was completed on 4/5/25. One violation weas cited during today’s visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Each child being transported did not have a photograph. .1723(13) The violation(s) documented must be corrected immediately. On or before 5-29-25, 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 The compliance letter 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 You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the childcare law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Technical Assistance The provider and I discussed ways to stay in compliance in her new space. Keep in mind the whole home is license and must be in compliance. Suggestions were made to put a camera on the outside entrance for parents and keep the rest of the home locked. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following (28) ensure that, for appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord, is accessible to children; Program Reminders Four more hours of on-going training are due by 11/26/25. K. Watson needs medical report by 5/22/25 Contact me when the new space is ready. Start working on your professional development 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. Childcare 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: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/15/2025 Number Present: 3 Completed Date: 5/15/2025 Age: From 2 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 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 childcare requirements for a routine unannounced visit. You, Ms. Russell, assisted me with the visit. Your program currently operates with a Four-Star issued July 9thth, 2024. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percent as of 5/15/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed 3 children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in a group activity. The caregiver was interacting and meeting the developmental needs for the children. I reviewed one new child’s file during today’s visit. During today’s visit I observed new construction to the home and the space has been approved. I observed the providers vehicle for compliance. The last fire drill was conducted on 4/22/25. The last shelter and lock down drill were 3/13/25. The last Outdoor inspection was completed on 4/5/25. One violation weas cited during today’s visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. Each child being transported did not have a photograph. .1723(13) The violation(s) documented must be corrected immediately. On or before 5-29-25, 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 The compliance letter 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 You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you meet all requirements is to periodically review the childcare law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/, on the home page under the ‘Services’ tab. Technical Assistance The provider and I discussed ways to stay in compliance in her new space. Keep in mind the whole home is license and must be in compliance. Suggestions were made to put a camera on the outside entrance for parents and keep the rest of the home locked. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following (28) ensure that, for appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord, is accessible to children; Program Reminders Four more hours of on-going training are due by 11/26/25. K. Watson needs medical report by 5/22/25 Contact me when the new space is ready. Start working on your professional development 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. Childcare 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 .1720 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/26/2024 Number Present: 4 Completed Date: 11/26/2024 Age: From 1 To 4 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. You, Ms. B. Russell, assisted me with the visit. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent (99%) as of 11/26/24. 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 four (4) 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. 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 10/17/24. The last shelter-in-place and lock down drills were not conducted. Will start in December 2024. The last Outdoor inspection was completed on 11/20/24. All staff and four children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Three violations were cited during today’s visit. However, one was corrected during today’s visit. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Screen time was offered to children under the age of three years old. .1718(c) 903 When medication is administered, authorization for the operator to administer the specific medication according to the parent's or health care professional's instructions was not on file and available. The instructions were not on file for one child or signed by the parent. 10A NCAC 09 .1720(c)(1&2) & .1721(a)(4) 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. One child's file did not have a signed statement of the summary of laws. GS 110-102 The violation(s) documented must be corrected immediately. On or before 12-9-24, 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 The compliance letter 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 Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. A parent may give a caregiver standing authorization to administer a single weight-appropriate dose of acetaminophen to a child in the event the child has a fever and a parent cannot be reached. The authorization shall be in writing and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing. The provider discussed children’s files. Each child should have all documentation signed by the parent even if they are siblings. Program reminders Place the certificate in your notebook for administering medication training. J. Blue needs his own parent signed copy of the handbook with operational polices ,off premises and summary of laws. T. Smith parents need to fill out the medication form. G. Bumpass needs the off-premises form. Make sure to login into the emergency preparedness portal and take it out of draft mode. 