10A NCAC 09.1721 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/15/2025 Number Present: 4 Completed Date: 7/15/2025 Age: From 2 To 4 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ woodstove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Four children were present during the visit; they were observed playing with toys, participating in general routines, engaging in conversations and activities with Ms. Westbury, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/06/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/01/2025. The most recent shelter-in-place drill was documented om 6/03/2025. The last outdoor inspection was documented on 7/03/2025. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. On the playground used by children enrolled, one plastic wagon was observed to be cracked in at least two places, and plastic pieces were observed to be brittle and breaking off. The bottom left corner of a plastic storage bin for toys was observed to be cracked and sharp to the touch. At least two outdoor mats were observed to be disintegrating and torn. 10 A NCAC 09.1720(a)(7) 908 Health questionnaire was not completed annually. The most recent completed health questionnaire for the operator was observed to be completed on 6/03/2024. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical health assessment for one child enrolled in March, 2025 was observed to have been conducted on 5/13/2025. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 7/29/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The medical health assessment for one child enrolled in March, 2025 was observed to have been conducted on 5/13/2025. It is imperative that all required records are current and file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Westbury stated this was accidentally overlooked. • A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Westbury stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Westbury for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • On the playground used by children enrolled, one plastic wagon was observed to be cracked in at least two places, and plastic pieces were observed to be brittle and breaking off. The bottom left corner of a plastic storage bin for toys was observed to be cracked and sharp to the touch. At least two outdoor mats were observed to be disintegrating and torn. It is important for all outdoor equipment used by or accessed by children enrolled is in good condition and repair so children can explore the outdoor environment safely. We discussed options to consider for Mrs. Westbury to cover the cracked area on the plastic storage bin, and she stated she would remove the wagon and outdoor mats as soon as possible. Consultation provided following today’s visit: Please record a date on your annual Professional Development Plan, as this plan must be updated yearly. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/15/2025 Number Present: 4 Completed Date: 7/15/2025 Age: From 2 To 4 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ woodstove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Four children were present during the visit; they were observed playing with toys, participating in general routines, engaging in conversations and activities with Ms. Westbury, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/06/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/01/2025. The most recent shelter-in-place drill was documented om 6/03/2025. The last outdoor inspection was documented on 7/03/2025. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. On the playground used by children enrolled, one plastic wagon was observed to be cracked in at least two places, and plastic pieces were observed to be brittle and breaking off. The bottom left corner of a plastic storage bin for toys was observed to be cracked and sharp to the touch. At least two outdoor mats were observed to be disintegrating and torn. 10 A NCAC 09.1720(a)(7) 908 Health questionnaire was not completed annually. The most recent completed health questionnaire for the operator was observed to be completed on 6/03/2024. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical health assessment for one child enrolled in March, 2025 was observed to have been conducted on 5/13/2025. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 7/29/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The medical health assessment for one child enrolled in March, 2025 was observed to have been conducted on 5/13/2025. It is imperative that all required records are current and file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Westbury stated this was accidentally overlooked. • A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Westbury stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Westbury for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • On the playground used by children enrolled, one plastic wagon was observed to be cracked in at least two places, and plastic pieces were observed to be brittle and breaking off. The bottom left corner of a plastic storage bin for toys was observed to be cracked and sharp to the touch. At least two outdoor mats were observed to be disintegrating and torn. It is important for all outdoor equipment used by or accessed by children enrolled is in good condition and repair so children can explore the outdoor environment safely. We discussed options to consider for Mrs. Westbury to cover the cracked area on the plastic storage bin, and she stated she would remove the wagon and outdoor mats as soon as possible. Consultation provided following today’s visit: Please record a date on your annual Professional Development Plan, as this plan must be updated yearly. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/15/2025 Number Present: 4 Completed Date: 7/15/2025 Age: From 2 To 4 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ woodstove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Four children were present during the visit; they were observed playing with toys, participating in general routines, engaging in conversations and activities with Ms. Westbury, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/06/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/01/2025. The most recent shelter-in-place drill was documented om 6/03/2025. The last outdoor inspection was documented on 7/03/2025. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. On the playground used by children enrolled, one plastic wagon was observed to be cracked in at least two places, and plastic pieces were observed to be brittle and breaking off. The bottom left corner of a plastic storage bin for toys was observed to be cracked and sharp to the touch. At least two outdoor mats were observed to be disintegrating and torn. 10 A NCAC 09.1720(a)(7) 908 Health questionnaire was not completed annually. The most recent completed health questionnaire for the operator was observed to be completed on 6/03/2024. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical health assessment for one child enrolled in March, 2025 was observed to have been conducted on 5/13/2025. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 7/29/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The medical health assessment for one child enrolled in March, 2025 was observed to have been conducted on 5/13/2025. It is imperative that all required records are current and file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Westbury stated this was accidentally overlooked. • A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Westbury stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Westbury for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • On the playground used by children enrolled, one plastic wagon was observed to be cracked in at least two places, and plastic pieces were observed to be brittle and breaking off. The bottom left corner of a plastic storage bin for toys was observed to be cracked and sharp to the touch. At least two outdoor mats were observed to be disintegrating and torn. It is important for all outdoor equipment used by or accessed by children enrolled is in good condition and repair so children can explore the outdoor environment safely. We discussed options to consider for Mrs. Westbury to cover the cracked area on the plastic storage bin, and she stated she would remove the wagon and outdoor mats as soon as possible. Consultation provided following today’s visit: Please record a date on your annual Professional Development Plan, as this plan must be updated yearly. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/15/2025 Number Present: 4 Completed Date: 7/15/2025 Age: From 2 To 4 Total Minutes: 165 Time In: 10:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ woodstove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Four children were present during the visit; they were observed playing with toys, participating in general routines, engaging in conversations and activities with Ms. Westbury, eating lunch, and napping during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/06/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The most recent fire drill was documented on 7/01/2025. The most recent shelter-in-place drill was documented om 6/03/2025. The last outdoor inspection was documented on 7/03/2025. There is one pet inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. The program does not transport children or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 709 Equipment and toys were not in good repair and developmentally appropriate. On the playground used by children enrolled, one plastic wagon was observed to be cracked in at least two places, and plastic pieces were observed to be brittle and breaking off. The bottom left corner of a plastic storage bin for toys was observed to be cracked and sharp to the touch. At least two outdoor mats were observed to be disintegrating and torn. 10 A NCAC 09.1720(a)(7) 908 Health questionnaire was not completed annually. The most recent completed health questionnaire for the operator was observed to be completed on 6/03/2024. .1703(a)(1) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. The medical health assessment for one child enrolled in March, 2025 was observed to have been conducted on 5/13/2025. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 7/29/2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • The medical health assessment for one child enrolled in March, 2025 was observed to have been conducted on 5/13/2025. It is imperative that all required records are current and file for review to ensure the health, safety, and quality of care for children enrolled. Ms. Westbury stated this was accidentally overlooked. • A facility profile for Criminal Background Checks had not been created; hence, the operator and additional caregiver CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Ms. Westbury stated she has the instructions I sent via email to complete this process. I also stated I would resend all ABCMS emails to Ms. Westbury for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. • On the playground used by children enrolled, one plastic wagon was observed to be cracked in at least two places, and plastic pieces were observed to be brittle and breaking off. The bottom left corner of a plastic storage bin for toys was observed to be cracked and sharp to the touch. At least two outdoor mats were observed to be disintegrating and torn. It is important for all outdoor equipment used by or accessed by children enrolled is in good condition and repair so children can explore the outdoor environment safely. We discussed options to consider for Mrs. Westbury to cover the cracked area on the plastic storage bin, and she stated she would remove the wagon and outdoor mats as soon as possible. Consultation provided following today’s visit: Please record a date on your annual Professional Development Plan, as this plan must be updated yearly. • You must notify your consultant 30 days prior to changing the ownership status of your facility. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were provided the opportunity to ask questions during and at the conclusion of the visit. Thank you for your time and assistance with this visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1727 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/6/2024 Number Present: 3 Completed Date: 8/6/2024 Age: From 2 To 3 Total Minutes: 135 Time In: 09:15 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 An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three (3) children in care playing with toys, engaging in conversations and learning activities, eating lunch, and participating in general routines with Ms. Westbury during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/17/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator. I discussed all information on the form with Ms. Westbury during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/01/2024. The most recent shelter-in-place drill was documented on 8/01/2024. The last outdoor inspection was documented on 8/05/2024. There is currently one pet at this facility, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Westbury stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. On the playground, the height of the fence along the back of the playground (facing the hill behind the home) and at the back left corner (facing the back of the playground with the home on the left) measured between 42 and 47 inches in height. GS 110-91 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/20/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • On the playground, the height of the fence along the back of the playground (facing the hill behind the home) and at the back left corner (facing the back of the playground with the home on the left) measured between 42 and 47 inches in height. For the safety of all children enrolled in care, the height of the fence must measure at 48 inches in all areas. Ms. Westbury was not aware the fencing did not measure 48 inches in all areas. She contacted her husband during the visit to begin the process of correcting this issue. I recommended Ms. Westbury measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Westbury during the visit: 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Westbury confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/6/2024 Number Present: 3 Completed Date: 8/6/2024 Age: From 2 To 3 Total Minutes: 135 Time In: 09:15 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 An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three (3) children in care playing with toys, engaging in conversations and learning activities, eating lunch, and participating in general routines with Ms. Westbury during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/17/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator. I discussed all information on the form with Ms. Westbury during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/01/2024. The most recent shelter-in-place drill was documented on 8/01/2024. The last outdoor inspection was documented on 8/05/2024. There is currently one pet at this facility, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Westbury stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. On the playground, the height of the fence along the back of the playground (facing the hill behind the home) and at the back left corner (facing the back of the playground with the home on the left) measured between 42 and 47 inches in height. GS 110-91 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/20/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • On the playground, the height of the fence along the back of the playground (facing the hill behind the home) and at the back left corner (facing the back of the playground with the home on the left) measured between 42 and 47 inches in height. For the safety of all children enrolled in care, the height of the fence must measure at 48 inches in all areas. Ms. Westbury was not aware the fencing did not measure 48 inches in all areas. She contacted her husband during the visit to begin the process of correcting this issue. I recommended Ms. Westbury measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Westbury during the visit: 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Westbury confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/6/2024 Number Present: 3 Completed Date: 8/6/2024 Age: From 2 To 3 Total Minutes: 135 Time In: 09:15 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 An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care and a maximum of five preschoolers at any time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 95% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed three (3) children in care playing with toys, engaging in conversations and learning activities, eating lunch, and participating in general routines with Ms. Westbury during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/17/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator. I discussed all information on the form with Ms. Westbury during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/01/2024. The most recent shelter-in-place drill was documented on 8/01/2024. The last outdoor inspection was documented on 8/05/2024. There is currently one pet at this facility, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Westbury stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1544 The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. On the playground, the height of the fence along the back of the playground (facing the hill behind the home) and at the back left corner (facing the back of the playground with the home on the left) measured between 42 and 47 inches in height. GS 110-91 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/20/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: • On the playground, the height of the fence along the back of the playground (facing the hill behind the home) and at the back left corner (facing the back of the playground with the home on the left) measured between 42 and 47 inches in height. For the safety of all children enrolled in care, the height of the fence must measure at 48 inches in all areas. Ms. Westbury was not aware the fencing did not measure 48 inches in all areas. She contacted her husband during the visit to begin the process of correcting this issue. I recommended Ms. Westbury measure the fencing in different areas at different times throughout the year to ensure the fencing was not settling into the ground over time and remains at the required height in all areas. Consultation provided following today’s visit: The following Child Care Rule was reviewed with Ms. Westbury during the visit: 10A NCAC 09 .1727 DISCIPLINE POLICY (c ) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Westbury confirmed during today’s visit that the email was received and provided information that she will enroll in testing within the next two weeks. For next steps as to how to complete this webinar and enroll in testing, please contact RTI/ Clean Classrooms for Carolina Kids directly at: https://www.cleanwaterforuskids.org/carolina/contact/ or place a call, voicemail, or text to 1-888-997-9290. • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 1707 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/17/2023 Number Present: 4 Completed Date: 8/17/2023 Age: From 1 To 2 Total Minutes: 265 Time In: 10:20 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ wood stove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The fire extinguisher gauge needle was observed to be in the red zone. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing with toys, engaging in conversations, stories, songs, and activities with Ms. Westbury, participating in general routines, and eating lunch during the visit. Ms. Westbury stated she currently uses Circle of Generations food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/07/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Westbury does not use an additional caregiver at this time. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/03/2023. The most recent lockdown drill was documented on 6/21/2023. The last outdoor inspection was also documented on 8/03/2023. There is currently one pet at this facility; all required vaccination documentation and Pet Acknowledgement Forms were current and on file for review. Staff files and children’s records were monitored per DCDEE procedures. Ms. Westbury stated she and her husband are the only individuals living in the home. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. Storage of hazardous items was monitored today and found to be in compliance. Ms. Westbury stated no children enrolled take medication during operating hours. Ms. Westbury does not currently transport children enrolled or participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The fire extinguisher gauge needle was observed to be in the red zone. 10A NCAC 09. 1707(4) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Westbury during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (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 inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (b) (b) When screen time is provided on any electronic media device with a visual display, it shall be: (c) (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (d) (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 (e) (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (f) (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. (g) (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please consider using and posting the most updated version of the Safe Sleep Policy found on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/Infant_Toddler_Safe_Sleep_Policy_Sample_1.pdf?ver=fDhA7_9-wzK0vsrb9-6SaA%3d%3d . • Please monitor outdoor equipment for developing rust. • Please review all Pet Acknowledgement forms to ensure the correct location of pet is documented on the forms. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please email me an updated copy of your Operational Policies. • I recommend outdoor non-stationary equipment be pressure-washed. • Please consider covering the small hole located at the bottom right-hand side of the wall, just inside the entrance to the space designated for child care. • Please seal the two small spaces along the right wall (facing the entrance of the designated space for child care) where the paneling has separated. • Please monitor all outdoor equipment for cobwebs prior to use by children enrolled. • Please remember to record a date on your most current Professional Development Plan. • Please place a copy of your education on file. • Please place a signed copy of your Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. - Please access the following link for NCID support: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NCID_Instructions_For_Training_Requirements_page.pdf?ver=G0V1BaqfxLIWw7ALceEvLw%3d%3d At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1713 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/17/2023 Number Present: 4 Completed Date: 8/17/2023 Age: From 1 To 2 Total Minutes: 265 Time In: 10:20 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ wood stove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The fire extinguisher gauge needle was observed to be in the red zone. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing with toys, engaging in conversations, stories, songs, and activities with Ms. Westbury, participating in general routines, and eating lunch during the visit. Ms. Westbury stated she currently uses Circle of Generations food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/07/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Westbury does not use an additional caregiver at this time. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/03/2023. The most recent lockdown drill was documented on 6/21/2023. The last outdoor inspection was also documented on 8/03/2023. There is currently one pet at this facility; all required vaccination documentation and Pet Acknowledgement Forms were current and on file for review. Staff files and children’s records were monitored per DCDEE procedures. Ms. Westbury stated she and her husband are the only individuals living in the home. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. Storage of hazardous items was monitored today and found to be in compliance. Ms. Westbury stated no children enrolled take medication during operating hours. Ms. Westbury does not currently transport children enrolled or participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The fire extinguisher gauge needle was observed to be in the red zone. 10A NCAC 09. 