10A NCAC 09 .0701 · Violation

Name of Operation: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 51 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 95 Time In: 10:00 AM Time Out: 11:35 AM 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 the applicable child care requirements for a routine unannounced visit. Your program currently operates with a five-star license, issued August 3, 2022, earning 7 points in the education component, 5 points in the program standards component meeting enhanced ratios and scoring an average of 5.73 on the rating scales and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety two percent as of May 20, 2025. The NC Secretary of State website was reviewed on May 20, 2025, and Pasitos Felices 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. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Infants were engaged in tummy time, napping, and diapering 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 the current program and education components as well as the quality point. The last fire inspection was completed on August 7, 2024, and the last sanitation inspection was completed on March 12, 2025. The following violations were 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 YM does not have a medical report on file. 10A NCAC 09 .0701(a) 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. Teacher YM and Substitute AE do not have a TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Teacher YM and Substitute AE do not have their Emergency Information form on file. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Teacher YM and Substitute AE do not have documentation of completing at least 6 clock hours of training within their first two weeks of employment. .1101(a)(b) 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. Teacher YM has signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy however it was not dated. Substitute AE has not signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. Substitute AE does not have a health questionnaire on file. 10A NCAC 09 .0701(a) Child care programs are expected to always achieve and maintain compliance 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 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. 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: Adriana Espinosa, Administrator, Pasitos Felices Happy Steps, ID # 19000290 Technical assistance: We discussed using the staff and the substitute file checklist has a resource for staff records to ensure all required documents are on file within the required timeframes. Copies of the checklist were left with you during today’s visit. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8601 and someone will assist you. 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.

G.S. 110-90 · Violation

Name of Operation: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 51 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 95 Time In: 10:00 AM Time Out: 11:35 AM 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 the applicable child care requirements for a routine unannounced visit. Your program currently operates with a five-star license, issued August 3, 2022, earning 7 points in the education component, 5 points in the program standards component meeting enhanced ratios and scoring an average of 5.73 on the rating scales and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety two percent as of May 20, 2025. The NC Secretary of State website was reviewed on May 20, 2025, and Pasitos Felices 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. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Infants were engaged in tummy time, napping, and diapering 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 the current program and education components as well as the quality point. The last fire inspection was completed on August 7, 2024, and the last sanitation inspection was completed on March 12, 2025. The following violations were 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 YM does not have a medical report on file. 10A NCAC 09 .0701(a) 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. Teacher YM and Substitute AE do not have a TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Teacher YM and Substitute AE do not have their Emergency Information form on file. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Teacher YM and Substitute AE do not have documentation of completing at least 6 clock hours of training within their first two weeks of employment. .1101(a)(b) 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. Teacher YM has signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy however it was not dated. Substitute AE has not signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. Substitute AE does not have a health questionnaire on file. 10A NCAC 09 .0701(a) Child care programs are expected to always achieve and maintain compliance 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 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. 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: Adriana Espinosa, Administrator, Pasitos Felices Happy Steps, ID # 19000290 Technical assistance: We discussed using the staff and the substitute file checklist has a resource for staff records to ensure all required documents are on file within the required timeframes. Copies of the checklist were left with you during today’s visit. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8601 and someone will assist you. 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: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 5/20/2025 Number Present: 51 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 95 Time In: 10:00 AM Time Out: 11:35 AM 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 the applicable child care requirements for a routine unannounced visit. Your program currently operates with a five-star license, issued August 3, 2022, earning 7 points in the education component, 5 points in the program standards component meeting enhanced ratios and scoring an average of 5.73 on the rating scales and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety two percent as of May 20, 2025. The NC Secretary of State website was reviewed on May 20, 2025, and Pasitos Felices 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. Children throughout the facility were participating in group time, free play in activity areas, transitions, and personal care routines. Infants were engaged in tummy time, napping, and diapering 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 the current program and education components as well as the quality point. The last fire inspection was completed on August 7, 2024, and the last sanitation inspection was completed on March 12, 2025. The following violations were 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 YM does not have a medical report on file. 10A NCAC 09 .0701(a) 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. Teacher YM and Substitute AE do not have a TB test or screening on file. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Teacher YM and Substitute AE do not have their Emergency Information form on file. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Teacher YM and Substitute AE do not have documentation of completing at least 6 clock hours of training within their first two weeks of employment. .1101(a)(b) 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. Teacher YM has signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy however it was not dated. Substitute AE has not signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 1958 Substitute providers and volunteers did not have a health questionnaire on or before the first day of work and annually thereafter. Substitute AE does not have a health questionnaire on file. 10A NCAC 09 .0701(a) Child care programs are expected to always achieve and maintain compliance 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 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any information submitted by you is considered legal documentation. 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: Adriana Espinosa, Administrator, Pasitos Felices Happy Steps, ID # 19000290 Technical assistance: We discussed using the staff and the substitute file checklist has a resource for staff records to ensure all required documents are on file within the required timeframes. Copies of the checklist were left with you during today’s visit. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8601 and someone will assist you. 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