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: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/26/2024 Number Present: 4 Completed Date: 11/26/2024 Age: From 1 To 4 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. You, Ms. B. Russell, assisted me with the visit. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent (99%) as of 11/26/24. 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 four (4) 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. 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 10/17/24. The last shelter-in-place and lock down drills were not conducted. Will start in December 2024. The last Outdoor inspection was completed on 11/20/24. All staff and four children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Three violations were cited during today’s visit. However, one was corrected during today’s visit. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Screen time was offered to children under the age of three years old. .1718(c) 903 When medication is administered, authorization for the operator to administer the specific medication according to the parent's or health care professional's instructions was not on file and available. The instructions were not on file for one child or signed by the parent. 10A NCAC 09 .1720(c)(1&2) & .1721(a)(4) 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. One child's file did not have a signed statement of the summary of laws. GS 110-102 The violation(s) documented must be corrected immediately. On or before 12-9-24, 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 The compliance letter 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 Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. A parent may give a caregiver standing authorization to administer a single weight-appropriate dose of acetaminophen to a child in the event the child has a fever and a parent cannot be reached. The authorization shall be in writing and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing. The provider discussed children’s files. Each child should have all documentation signed by the parent even if they are siblings. Program reminders Place the certificate in your notebook for administering medication training. J. Blue needs his own parent signed copy of the handbook with operational polices ,off premises and summary of laws. T. Smith parents need to fill out the medication form. G. Bumpass needs the off-premises form. Make sure to login into the emergency preparedness portal and take it out of draft mode. 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: Busy B's Child Care Facility ID: 39000268 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 11/26/2024 Number Present: 4 Completed Date: 11/26/2024 Age: From 1 To 4 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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. The program currently operates with a Four-Star Child-Care License that was issued on July 9th, 2024. You, Ms. B. Russell, assisted me with the visit. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent (99%) as of 11/26/24. 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 four (4) 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. 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 10/17/24. The last shelter-in-place and lock down drills were not conducted. Will start in December 2024. The last Outdoor inspection was completed on 11/20/24. All staff and four children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Three violations were cited during today’s visit. However, one was corrected during today’s visit. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 543 Screen time was not prohibited for children under the age of three. The operator did not offer alternative activities for children under the age of three years. Screen time was offered to children under the age of three years old. .1718(c) 903 When medication is administered, authorization for the operator to administer the specific medication according to the parent's or health care professional's instructions was not on file and available. The instructions were not on file for one child or signed by the parent. 10A NCAC 09 .1720(c)(1&2) & .1721(a)(4) 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. One child's file did not have a signed statement of the summary of laws. GS 110-102 The violation(s) documented must be corrected immediately. On or before 12-9-24, 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 The compliance letter 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 Screen time, including television, videos, video games, and computer usage, shall be prohibited for children under three years of age. A parent may give a caregiver standing authorization to administer a single weight-appropriate dose of acetaminophen to a child in the event the child has a fever and a parent cannot be reached. The authorization shall be in writing and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing. (9) A parent may give a caregiver standing authorization to administer an over-the-counter medication as directed by the North Carolina State Health Director or designee, when there is a public health emergency as identified by the North Carolina State Health Director or designee. The authorization shall be in writing, may be valid for as long as the child is enrolled, and shall contain: (a) the child's name; (b) the signature of the parent; (c) the date the authorization was signed by the parent; and (d) the date that the authorization ends or a statement that the authorization is valid until withdrawn by the parent in writing. The provider discussed children’s files. Each child should have all documentation signed by the parent even if they are siblings. Program reminders Place the certificate in your notebook for administering medication training. J. Blue needs his own parent signed copy of the handbook with operational polices ,off premises and summary of laws. T. Smith parents need to fill out the medication form. G. Bumpass needs the off-premises form. Make sure to login into the emergency preparedness portal and take it out of draft mode. 