God's Property Day Care

G.S. 110-90 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/11/2026 Number Present: 1 Completed Date: 2/11/2026 Age: From 0 To 12 Total Minutes: 75 Time In: 09:00 AM Time Out: 10:15 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. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7thth, 2018. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent as of 2/11/26. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed 1 child in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The child at the facility was eating and sleeping. The caregiver was interacting and meeting the developmental needs for the child. The last fire drill was conducted on 1/21/26. The last shelter and lock down drill were 12/17/25. The last Outdoor inspection was completed in January 2026; however, it wasn’t documented. The last water analysis was 5/14/25. Heath questionnaire was completed on 2-11-26. The provider and I briefly discussed the QRIS pathways, a conversation template was completed. Five violations were cited during today’s visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. Operator did not keep records or documentation of the playground inspection. .1721 (e)(7) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Prior to the expiration date the provider C. Cotten and her husband D. Cotten did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2 & .2703(n) & (o) 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The written plan of care was not in a newly enrolled child's file. .1712(e )(6) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. SIDS Sleep chart/visual checks were not documented daily. .1721((f)(4)(A) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. One newly enrolled child's file did not have a written statement to parents regarding smoking and tobacco. .1719(a)(11) The violation(s) documented must be corrected immediately. On or before 2-25-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 renewing criminal background checks in advance, children’s files requirements, sleep charts, and documenting outdoor checklist Program Reminders You need to complete 5 more on-going training hours by 5/21/26. Criminal background checks need to be renewed ASAP. 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/11/2026 Number Present: 1 Completed Date: 2/11/2026 Age: From 0 To 12 Total Minutes: 75 Time In: 09:00 AM Time Out: 10:15 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. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7thth, 2018. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent as of 2/11/26. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed 1 child in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The child at the facility was eating and sleeping. The caregiver was interacting and meeting the developmental needs for the child. The last fire drill was conducted on 1/21/26. The last shelter and lock down drill were 12/17/25. The last Outdoor inspection was completed in January 2026; however, it wasn’t documented. The last water analysis was 5/14/25. Heath questionnaire was completed on 2-11-26. The provider and I briefly discussed the QRIS pathways, a conversation template was completed. Five violations were cited during today’s visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. Operator did not keep records or documentation of the playground inspection. .1721 (e)(7) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Prior to the expiration date the provider C. Cotten and her husband D. Cotten did not complete and submit required forms to complete a criminal background check. G.S. 110-90.2 & .2703(n) & (o) 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The written plan of care was not in a newly enrolled child's file. .1712(e )(6) 1735 The daily schedule, activity plan, infant feeding plan, allergy posting, SIDS Sleep Chart/visual check were not maintained on file for a minimum of 30 days from the revision or replacement date. SIDS Sleep chart/visual checks were not documented daily. .1721((f)(4)(A) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. One newly enrolled child's file did not have a written statement to parents regarding smoking and tobacco. .1719(a)(11) The violation(s) documented must be corrected immediately. On or before 2-25-26, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. Please be aware that any information submitted by you is considered legal documentation. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 renewing criminal background checks in advance, children’s files requirements, sleep charts, and documenting outdoor checklist Program Reminders You need to complete 5 more on-going training hours by 5/21/26. Criminal background checks need to be renewed ASAP. 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 .1725 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/21/2025 Number Present: 4 Completed Date: 5/21/2025 Age: From 2 To 5 Total Minutes: -555 Time In: 09:15 AM Time Out: 12:00 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 21st, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent (99%) as of 5/21/25. 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. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed 4 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. 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, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/2/25. The last shelter and lock down drill were 3/20/25. The last Outdoor inspection was completed on 5/2/25. The last water analysis was 2/21/23. The next water analysis was due by 2/21/25. It is currently expired Heath questionnaire was completed on 12/22/24 it is to be updated annually. This one is good until 12/22/25. All staff and 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. One was corrected during today's visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Bacteriological analysis indicating the water is free of bacteria had not been performed since 2/21/23. 10A NCAC 09 .1725(a)(1) 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. For each child being transported the provider did not have a photograph. .1723(13) 2027 The professional development plan was not maintained in the personnel file. .1703(i)(5) The violation(s) documented must be corrected immediately. On or before 6-4-25, 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 Technical Assistance and consultation The provider and I discussed transportation requirements, professional development plan, and ensuring training certificates are in your file and transportation forms are updated every 12 months. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)To assure the health of children through proper sanitation, the family child care home operator shall: (1) collect and submit samples of water from each well used for the children's water supply for bacteriological analysis to the local health department or a laboratory certified to analyze drinking water for public water supplies by the North Carolina State Laboratory of Public Health every two years. Results of the analysis shall be on file in the home; 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (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 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS After receiving a license, family child care home operator shall: The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Each family child care home operator shall have a record of training activities in which each staff member participates, including copies of training certificates or official documentation provided by the trainer. That record shall include the subject matter, topic area in G.S. 110-91(11), training provider, date provided, hours, and name of staff who completed the training. This documentation shall be on file and current. 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 .1703 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/21/2025 Number Present: 4 Completed Date: 5/21/2025 Age: From 2 To 5 Total Minutes: -555 Time In: 09:15 AM Time Out: 12:00 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 21st, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent (99%) as of 5/21/25. 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. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed 4 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. 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, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/2/25. The last shelter and lock down drill were 3/20/25. The last Outdoor inspection was completed on 5/2/25. The last water analysis was 2/21/23. The next water analysis was due by 2/21/25. It is currently expired Heath questionnaire was completed on 12/22/24 it is to be updated annually. This one is good until 12/22/25. All staff and 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. One was corrected during today's visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Bacteriological analysis indicating the water is free of bacteria had not been performed since 2/21/23. 10A NCAC 09 .1725(a)(1) 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. For each child being transported the provider did not have a photograph. .1723(13) 2027 The professional development plan was not maintained in the personnel file. .1703(i)(5) The violation(s) documented must be corrected immediately. On or before 6-4-25, 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 Technical Assistance and consultation The provider and I discussed transportation requirements, professional development plan, and ensuring training certificates are in your file and transportation forms are updated every 12 months. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)To assure the health of children through proper sanitation, the family child care home operator shall: (1) collect and submit samples of water from each well used for the children's water supply for bacteriological analysis to the local health department or a laboratory certified to analyze drinking water for public water supplies by the North Carolina State Laboratory of Public Health every two years. Results of the analysis shall be on file in the home; 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (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 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS After receiving a license, family child care home operator shall: The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Each family child care home operator shall have a record of training activities in which each staff member participates, including copies of training certificates or official documentation provided by the trainer. That record shall include the subject matter, topic area in G.S. 110-91(11), training provider, date provided, hours, and name of staff who completed the training. This documentation shall be on file and current. 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/21/2025 Number Present: 4 Completed Date: 5/21/2025 Age: From 2 To 5 Total Minutes: -555 Time In: 09:15 AM Time Out: 12:00 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 21st, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent (99%) as of 5/21/25. 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. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed 4 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. 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, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/2/25. The last shelter and lock down drill were 3/20/25. The last Outdoor inspection was completed on 5/2/25. The last water analysis was 2/21/23. The next water analysis was due by 2/21/25. It is currently expired Heath questionnaire was completed on 12/22/24 it is to be updated annually. This one is good until 12/22/25. All staff and 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. One was corrected during today's visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Bacteriological analysis indicating the water is free of bacteria had not been performed since 2/21/23. 10A NCAC 09 .1725(a)(1) 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. For each child being transported the provider did not have a photograph. .1723(13) 2027 The professional development plan was not maintained in the personnel file. .1703(i)(5) The violation(s) documented must be corrected immediately. On or before 6-4-25, 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 Technical Assistance and consultation The provider and I discussed transportation requirements, professional development plan, and ensuring training certificates are in your file and transportation forms are updated every 12 months. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)To assure the health of children through proper sanitation, the family child care home operator shall: (1) collect and submit samples of water from each well used for the children's water supply for bacteriological analysis to the local health department or a laboratory certified to analyze drinking water for public water supplies by the North Carolina State Laboratory of Public Health every two years. Results of the analysis shall be on file in the home; 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (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 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS After receiving a license, family child care home operator shall: The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Each family child care home operator shall have a record of training activities in which each staff member participates, including copies of training certificates or official documentation provided by the trainer. That record shall include the subject matter, topic area in G.S. 110-91(11), training provider, date provided, hours, and name of staff who completed the training. This documentation shall be on file and current. 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 .1725 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/21/2025 Number Present: 4 Completed Date: 5/21/2025 Age: From 2 To 5 Total Minutes: -555 Time In: 09:15 AM Time Out: 12:00 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 21st, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent (99%) as of 5/21/25. 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. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed 4 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. 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, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/2/25. The last shelter and lock down drill were 3/20/25. The last Outdoor inspection was completed on 5/2/25. The last water analysis was 2/21/23. The next water analysis was due by 2/21/25. It is currently expired Heath questionnaire was completed on 12/22/24 it is to be updated annually. This one is good until 12/22/25. All staff and 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. One was corrected during today's visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Bacteriological analysis indicating the water is free of bacteria had not been performed since 2/21/23. 10A NCAC 09 .1725(a)(1) 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. For each child being transported the provider did not have a photograph. .1723(13) 2027 The professional development plan was not maintained in the personnel file. .1703(i)(5) The violation(s) documented must be corrected immediately. On or before 6-4-25, 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 Technical Assistance and consultation The provider and I discussed transportation requirements, professional development plan, and ensuring training certificates are in your file and transportation forms are updated every 12 months. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)To assure the health of children through proper sanitation, the family child care home operator shall: (1) collect and submit samples of water from each well used for the children's water supply for bacteriological analysis to the local health department or a laboratory certified to analyze drinking water for public water supplies by the North Carolina State Laboratory of Public Health every two years. Results of the analysis shall be on file in the home; 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (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 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS After receiving a license, family child care home operator shall: The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Each family child care home operator shall have a record of training activities in which each staff member participates, including copies of training certificates or official documentation provided by the trainer. That record shall include the subject matter, topic area in G.S. 110-91(11), training provider, date provided, hours, and name of staff who completed the training. This documentation shall be on file and current. 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

G.S. 110-91 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/21/2025 Number Present: 4 Completed Date: 5/21/2025 Age: From 2 To 5 Total Minutes: -555 Time In: 09:15 AM Time Out: 12:00 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 21st, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent (99%) as of 5/21/25. 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. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed 4 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. 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, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/2/25. The last shelter and lock down drill were 3/20/25. The last Outdoor inspection was completed on 5/2/25. The last water analysis was 2/21/23. The next water analysis was due by 2/21/25. It is currently expired Heath questionnaire was completed on 12/22/24 it is to be updated annually. This one is good until 12/22/25. All staff and 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. One was corrected during today's visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Bacteriological analysis indicating the water is free of bacteria had not been performed since 2/21/23. 10A NCAC 09 .1725(a)(1) 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. For each child being transported the provider did not have a photograph. .1723(13) 2027 The professional development plan was not maintained in the personnel file. .1703(i)(5) The violation(s) documented must be corrected immediately. On or before 6-4-25, 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 Technical Assistance and consultation The provider and I discussed transportation requirements, professional development plan, and ensuring training certificates are in your file and transportation forms are updated every 12 months. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)To assure the health of children through proper sanitation, the family child care home operator shall: (1) collect and submit samples of water from each well used for the children's water supply for bacteriological analysis to the local health department or a laboratory certified to analyze drinking water for public water supplies by the North Carolina State Laboratory of Public Health every two years. Results of the analysis shall be on file in the home; 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (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 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS After receiving a license, family child care home operator shall: The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Each family child care home operator shall have a record of training activities in which each staff member participates, including copies of training certificates or official documentation provided by the trainer. That record shall include the subject matter, topic area in G.S. 110-91(11), training provider, date provided, hours, and name of staff who completed the training. This documentation shall be on file and current. 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 5/21/2025 Number Present: 4 Completed Date: 5/21/2025 Age: From 2 To 5 Total Minutes: -555 Time In: 09:15 AM Time Out: 12:00 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. M. Johnson, assisted me with the visit. The last Annual Compliance Visit was conducted on May 21st, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety nine percent (99%) as of 5/21/25. 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. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed 4 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. 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, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 5/2/25. The last shelter and lock down drill were 3/20/25. The last Outdoor inspection was completed on 5/2/25. The last water analysis was 2/21/23. The next water analysis was due by 2/21/25. It is currently expired Heath questionnaire was completed on 12/22/24 it is to be updated annually. This one is good until 12/22/25. All staff and 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. One was corrected during today's visit. The provider did ask questions to ensure compliance. Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Bacteriological analysis indicating the water is free of bacteria had not been performed since 2/21/23. 10A NCAC 09 .1725(a)(1) 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. For each child being transported the provider did not have a photograph. .1723(13) 2027 The professional development plan was not maintained in the personnel file. .1703(i)(5) The violation(s) documented must be corrected immediately. On or before 6-4-25, 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 Technical Assistance and consultation The provider and I discussed transportation requirements, professional development plan, and ensuring training certificates are in your file and transportation forms are updated every 12 months. 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a)To assure the health of children through proper sanitation, the family child care home operator shall: (1) collect and submit samples of water from each well used for the children's water supply for bacteriological analysis to the local health department or a laboratory certified to analyze drinking water for public water supplies by the North Carolina State Laboratory of Public Health every two years. Results of the analysis shall be on file in the home; 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; (6) ensure that all children are transferred to an individual who is indicated on the child's application for enrollment as specified in Rule .1721(a)(3) of this Section or as authorized by the parent; (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (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 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS After receiving a license, family child care home operator shall: The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. Each family child care home operator shall have a record of training activities in which each staff member participates, including copies of training certificates or official documentation provided by the trainer. That record shall include the subject matter, topic area in G.S. 110-91(11), training provider, date provided, hours, and name of staff who completed the training. This documentation shall be on file and current. 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 .1715 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/4/2024 Number Present: 5 Completed Date: 6/4/2024 Age: From 1 To 4 Total Minutes: 145 Time In: 09:05 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. A. Cotten, assisted me with the visit. The last Annual Compliance Visit was conducted on June 27th, 2023. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety seven percent (97%) as of 6/4/24. 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 five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, and circle time. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 6/3/24. The last shelter-in-place and lock down drills were conducted on 3/20/24. The next one is due by 6/30/24. The last Outdoor inspection was completed on 6/3/24. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Two violations were observed. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The family child care home operator did not discuss the operational polices with the newly enrolled child's parents on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to the parent regarding the smoking and tobacco restriction. .1719(a)(11) The violation(s) documented must be corrected immediately. On or before 6-18-24, 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 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 emailed 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 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 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, (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (1) the days and hours of operation; (2) the age range of the children served; (3) admission requirements and enrollment procedures; (4) parent fees and payment plan; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (8) written procedures for reporting suspected child abuse and neglect; (9) the operator's discipline policy for behavior management; (10) a description of opportunities for parent participation; and (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. 