1707(4) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Westbury during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (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 inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (b) (b) When screen time is provided on any electronic media device with a visual display, it shall be: (c) (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (d) (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 (e) (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (f) (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. (g) (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please consider using and posting the most updated version of the Safe Sleep Policy found on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/Infant_Toddler_Safe_Sleep_Policy_Sample_1.pdf?ver=fDhA7_9-wzK0vsrb9-6SaA%3d%3d . • Please monitor outdoor equipment for developing rust. • Please review all Pet Acknowledgement forms to ensure the correct location of pet is documented on the forms. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please email me an updated copy of your Operational Policies. • I recommend outdoor non-stationary equipment be pressure-washed. • Please consider covering the small hole located at the bottom right-hand side of the wall, just inside the entrance to the space designated for child care. • Please seal the two small spaces along the right wall (facing the entrance of the designated space for child care) where the paneling has separated. • Please monitor all outdoor equipment for cobwebs prior to use by children enrolled. • Please remember to record a date on your most current Professional Development Plan. • Please place a copy of your education on file. • Please place a signed copy of your Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. - Please access the following link for NCID support: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NCID_Instructions_For_Training_Requirements_page.pdf?ver=G0V1BaqfxLIWw7ALceEvLw%3d%3d At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1718 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/17/2023 Number Present: 4 Completed Date: 8/17/2023 Age: From 1 To 2 Total Minutes: 265 Time In: 10:20 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ wood stove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The fire extinguisher gauge needle was observed to be in the red zone. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing with toys, engaging in conversations, stories, songs, and activities with Ms. Westbury, participating in general routines, and eating lunch during the visit. Ms. Westbury stated she currently uses Circle of Generations food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/07/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Westbury does not use an additional caregiver at this time. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/03/2023. The most recent lockdown drill was documented on 6/21/2023. The last outdoor inspection was also documented on 8/03/2023. There is currently one pet at this facility; all required vaccination documentation and Pet Acknowledgement Forms were current and on file for review. Staff files and children’s records were monitored per DCDEE procedures. Ms. Westbury stated she and her husband are the only individuals living in the home. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. Storage of hazardous items was monitored today and found to be in compliance. Ms. Westbury stated no children enrolled take medication during operating hours. Ms. Westbury does not currently transport children enrolled or participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The fire extinguisher gauge needle was observed to be in the red zone. 10A NCAC 09. 1707(4) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Westbury during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (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 inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (b) (b) When screen time is provided on any electronic media device with a visual display, it shall be: (c) (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (d) (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 (e) (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (f) (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. (g) (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please consider using and posting the most updated version of the Safe Sleep Policy found on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/Infant_Toddler_Safe_Sleep_Policy_Sample_1.pdf?ver=fDhA7_9-wzK0vsrb9-6SaA%3d%3d . • Please monitor outdoor equipment for developing rust. • Please review all Pet Acknowledgement forms to ensure the correct location of pet is documented on the forms. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please email me an updated copy of your Operational Policies. • I recommend outdoor non-stationary equipment be pressure-washed. • Please consider covering the small hole located at the bottom right-hand side of the wall, just inside the entrance to the space designated for child care. • Please seal the two small spaces along the right wall (facing the entrance of the designated space for child care) where the paneling has separated. • Please monitor all outdoor equipment for cobwebs prior to use by children enrolled. • Please remember to record a date on your most current Professional Development Plan. • Please place a copy of your education on file. • Please place a signed copy of your Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. - Please access the following link for NCID support: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NCID_Instructions_For_Training_Requirements_page.pdf?ver=G0V1BaqfxLIWw7ALceEvLw%3d%3d At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1719 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/17/2023 Number Present: 4 Completed Date: 8/17/2023 Age: From 1 To 2 Total Minutes: 265 Time In: 10:20 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ wood stove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The fire extinguisher gauge needle was observed to be in the red zone. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing with toys, engaging in conversations, stories, songs, and activities with Ms. Westbury, participating in general routines, and eating lunch during the visit. Ms. Westbury stated she currently uses Circle of Generations food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/07/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Westbury does not use an additional caregiver at this time. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/03/2023. The most recent lockdown drill was documented on 6/21/2023. The last outdoor inspection was also documented on 8/03/2023. There is currently one pet at this facility; all required vaccination documentation and Pet Acknowledgement Forms were current and on file for review. Staff files and children’s records were monitored per DCDEE procedures. Ms. Westbury stated she and her husband are the only individuals living in the home. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. Storage of hazardous items was monitored today and found to be in compliance. Ms. Westbury stated no children enrolled take medication during operating hours. Ms. Westbury does not currently transport children enrolled or participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The fire extinguisher gauge needle was observed to be in the red zone. 10A NCAC 09. 1707(4) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Westbury during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (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 inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (b) (b) When screen time is provided on any electronic media device with a visual display, it shall be: (c) (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (d) (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 (e) (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (f) (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. (g) (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please consider using and posting the most updated version of the Safe Sleep Policy found on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/Infant_Toddler_Safe_Sleep_Policy_Sample_1.pdf?ver=fDhA7_9-wzK0vsrb9-6SaA%3d%3d . • Please monitor outdoor equipment for developing rust. • Please review all Pet Acknowledgement forms to ensure the correct location of pet is documented on the forms. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please email me an updated copy of your Operational Policies. • I recommend outdoor non-stationary equipment be pressure-washed. • Please consider covering the small hole located at the bottom right-hand side of the wall, just inside the entrance to the space designated for child care. • Please seal the two small spaces along the right wall (facing the entrance of the designated space for child care) where the paneling has separated. • Please monitor all outdoor equipment for cobwebs prior to use by children enrolled. • Please remember to record a date on your most current Professional Development Plan. • Please place a copy of your education on file. • Please place a signed copy of your Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. - Please access the following link for NCID support: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NCID_Instructions_For_Training_Requirements_page.pdf?ver=G0V1BaqfxLIWw7ALceEvLw%3d%3d At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1721 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/17/2023 Number Present: 4 Completed Date: 8/17/2023 Age: From 1 To 2 Total Minutes: 265 Time In: 10:20 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ wood stove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The fire extinguisher gauge needle was observed to be in the red zone. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing with toys, engaging in conversations, stories, songs, and activities with Ms. Westbury, participating in general routines, and eating lunch during the visit. Ms. Westbury stated she currently uses Circle of Generations food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/07/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Westbury does not use an additional caregiver at this time. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/03/2023. The most recent lockdown drill was documented on 6/21/2023. The last outdoor inspection was also documented on 8/03/2023. There is currently one pet at this facility; all required vaccination documentation and Pet Acknowledgement Forms were current and on file for review. Staff files and children’s records were monitored per DCDEE procedures. Ms. Westbury stated she and her husband are the only individuals living in the home. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. Storage of hazardous items was monitored today and found to be in compliance. Ms. Westbury stated no children enrolled take medication during operating hours. Ms. Westbury does not currently transport children enrolled or participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The fire extinguisher gauge needle was observed to be in the red zone. 10A NCAC 09. 1707(4) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Westbury during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (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 inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (b) (b) When screen time is provided on any electronic media device with a visual display, it shall be: (c) (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (d) (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 (e) (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (f) (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. (g) (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please consider using and posting the most updated version of the Safe Sleep Policy found on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/Infant_Toddler_Safe_Sleep_Policy_Sample_1.pdf?ver=fDhA7_9-wzK0vsrb9-6SaA%3d%3d . • Please monitor outdoor equipment for developing rust. • Please review all Pet Acknowledgement forms to ensure the correct location of pet is documented on the forms. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please email me an updated copy of your Operational Policies. • I recommend outdoor non-stationary equipment be pressure-washed. • Please consider covering the small hole located at the bottom right-hand side of the wall, just inside the entrance to the space designated for child care. • Please seal the two small spaces along the right wall (facing the entrance of the designated space for child care) where the paneling has separated. • Please monitor all outdoor equipment for cobwebs prior to use by children enrolled. • Please remember to record a date on your most current Professional Development Plan. • Please place a copy of your education on file. • Please place a signed copy of your Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. - Please access the following link for NCID support: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NCID_Instructions_For_Training_Requirements_page.pdf?ver=G0V1BaqfxLIWw7ALceEvLw%3d%3d At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: WANDA'S LITTLE WONDERS Facility ID: 34000648 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/17/2023 Number Present: 4 Completed Date: 8/17/2023 Age: From 1 To 2 Total Minutes: 265 Time In: 10:20 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Wanda Westbury, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st shift care, a maximum of five preschoolers at any time, fireplace/ wood stove not used during operating hours, and serves no more than two infants. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. The fire extinguisher gauge needle was observed to be in the red zone. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing with toys, engaging in conversations, stories, songs, and activities with Ms. Westbury, participating in general routines, and eating lunch during the visit. Ms. Westbury stated she currently uses Circle of Generations food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 9/07/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Westbury does not use an additional caregiver at this time. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 8/03/2023. The most recent lockdown drill was documented on 6/21/2023. The last outdoor inspection was also documented on 8/03/2023. There is currently one pet at this facility; all required vaccination documentation and Pet Acknowledgement Forms were current and on file for review. Staff files and children’s records were monitored per DCDEE procedures. Ms. Westbury stated she and her husband are the only individuals living in the home. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. Storage of hazardous items was monitored today and found to be in compliance. Ms. Westbury stated no children enrolled take medication during operating hours. Ms. Westbury does not currently transport children enrolled or participate in off-premise activities or aquatic activities. The following violations were cited during today’s visit: Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. The fire extinguisher gauge needle was observed to be in the red zone. 10A NCAC 09. 1707(4) 1739 All records required shall be available during operating hours, for review by a representative of the Division. A copy of the operator’s and her husband’s CBC qualification letter was not on file for review. The application and emergency contact information for one child enrolled was not observed in the Ready to Go file. An Emergency Medical Care Plan was not observed to be on file for review. .1721(f)(7) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/31/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Westbury during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (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 inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (a) The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: (b) (b) When screen time is provided on any electronic media device with a visual display, it shall be: (c) (1) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (d) (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 (e) (3) documented on a cumulative log or activity plan, and shall be available for review by the Division. (f) (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. (g) (d) When needed to complete homework assignments, screen time for school-age children may exceed 30 minutes. 10A NCAC 09 .1713 EMERGENCY MEDICAL CARE The family child care home operator (operator) shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care receives appropriate medical attention. The operator shall be responsible for: (1) ensuring appropriate medical care is given, and determining which of the following is needed: (a) First Aid for an injury or illness needing only minimal attention; or (b) calling 911 in accordance with CPR or First Aid training recommendations. (2) ensuring that the signed authorization described in 10A NCAC 09 .1721(a)(3) is taken with the ill or injured child to the medical facility; (3) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; and (4) obtaining substitute providers, if needed, to maintain adequate supervision of children who remain in care. This plan shall be reviewed with all additional caregivers and substitute providers prior to caring for children and whenever the plan is revised. The plan shall be available for review by the Division during the Family Child Care Home’s operating hours. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ - Please consider using and posting the most updated version of the Safe Sleep Policy found on the Division website at: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/Infant_Toddler_Safe_Sleep_Policy_Sample_1.pdf?ver=fDhA7_9-wzK0vsrb9-6SaA%3d%3d . • Please monitor outdoor equipment for developing rust. • Please review all Pet Acknowledgement forms to ensure the correct location of pet is documented on the forms. • The Child Care Health Consultant for Forsyth County is Keturah Oglesby at Smart Start of Forsyth County. Ms. Oglesby can be contacted at: keturaho@smartstart-fc.org. • Please email me an updated copy of your Operational Policies. • I recommend outdoor non-stationary equipment be pressure-washed. • Please consider covering the small hole located at the bottom right-hand side of the wall, just inside the entrance to the space designated for child care. • Please seal the two small spaces along the right wall (facing the entrance of the designated space for child care) where the paneling has separated. • Please monitor all outdoor equipment for cobwebs prior to use by children enrolled. • Please remember to record a date on your most current Professional Development Plan. • Please place a copy of your education on file. • Please place a signed copy of your Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. - Please access the following link for NCID support: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/N/NCID_Instructions_For_Training_Requirements_page.pdf?ver=G0V1BaqfxLIWw7ALceEvLw%3d%3d At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times