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 .1714 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: MARCIA HUMPHREY Operation Type: Family CC Home Case Number: Visit Date: 1/17/2024 Number Present: 3 Completed Date: 1/17/2024 Age: From 3 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete the first temporary time period visit. The provider Mrs. Brenda Russell was present and assisted me during today's visit. I completed a general walk through of the daycare space, bathroom and outdoor play area. I observed three children involved in different free play activities upon arrival. The temporary license was issued to this family child care home on 12/5/23 and expires on 6/5/24. The Verification of Required Information for Operator and Additional Caregiver form was completed during today's visit (this form was emailed to the provider). The fire drill and outdoor play inspection will be completed this month. Mrs. Russell has not completed the EPR training at this time (once completed she will begin completing the shelter-in-place or lockdown drill quarterly). Once this training has been completed, she will get all necessary information in the portal and prepare the facilities ready to go kit. The provider has not been approved for transportation at this time but is thinking about it for the future. I informed her that before taking the children in any vehicle, to please contact me so I can make sure the vehicle is approved with all inspections and all necessary paperwork for transporting is available in the vehicle. The license was posted along with the NC Summary of the Law. A first aid reference sheet was available, and the daily schedule was posted. Attendance records have been maintained since opening. Keep this information on file for at least one year. The provider and children's records were reviewed during today's visit. The following violations were cited: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. This was past 30 days from enrollment for two children currently enrolled in care. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. This was past 30 days from enrollment for two children currently enrolled in care. GS 110-91(1); .1721(a)(2) 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. This was not on file for review for on child under fifteen months. .1706(i) In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by January 30, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I discussed with Mrs. Russell the importance of making sure all necessary paperwork has been completed and received from parent(s)/guardian(s) within the required timeframe. Mrs. Russell was aware of missing paperwork by placing the name of the missing item on the front of the folder. She stated that she will make sure to stay on top of her parent(s)/guardian(s)) with getting all necessary paperwork back in the required timeframe. RATED LICENSE INFORMATION I briefly discussed with Mrs. Russell the rated license process. I also briefly talked with Mrs. Russell regarding the Environmental Rating Scale Assessment, and provider stated that she may be interested in having this completed. I did review the Rated License Request Form with her during today's visit and informed her that if she is interested I would need the form back initialed and signed by April 4th so that I could send NCRLAP a request to have the assessment completed. I did discuss the FCCERS-R book with Mrs. Russell and informed her that she would need to get this book to assist her in preparing for the assessment. Lastly, I informed her to begin working on her reflective self-study (this was emailed). This would need to be completed by the end of April 2024. TECHNICAL ASSISTANCE I discussed in detail with Mrs. Russell the following information: *Emergency Preparedness and Response (EPR)-Again the provider has not completed this training as of yet but once completed you must be complete the template within four months of receiving the training (please read below): 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review *Annual in-service training hours are due by 12/5/24. I would recommend that you complete your training three months prior to the above date. CAPACITY INCREASE UPDATE: An increase in capacity requires a new permit be issued. FCCH Operators interested in an increase in their capacity will need to provide a written request to their consultant with verification there are no local zoning ordinances or homeowner association bylaws/covenants that prohibit the increase. Also, according to the Department of Insurance (DOI), an increase in capacity will affect the residential occupancy group for a FCCH. Currently a family child care home meets a R3 (residential three) occupancy as defined in the NC Building Codes. We have learned that increasing the capacity using option two or three in statute would change the residential occupancy from an R3 to a R4 (residential four) occupancy. To assist FCCH Operators with their decision about an increased capacity, DOI has provided the following guidance for transitioning from an R3 to an R4 occupancy. The requirements include but are not limited to the following: 1) Building permit (application submitted at local inspection office) 2) Building Inspection and Fire Inspection (building inspection form will be revised to include FCCH) 3) Fire Alarm System that will notify a professional offsite monitoring service (acceptable alternate method would be a Honeywell Home System, ADT Security, SimpliSafe, CPI Security and Brinks Home, etc.) 4) Carbon Monoxide Detectors 5) Portable Fire Extinguishers (type 2-A: 10-B-C) placed every forty (40 ft) feet within the child care area. 6) Minimum of two means of egress (exits) required (this does not include windows), one exit is required to be a ramp or the exit must be at grade. 7) Exits must having lighting. 