10A NCAC 09 .0701 · Violation

Name of Operation: LITTLE LEMON DROPS Facility ID: 19000367 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 8/19/2024 Number Present: 19 Completed Date: 8/19/2024 Age: From 0 To 2 Total Minutes: 110 Time In: 10:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to follow up on compliance violations cited during your annual compliance visit conducted on August 7, 2024. During today's visit, I was able to determine that you were operating within ratio. However during the inspection, I determined that a new teacher, Ms. Layla Long, was hired prior to completing a criminal background check and a qualification letter was not on file. You immediately sent her home and had another teacher come in early to maintain ratio. Teachers were seen interacting with children in the outdoor learning environment. I found interaction to be in compliance. Staff files for two new teachers were reviewed during todays visit. The following was cited during today's inspection. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Teacher LL did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Teacher Layla Long was employed prior to completing their Criminal Background Check. All paperwork has been submitted and awaiting results from the division. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for teacher Layla Long was not available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) On or before September 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd; PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Ronda Lemons, Administrator, Little Lemon Drops, ID # 19000367 We discussed review all new hire documents prior to teachers working their first shift to ensure that all required paperwork is completed and filed for future review. A copy of the visit summary was left with you during today's visit. If you have any questions, please contact me at brandon.fry@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: LITTLE LEMON DROPS Facility ID: 19000367 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 8/19/2024 Number Present: 19 Completed Date: 8/19/2024 Age: From 0 To 2 Total Minutes: 110 Time In: 10:10 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today's visit was to follow up on compliance violations cited during your annual compliance visit conducted on August 7, 2024. During today's visit, I was able to determine that you were operating within ratio. However during the inspection, I determined that a new teacher, Ms. Layla Long, was hired prior to completing a criminal background check and a qualification letter was not on file. You immediately sent her home and had another teacher come in early to maintain ratio. Teachers were seen interacting with children in the outdoor learning environment. I found interaction to be in compliance. Staff files for two new teachers were reviewed during todays visit. The following was cited during today's inspection. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Teacher LL did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. Teacher Layla Long was employed prior to completing their Criminal Background Check. All paperwork has been submitted and awaiting results from the division. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for teacher Layla Long was not available for review at the facility. G.S. 110-90.2(b) & (d) & .2703(e) On or before September 3, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd; PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Ronda Lemons, Administrator, Little Lemon Drops, ID # 19000367 We discussed review all new hire documents prior to teachers working their first shift to ensure that all required paperwork is completed and filed for future review. A copy of the visit summary was left with you during today's visit. If you have any questions, please contact me at brandon.fry@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: LITTLE LEMON DROPS Facility ID: 19000367 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 19 Completed Date: 8/7/2024 Age: From 0 To 2 Total Minutes: 120 Time In: 08:50 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a one-star license, issued July 7, 2021. The last annual compliance visit was conducted August 17, 2023. The sanitation inspection was completed March 11, 2024, with a “Superior” classification. The last fire inspection was conducted October 10, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety three percent as of August 7, 202. The NC Secretary of State website was reviewed on August 7, 2024, and Learning Lemon Drops, LLC was listed as current- active. You visited each indoor and outdoor space with me. Children were participating in free play activities. Infants were observed having tummy time and meal time. Sleeps checks are kept electronically and were current. Teachers were seen walking around the class room and interacting with children. Today I monitored the following: Child records, teacher records, indoor environment, outdoor environment, medication administration, emergency drills and all child care rules. Lunch was observed and consisted of pizza, strawberries, salad, and milk. The following was cited during today’s inspection. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The one and two year old classroom had 1 teacher to 11 children with two volunteers. This was corrected by the administrator stepping in to be counted in ratio. GS 110-91(7);.0713(a-d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. LH and AD did not have documented training of the EMC plan. 10A NCAC 09 .0802(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Teacher KM did not have their ITS-SIDS training on file. .1102(f) 1898 Staff did not complete the health and safety training within one year of employment. Teacher EH did not complete their health and safety training within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd; PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Ronda Lemons, Administrator, Little Lemon Drops, ID # 19000367 Technical Assistance: We discussed reviewing staff files quarterly or during every staff meeting to ensure that trainings and certifications remain current. We discussed the importance of maintaining ratios and ensuring that the correct number of staff are present to care for children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at