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: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; Rated License Information 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. Your facility is in cohort 1. Preparation Year: July 1, 2023-June 30, 2024. Reassessment Year: July 1, 2024-June 30, 2025. However, do not wait until June 30th, 2025, I would need everything at least by May 30th, 2025, if you are not going to go through the assessment. Once you are ready to have the assessment done, please complete the rated license assessment for family child care homes application which can be found on our website. Staff Reminders and Program Reminders MS. Cotton’s needs 8 hours of on-going trainings by 6/27/24. D. Lawrence files need a copy of immunizations and medical records by 6/9/24. Make sure to fill out your professional development plan annually. I look at this at my next visit. Make sure to place floor plan in your emergency preparedness notebook. Once you finish updating your operational polices place the document in the children’s files. 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/ . 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/4/2024 Number Present: 5 Completed Date: 6/4/2024 Age: From 1 To 4 Total Minutes: 145 Time In: 09:05 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. A. Cotten, assisted me with the visit. The last Annual Compliance Visit was conducted on June 27th, 2023. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety seven percent (97%) as of 6/4/24. 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 five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, and circle time. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 6/3/24. The last shelter-in-place and lock down drills were conducted on 3/20/24. The next one is due by 6/30/24. The last Outdoor inspection was completed on 6/3/24. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Two violations were observed. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The family child care home operator did not discuss the operational polices with the newly enrolled child's parents on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to the parent regarding the smoking and tobacco restriction. .1719(a)(11) The violation(s) documented must be corrected immediately. On or before 6-18-24, 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 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 emailed 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 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 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, (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (1) the days and hours of operation; (2) the age range of the children served; (3) admission requirements and enrollment procedures; (4) parent fees and payment plan; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (8) written procedures for reporting suspected child abuse and neglect; (9) the operator's discipline policy for behavior management; (10) a description of opportunities for parent participation; and (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. 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: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; Rated License Information 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. Your facility is in cohort 1. Preparation Year: July 1, 2023-June 30, 2024. Reassessment Year: July 1, 2024-June 30, 2025. However, do not wait until June 30th, 2025, I would need everything at least by May 30th, 2025, if you are not going to go through the assessment. Once you are ready to have the assessment done, please complete the rated license assessment for family child care homes application which can be found on our website. Staff Reminders and Program Reminders MS. Cotton’s needs 8 hours of on-going trainings by 6/27/24. D. Lawrence files need a copy of immunizations and medical records by 6/9/24. Make sure to fill out your professional development plan annually. I look at this at my next visit. Make sure to place floor plan in your emergency preparedness notebook. Once you finish updating your operational polices place the document in the children’s files. 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/ . 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 .2828 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/4/2024 Number Present: 5 Completed Date: 6/4/2024 Age: From 1 To 4 Total Minutes: 145 Time In: 09:05 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. A. Cotten, assisted me with the visit. The last Annual Compliance Visit was conducted on June 27th, 2023. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety seven percent (97%) as of 6/4/24. 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 five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, and circle time. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 6/3/24. The last shelter-in-place and lock down drills were conducted on 3/20/24. The next one is due by 6/30/24. The last Outdoor inspection was completed on 6/3/24. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Two violations were observed. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The family child care home operator did not discuss the operational polices with the newly enrolled child's parents on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to the parent regarding the smoking and tobacco restriction. .1719(a)(11) The violation(s) documented must be corrected immediately. On or before 6-18-24, 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 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 emailed 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 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 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, (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (1) the days and hours of operation; (2) the age range of the children served; (3) admission requirements and enrollment procedures; (4) parent fees and payment plan; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (8) written procedures for reporting suspected child abuse and neglect; (9) the operator's discipline policy for behavior management; (10) a description of opportunities for parent participation; and (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. 