8) Interior walls and ceilings must be made of noncombustible material (ex: no plaster or gypsum wallboard or wood paneling) Thank you for your assistance during today's visit. Feel free to contact me with questions or concerns. I may be reached via email marcia.humphrey@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: MARCIA HUMPHREY Operation Type: Family CC Home Case Number: Visit Date: 1/17/2024 Number Present: 3 Completed Date: 1/17/2024 Age: From 3 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete the first temporary time period visit. The provider Mrs. Brenda Russell was present and assisted me during today's visit. I completed a general walk through of the daycare space, bathroom and outdoor play area. I observed three children involved in different free play activities upon arrival. The temporary license was issued to this family child care home on 12/5/23 and expires on 6/5/24. The Verification of Required Information for Operator and Additional Caregiver form was completed during today's visit (this form was emailed to the provider). The fire drill and outdoor play inspection will be completed this month. Mrs. Russell has not completed the EPR training at this time (once completed she will begin completing the shelter-in-place or lockdown drill quarterly). Once this training has been completed, she will get all necessary information in the portal and prepare the facilities ready to go kit. The provider has not been approved for transportation at this time but is thinking about it for the future. I informed her that before taking the children in any vehicle, to please contact me so I can make sure the vehicle is approved with all inspections and all necessary paperwork for transporting is available in the vehicle. The license was posted along with the NC Summary of the Law. A first aid reference sheet was available, and the daily schedule was posted. Attendance records have been maintained since opening. Keep this information on file for at least one year. The provider and children's records were reviewed during today's visit. The following violations were cited: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. This was past 30 days from enrollment for two children currently enrolled in care. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. This was past 30 days from enrollment for two children currently enrolled in care. GS 110-91(1); .1721(a)(2) 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. This was not on file for review for on child under fifteen months. .1706(i) In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by January 30, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I discussed with Mrs. Russell the importance of making sure all necessary paperwork has been completed and received from parent(s)/guardian(s) within the required timeframe. Mrs. Russell was aware of missing paperwork by placing the name of the missing item on the front of the folder. She stated that she will make sure to stay on top of her parent(s)/guardian(s)) with getting all necessary paperwork back in the required timeframe. RATED LICENSE INFORMATION I briefly discussed with Mrs. Russell the rated license process. I also briefly talked with Mrs. Russell regarding the Environmental Rating Scale Assessment, and provider stated that she may be interested in having this completed. I did review the Rated License Request Form with her during today's visit and informed her that if she is interested I would need the form back initialed and signed by April 4th so that I could send NCRLAP a request to have the assessment completed. I did discuss the FCCERS-R book with Mrs. Russell and informed her that she would need to get this book to assist her in preparing for the assessment. Lastly, I informed her to begin working on her reflective self-study (this was emailed). This would need to be completed by the end of April 2024. TECHNICAL ASSISTANCE I discussed in detail with Mrs. Russell the following information: *Emergency Preparedness and Response (EPR)-Again the provider has not completed this training as of yet but once completed you must be complete the template within four months of receiving the training (please read below): 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review *Annual in-service training hours are due by 12/5/24. I would recommend that you complete your training three months prior to the above date. CAPACITY INCREASE UPDATE: An increase in capacity requires a new permit be issued. FCCH Operators interested in an increase in their capacity will need to provide a written request to their consultant with verification there are no local zoning ordinances or homeowner association bylaws/covenants that prohibit the increase. Also, according to the Department of Insurance (DOI), an increase in capacity will affect the residential occupancy group for a FCCH. Currently a family child care home meets a R3 (residential three) occupancy as defined in the NC Building Codes. We have learned that increasing the capacity using option two or three in statute would change the residential occupancy from an R3 to a R4 (residential four) occupancy. To assist FCCH Operators with their decision about an increased capacity, DOI has provided the following guidance for transitioning from an R3 to an R4 occupancy. The requirements include but are not limited to the following: 1) Building permit (application submitted at local inspection office) 2) Building Inspection and Fire Inspection (building inspection form will be revised to include FCCH) 3) Fire Alarm System that will notify a professional offsite monitoring service (acceptable alternate method would be a Honeywell Home System, ADT Security, SimpliSafe, CPI Security and Brinks Home, etc.) 4) Carbon Monoxide Detectors 5) Portable Fire Extinguishers (type 2-A: 10-B-C) placed every forty (40 ft) feet within the child care area. 6) Minimum of two means of egress (exits) required (this does not include windows), one exit is required to be a ramp or the exit must be at grade. 7) Exits must having lighting. 