brandon.fry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: LITTLE LEMON DROPS Facility ID: 19000367 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 19 Completed Date: 8/7/2024 Age: From 0 To 2 Total Minutes: 120 Time In: 08:50 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a one-star license, issued July 7, 2021. The last annual compliance visit was conducted August 17, 2023. The sanitation inspection was completed March 11, 2024, with a “Superior” classification. The last fire inspection was conducted October 10, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety three percent as of August 7, 202. The NC Secretary of State website was reviewed on August 7, 2024, and Learning Lemon Drops, LLC was listed as current- active. You visited each indoor and outdoor space with me. Children were participating in free play activities. Infants were observed having tummy time and meal time. Sleeps checks are kept electronically and were current. Teachers were seen walking around the class room and interacting with children. Today I monitored the following: Child records, teacher records, indoor environment, outdoor environment, medication administration, emergency drills and all child care rules. Lunch was observed and consisted of pizza, strawberries, salad, and milk. The following was cited during today’s inspection. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The one and two year old classroom had 1 teacher to 11 children with two volunteers. This was corrected by the administrator stepping in to be counted in ratio. GS 110-91(7);.0713(a-d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. LH and AD did not have documented training of the EMC plan. 10A NCAC 09 .0802(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Teacher KM did not have their ITS-SIDS training on file. .1102(f) 1898 Staff did not complete the health and safety training within one year of employment. Teacher EH did not complete their health and safety training within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd; PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Ronda Lemons, Administrator, Little Lemon Drops, ID # 19000367 Technical Assistance: We discussed reviewing staff files quarterly or during every staff meeting to ensure that trainings and certifications remain current. We discussed the importance of maintaining ratios and ensuring that the correct number of staff are present to care for children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at brandon.fry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE LEMON DROPS Facility ID: 19000367 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 19 Completed Date: 8/7/2024 Age: From 0 To 2 Total Minutes: 120 Time In: 08:50 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a one-star license, issued July 7, 2021. The last annual compliance visit was conducted August 17, 2023. The sanitation inspection was completed March 11, 2024, with a “Superior” classification. The last fire inspection was conducted October 10, 2023, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety three percent as of August 7, 202. The NC Secretary of State website was reviewed on August 7, 2024, and Learning Lemon Drops, LLC was listed as current- active. You visited each indoor and outdoor space with me. Children were participating in free play activities. Infants were observed having tummy time and meal time. Sleeps checks are kept electronically and were current. Teachers were seen walking around the class room and interacting with children. Today I monitored the following: Child records, teacher records, indoor environment, outdoor environment, medication administration, emergency drills and all child care rules. Lunch was observed and consisted of pizza, strawberries, salad, and milk. The following was cited during today’s inspection. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. The one and two year old classroom had 1 teacher to 11 children with two volunteers. This was corrected by the administrator stepping in to be counted in ratio. GS 110-91(7);.0713(a-d) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. LH and AD did not have documented training of the EMC plan. 10A NCAC 09 .0802(a) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Teacher KM did not have their ITS-SIDS training on file. .1102(f) 1898 Staff did not complete the health and safety training within one year of employment. Teacher EH did not complete their health and safety training within one year of employment. .1102(a) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd; PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Ronda Lemons, Administrator, Little Lemon Drops, ID # 19000367 Technical Assistance: We discussed reviewing staff files quarterly or during every staff meeting to ensure that trainings and certifications remain current. We discussed the importance of maintaining ratios and ensuring that the correct number of staff are present to care for children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at brandon.fry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: LITTLE LEMON DROPS Facility ID: 19000367 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 5/31/2024 Number Present: 23 Completed Date: 5/31/2024 Age: From 0 To 2 Total Minutes: 85 Time In: 10:45 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your center operates with a one-star license issued, July 7, 2021. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety three percent as of May 31, 2024. The NC Secretary of State website was reviewed on May 31, 2024, and Learning Lemon Drops, LLC was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Two infants were asleep in a stroller while the class was outside. The administrator informed the teacher that the infants needed to be transitioned to a crib. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. Fire and sanitation inspections are both current. Today’s lunch consists of turkey/ham/cheese/tomato/lettuce sub, peaches, veggie straws, and milk. The following was cited during today’s visit. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Two infants were asleep in a stroller outside. This was corrected during the visit by the teacher taking the two infants inside to a crib. 10A NCAC 09 .0606(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Teacher ZP did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Teacher DL did not complete the health and safety training within one year of employment. .1102(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 14, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Ronda Lemons, Owner, Little Lemon Drops, ID # 19000367 Technical assistance: We discussed reviewing staff files quarterly to ensure that all required staff documents and training courses are documented and filed. We also discussed reminding teachers the moment an infant falls asleep, they are transitioned to a appropriate sleeping equipment. We discussed requesting Environment Rating Scale (ERS) assessments in an effort to increase the program's star rating. Resources such as Child Care Resource and Referral and Smart Start can be valuable when preparing for the ERS. “All about ECERS-R”, “All about ITERS-R” and the NCRLAP website (www.ncrlap.org) can also be helpful as staff prepare for the ERS. On the NCRLAP website, there are training videos, sample questions and clarifying information regarding the assessments you may find helpful. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: LITTLE LEMON DROPS Facility ID: 19000367 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 5/31/2024 Number Present: 23 Completed Date: 5/31/2024 Age: From 0 To 2 Total Minutes: 85 Time In: 10:45 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your center operates with a one-star license issued, July 7, 2021. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety three percent as of May 31, 2024. The NC Secretary of State website was reviewed on May 31, 2024, and Learning Lemon Drops, LLC was listed as current- active. The license was posted, and the restrictions were in compliance. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to be in compliance. Two infants were asleep in a stroller while the class was outside. The administrator informed the teacher that the infants needed to be transitioned to a crib. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Sleep checks were completed, recorded, and maintained as required. The caregivers were interacting and meeting the developmental needs for each of the children. Files for new staff were reviewed. Rated license requirements were reviewed to ensure compliance was maintained with current program and education components as well as the quality point. Fire and sanitation inspections are both current. Today’s lunch consists of turkey/ham/cheese/tomato/lettuce sub, peaches, veggie straws, and milk. The following was cited during today’s visit. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. Two infants were asleep in a stroller outside. This was corrected during the visit by the teacher taking the two infants inside to a crib. 10A NCAC 09 .0606(a) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Teacher ZP did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 1898 Staff did not complete the health and safety training within one year of employment. Teacher DL did not complete the health and safety training within one year of employment. .1102(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 14, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Ronda Lemons, Owner, Little Lemon Drops, ID # 19000367 Technical assistance: We discussed reviewing staff files quarterly to ensure that all required staff documents and training courses are documented and filed. We also discussed reminding teachers the moment an infant falls asleep, they are transitioned to a appropriate sleeping equipment. We discussed requesting Environment Rating Scale (ERS) assessments in an effort to increase the program's star rating. Resources such as Child Care Resource and Referral and Smart Start can be valuable when preparing for the ERS. “All about ECERS-R”, “All about ITERS-R” and the NCRLAP website (www.ncrlap.org) can also be helpful as staff prepare for the ERS. On the NCRLAP website, there are training videos, sample questions and clarifying information regarding the assessments you may find helpful. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LITTLE LEMON DROPS Facility ID: 19000367 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 8/17/2023 Number Present: 17 Completed Date: 8/17/2023 Age: From 0 To 2 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Your program currently operates with a one-star license, issued July 7, 2021. The last annual compliance visit was conducted October 5, 2022. The sanitation inspection was completed April 10, 2023, with a “Superior” classification. The last fire inspection was conducted October 25, 2022, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent as of August 16, 2023. The NC Secretary of State website was reviewed on August 15, 2023, and Learning Lemon Drops, LLC was listed as current- active. You visited each indoor and outdoor space with me. Children were outside playing participating in free play. Teachers were walking the playground and engaging with the children. I found supervision to be incompliance. After play outside for a while the children went back inside. All program records were reviewed. Emergency drills and playground inspection reports were current and complete. Lunch consisted of lasagna, garden salad, bread sticks, mixed fruit, and milk. The following was cited during today’s inspection. Violation Number Comment Rule 402 Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction. The diaper changing pad in the Infant 2 room has tape on it cover torn material. The surface is no longer smooth and easily cleanable. 15A NCAC 18A .2819(a) & (b) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff GB had a TB screening on file that was completed after their hire date. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Staff ZP does not have on file acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 31, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Ronda Lemons, Administrator Little Lemon Drops ID # 19000367 Technical Assistance: We discussed having staff inform you right away when changing pads are damaged so that they may be replaced right away. Contact me at Brandon Fry, Child Care Consultant, 80 Blake Blvd, PO Box 4441, Pinehurst, NC 28374, brandon.fry@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.