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: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; Rated License Information 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. Your facility is in cohort 1. Preparation Year: July 1, 2023-June 30, 2024. Reassessment Year: July 1, 2024-June 30, 2025. However, do not wait until June 30th, 2025, I would need everything at least by May 30th, 2025, if you are not going to go through the assessment. Once you are ready to have the assessment done, please complete the rated license assessment for family child care homes application which can be found on our website. Staff Reminders and Program Reminders MS. Cotton’s needs 8 hours of on-going trainings by 6/27/24. D. Lawrence files need a copy of immunizations and medical records by 6/9/24. Make sure to fill out your professional development plan annually. I look at this at my next visit. Make sure to place floor plan in your emergency preparedness notebook. Once you finish updating your operational polices place the document in the children’s files. 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/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 1715 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/4/2024 Number Present: 5 Completed Date: 6/4/2024 Age: From 1 To 4 Total Minutes: 145 Time In: 09:05 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. A. Cotten, assisted me with the visit. The last Annual Compliance Visit was conducted on June 27th, 2023. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety seven percent (97%) as of 6/4/24. 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 five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, and circle time. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 6/3/24. The last shelter-in-place and lock down drills were conducted on 3/20/24. The next one is due by 6/30/24. The last Outdoor inspection was completed on 6/3/24. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Two violations were observed. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The family child care home operator did not discuss the operational polices with the newly enrolled child's parents on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to the parent regarding the smoking and tobacco restriction. .1719(a)(11) The violation(s) documented must be corrected immediately. On or before 6-18-24, 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 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 emailed 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 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 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, (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (1) the days and hours of operation; (2) the age range of the children served; (3) admission requirements and enrollment procedures; (4) parent fees and payment plan; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (8) written procedures for reporting suspected child abuse and neglect; (9) the operator's discipline policy for behavior management; (10) a description of opportunities for parent participation; and (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. 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: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; Rated License Information 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. Your facility is in cohort 1. Preparation Year: July 1, 2023-June 30, 2024. Reassessment Year: July 1, 2024-June 30, 2025. However, do not wait until June 30th, 2025, I would need everything at least by May 30th, 2025, if you are not going to go through the assessment. Once you are ready to have the assessment done, please complete the rated license assessment for family child care homes application which can be found on our website. Staff Reminders and Program Reminders MS. Cotton’s needs 8 hours of on-going trainings by 6/27/24. D. Lawrence files need a copy of immunizations and medical records by 6/9/24. Make sure to fill out your professional development plan annually. I look at this at my next visit. Make sure to place floor plan in your emergency preparedness notebook. Once you finish updating your operational polices place the document in the children’s files. 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/ . 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/4/2024 Number Present: 5 Completed Date: 6/4/2024 Age: From 1 To 4 Total Minutes: 145 Time In: 09:05 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 annual compliance unannounced visit. The program currently operates with a Four-Star Child-Care License that was issued on February 7th, 2018. You, Ms. A. Cotten, assisted me with the visit. The last Annual Compliance Visit was conducted on June 27th, 2023. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety seven percent (97%) as of 6/4/24. 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 five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, and circle time. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 6/3/24. The last shelter-in-place and lock down drills were conducted on 3/20/24. The next one is due by 6/30/24. The last Outdoor inspection was completed on 6/3/24. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Two violations were observed. The provider did ask questions pertaining to staying in compliance and technical assistance and consultation information was given. Violation Number Comment Rule 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The family child care home operator did not discuss the operational polices with the newly enrolled child's parents on or before the child's first day of attendance. 10A NCAC 09. 1715(b) 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The operator did not provide a written statement to the parent regarding the smoking and tobacco restriction. .1719(a)(11) The violation(s) documented must be corrected immediately. On or before 6-18-24, 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 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 emailed 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 Falsification: If child care operators state in the compliance letter that corrections have been made when they have not, this will be considered falsification of information, and an Administrative Action may be issued. If you cannot meet the requirements by the date, you must contact me with a proposed timeline of the corrections in a timely manner. In some cases, this timeline may be extended. Consultation and Technical Assistance 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, (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction. 