8) Interior walls and ceilings must be made of noncombustible material (ex: no plaster or gypsum wallboard or wood paneling) Thank you for your assistance during today's visit. Feel free to contact me with questions or concerns. I may be reached via email marcia.humphrey@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Busy B's Child Care Facility ID: 39000268 Consultant: MARCIA HUMPHREY Operation Type: Family CC Home Case Number: Visit Date: 1/17/2024 Number Present: 3 Completed Date: 1/17/2024 Age: From 3 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete the first temporary time period visit. The provider Mrs. Brenda Russell was present and assisted me during today's visit. I completed a general walk through of the daycare space, bathroom and outdoor play area. I observed three children involved in different free play activities upon arrival. The temporary license was issued to this family child care home on 12/5/23 and expires on 6/5/24. The Verification of Required Information for Operator and Additional Caregiver form was completed during today's visit (this form was emailed to the provider). The fire drill and outdoor play inspection will be completed this month. Mrs. Russell has not completed the EPR training at this time (once completed she will begin completing the shelter-in-place or lockdown drill quarterly). Once this training has been completed, she will get all necessary information in the portal and prepare the facilities ready to go kit. The provider has not been approved for transportation at this time but is thinking about it for the future. I informed her that before taking the children in any vehicle, to please contact me so I can make sure the vehicle is approved with all inspections and all necessary paperwork for transporting is available in the vehicle. The license was posted along with the NC Summary of the Law. A first aid reference sheet was available, and the daily schedule was posted. Attendance records have been maintained since opening. Keep this information on file for at least one year. The provider and children's records were reviewed during today's visit. The following violations were cited: Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. This was past 30 days from enrollment for two children currently enrolled in care. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. This was past 30 days from enrollment for two children currently enrolled in care. GS 110-91(1); .1721(a)(2) 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. This was not on file for review for on child under fifteen months. .1706(i) In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by January 30, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I discussed with Mrs. Russell the importance of making sure all necessary paperwork has been completed and received from parent(s)/guardian(s) within the required timeframe. Mrs. Russell was aware of missing paperwork by placing the name of the missing item on the front of the folder. She stated that she will make sure to stay on top of her parent(s)/guardian(s)) with getting all necessary paperwork back in the required timeframe. RATED LICENSE INFORMATION I briefly discussed with Mrs. Russell the rated license process. I also briefly talked with Mrs. Russell regarding the Environmental Rating Scale Assessment, and provider stated that she may be interested in having this completed. I did review the Rated License Request Form with her during today's visit and informed her that if she is interested I would need the form back initialed and signed by April 4th so that I could send NCRLAP a request to have the assessment completed. I did discuss the FCCERS-R book with Mrs. Russell and informed her that she would need to get this book to assist her in preparing for the assessment. Lastly, I informed her to begin working on her reflective self-study (this was emailed). This would need to be completed by the end of April 2024. TECHNICAL ASSISTANCE I discussed in detail with Mrs. Russell the following information: *Emergency Preparedness and Response (EPR)-Again the provider has not completed this training as of yet but once completed you must be complete the template within four months of receiving the training (please read below): 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review *Annual in-service training hours are due by 12/5/24. I would recommend that you complete your training three months prior to the above date. CAPACITY INCREASE UPDATE: An increase in capacity requires a new permit be issued. FCCH Operators interested in an increase in their capacity will need to provide a written request to their consultant with verification there are no local zoning ordinances or homeowner association bylaws/covenants that prohibit the increase. Also, according to the Department of Insurance (DOI), an increase in capacity will affect the residential occupancy group for a FCCH. Currently a family child care home meets a R3 (residential three) occupancy as defined in the NC Building Codes. We have learned that increasing the capacity using option two or three in statute would change the residential occupancy from an R3 to a R4 (residential four) occupancy. To assist FCCH Operators with their decision about an increased capacity, DOI has provided the following guidance for transitioning from an R3 to an R4 occupancy. The requirements include but are not limited to the following: 1) Building permit (application submitted at local inspection office) 2) Building Inspection and Fire Inspection (building inspection form will be revised to include FCCH) 3) Fire Alarm System that will notify a professional offsite monitoring service (acceptable alternate method would be a Honeywell Home System, ADT Security, SimpliSafe, CPI Security and Brinks Home, etc.) 4) Carbon Monoxide Detectors 5) Portable Fire Extinguishers (type 2-A: 10-B-C) placed every forty (40 ft) feet within the child care area. 6) Minimum of two means of egress (exits) required (this does not include windows), one exit is required to be a ramp or the exit must be at grade. 7) Exits must having lighting. 8) Interior walls and ceilings must be made of noncombustible material (ex: no plaster or gypsum wallboard or wood paneling) Thank you for your assistance during today's visit. Feel free to contact me with questions or concerns. I may be reached via email marcia.humphrey@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times