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (1) the days and hours of operation; (2) the age range of the children served; (3) admission requirements and enrollment procedures; (4) parent fees and payment plan; (5) information about services provided by the operator, such as number of meals served, before and after school care, and transportation; (6) items, if any, to be provided by parents; (7) a schedule of daily, weekly, and monthly cleaning duties; (8) written procedures for reporting suspected child abuse and neglect; (9) the operator's discipline policy for behavior management; (10) a description of opportunities for parent participation; and (11) nutrition policies. (b) Operational policies shall be discussed with parents on or before the child's first day of attendance in the home. A copy of the policies shall be given to the parents on or before the child's first day of attendance and the parents shall be notified in writing of any changes in policy. 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: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; Rated License Information 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. Your facility is in cohort 1. Preparation Year: July 1, 2023-June 30, 2024. Reassessment Year: July 1, 2024-June 30, 2025. However, do not wait until June 30th, 2025, I would need everything at least by May 30th, 2025, if you are not going to go through the assessment. Once you are ready to have the assessment done, please complete the rated license assessment for family child care homes application which can be found on our website. Staff Reminders and Program Reminders MS. Cotton’s needs 8 hours of on-going trainings by 6/27/24. D. Lawrence files need a copy of immunizations and medical records by 6/9/24. Make sure to fill out your professional development plan annually. I look at this at my next visit. Make sure to place floor plan in your emergency preparedness notebook. Once you finish updating your operational polices place the document in the children’s files. 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/ . Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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 .1712 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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 .1721 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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 .1726 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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 .1729 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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 .2828 · Violation

Name of Operation: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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: GOD'S PROPERTY DAY CARE Facility ID: 39000080 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/14/2024 Number Present: 5 Completed Date: 2/14/2024 Age: From 1 To 4 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 child care requirements for a routine unannounced visit. You, Ms. Cotten assisted me with the visit. Your program currently operates with a Four-Star issued February 7th, 2018. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96) as of 2/14/24. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in art, transitions, and personal care routines. The caregiver was interacting and meeting the developmental needs for each of the children. The last fire drill was conducted 1/29/24. The next one is due by 2/29/24. The last outdoor inspection was 1/29/24. The next one is due by 2/29/24. The last shelter and lock down drill were 12/21/23. The next is due by 3/31/24. One violation was cited during today’s visit; the provider did ask questions about the topics below to ensure the facility stays in compliance. Violation Number Comment Rule 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. A newly enrolled child did not have a signed copy of the shaken baby syndrome and abusive head trauma policy on the first day of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 2-28-24, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware 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 on violation 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (b) A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. Technical Assistance that the provider had questions about. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (1) Update the health questionnaire annually. The Division may request an evaluation of the operator's emotional and physical fitness to care for children when there is reason to believe that there has been a deterioration in the operator's emotional or physical fitness to care for children. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; (2) complete health and safety training as part of on-going training so that every five years, all the topic areas set forth in Paragraph (c) of this Rule will have been covered; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE (a) Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. (b) Operators who complete routine tasks with enrolled children shall limit these tasks to no more than two hours per week. (c) Children shall not attend classes or medical appointments, with the family child care home operator, as described in Paragraph (a) of this Rule. (d) Operators who attend classes, medical appointments, or who must complete routine tasks in excess of two hours per week, shall ensure that a qualified additional caregiver or substitute provider who meets the requirements of 10A NCAC 09 .1729, cares for enrolled children during these times. (e) The written plan of care shall: (1) specify times for completing routine tasks and include those times on the written schedule; (2) specify the names of any individuals, such as additional caregivers or substitute providers, who will be responsible for the care of children when the operator is attending to routine tasks; (3) specify how the operator shall maintain compliance with transportation requirements specified in 10A NCAC 09 .1723 if children are transported; (4) specify how parents will be notified when children accompany the operator off premises for routine tasks not specified on the written schedule; (5) specify any other steps the operator shall take to ensure routine tasks will not interfere with the care of children; and (6) be provided and explained to parents of children in care on or before the first day the child attends the home. Parents shall sign a statement acknowledging the receipt and explanation of the plan. Parents shall also give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The acknowledgment and written parental permission shall be retained in the child's record as long as the child is enrolled at the home and a copy of each document shall be maintained on file for review by the Division. (f) If the operator amends the written plan, the operator shall give written notice of the amendment to parents of all enrolled children at least 30 days before the amended plan is implemented. Each parent shall sign a statement acknowledging the receipt and explanation of the amendment. The operator shall retain the acknowledgement in the child's records as long as the child is enrolled in the home and a copy shall be maintained on file for review by the Division. 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: (5) medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container. Designated emergency medications shall be stored out of reach of children at least five feet high, but are not required to be in locked storage. For purposes of this Rule, designated emergency medications are those that are used or needed for the immediate recovery from a life-threatening event and include Glucagon, epinephrine auto-injector, diazepam rectal installation and albuterol; (6) keep hazardous cleaning supplies and other items that might be poisonous, e.g., toxic plants, out of reach or in locked storage when children are in care; A list of toxic plants may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms.form16b_bb.pdf; (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; (b) When screen time is provided on any electronic media device with a visual display, it shall be: (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2) limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (c) Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) The following provisions apply to the administration of medication in family child care homes: (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste or powder shall be administered to any child: (A) without written authorization from the child's parent; (B) without written instructions from the child's parent, physician or other health professional; (C) in any manner not authorized by the child's parent, physician or other health professional; (D) after its expiration date; (E) for non-medical reasons, such as to induce sleep; or (F) with a known allergy to the medication. (2) Prescribed medications: (A) shall be stored in the original containers in which they were dispensed with the pharmacy labels: (B) if pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; (v) the date the instructions were signed by the physician or other health professional; and (vi) shall be administered according to the prescription, using amount and frequency of dosage specified on the label; and (C) shall be administered only to the child for whom they were prescribed. (3) A parent's written authorization for the administration of a prescription medication described in Paragraph (b)(2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (A) the child's name; (B) the names of the authorized over-the-counter medication; (C) the amount and frequency of the dosages, which shall not exceed the amount and frequency of the dosages on the manufacturer's label; (D) the signature of the parent, physician or other health professional; and (E) the date the instructions were signed by the parent, physician or other health professional. The permission to administer over-the-counter medications is valid for up to 30 days at a time, except as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. Over-the-counter medications shall not be administered on an "as needed" basis, other than as allowed in Subparagraphs (b)(6), (7), (8), and (9) of this Rule. (5) When questions arise concerning whether any medication should be administered to a child, the caregiver may decline to administer the medication without signed, written dosage instructions from a licensed physician or authorized health professional. (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (A) the child's name; (B) the subject medical conditions or allergic reactions; (C) the names of the authorized over-the-counter medications; (D) the criteria for the administration of the medication; (E) the amount and frequency of the dosages; (F) the manner in which the medication shall be administered; (G) the signature of the parent; (H) the date the authorization was signed by the parent; and (I) the length of time the authorization is valid, if less than six months. (7) 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. Program Reminders Rated License Information The facility reassessment year is between July 1, 2024, and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. 10A NCAC 09 .2828 ENHANCED PROGRAM STANDARDS FOR A RATED LICENSE FOR FAMILY CHILD CARE HOMES (a) This Rule shall apply to evaluating the program standards for a rated license for family child care homes. (b) To achieve two through seven points for program standards, the operator shall meet the criteria listed in the following chart: Operator provides documentation of self-study and self-assessment using the Family Child Care Rating Scale over a 3-month time period. Documentation such as an ERS book with score sheets, self-assessments and program adjustments shall be reviewed by the Division as part of the rated license assessment. I will be monitoring this during your upcoming annual compliance visit in June 2024. You can start in March. Program Reminders Recognizing and reporting child abuse, child neglect, and child maltreatment training needs to be completed every 5 years. Here is the link below: Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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/ . Also ncrlap.org has videos and other helpful information on the website. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. 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