10A NCAC 09 .0701 · Violation

Name of Operation: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 49 Completed Date: 1/9/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 five-star license, issued August 3, 2022, earning 7 points in the education component, 5 points in the program standards component meeting enhanced ratios and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 25, 2024. The sanitation inspection was completed October 21, 2024, with a “Superior” classification. The last fire inspection was conducted August 7, 2024, 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 five percent as of January 9, 2025. The NC Secretary of State website was reviewed on January 9, 2025, and Pasitos Felices LLC was listed as Active-Not Current. Please update your information with the NC secretary of State to update your status to current-active. You visited each indoor and outdoor space with me. Children were participating in free play activities. Teachers were seen walking around the room engaging with the children attending to their needs. I found ratios, interactions, and supervision to be in compliance. I also reviewed the following during todays inspection: Program requirements, equipment, furnishings, ratios, supervision, medication, emergency drills, outdoor area, staff records, children records, and all child care requirements. 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 changing mat in the one and two year old room is torn and is no longer nonabsorbent. Please replace with a new changing mat. 15A NCAC 18A .2819(a) & (b) 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 DP did not complete their medical report prior to employment. It was completed on November 20, 2024. They were hired October 1, 2024. 10A NCAC 09 .0701(a) 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. Teacher DP did not complete their TB screening/test prior to employment. It was completed on November 22, 2024. They were hired October 1, 2024. .0701(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 DP did not have verification of completing their Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 January 23, 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: Adriana Espinosa, Administrator, Pasitos Felices (Happy Steps), ID # 19000290 Technical Assistance: We discussed developing a record system to help ensure that all required new hire documents are completed within the required timeframes. You may want to use a spreadsheet to track staff records or another tracking system that works for you. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8601 and someone will assist you. 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: supervision. Open / not marked corrected.

G.S. 110-90 · Violation

Name of Operation: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 49 Completed Date: 1/9/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 five-star license, issued August 3, 2022, earning 7 points in the education component, 5 points in the program standards component meeting enhanced ratios and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 25, 2024. The sanitation inspection was completed October 21, 2024, with a “Superior” classification. The last fire inspection was conducted August 7, 2024, 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 five percent as of January 9, 2025. The NC Secretary of State website was reviewed on January 9, 2025, and Pasitos Felices LLC was listed as Active-Not Current. Please update your information with the NC secretary of State to update your status to current-active. You visited each indoor and outdoor space with me. Children were participating in free play activities. Teachers were seen walking around the room engaging with the children attending to their needs. I found ratios, interactions, and supervision to be in compliance. I also reviewed the following during todays inspection: Program requirements, equipment, furnishings, ratios, supervision, medication, emergency drills, outdoor area, staff records, children records, and all child care requirements. 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 changing mat in the one and two year old room is torn and is no longer nonabsorbent. Please replace with a new changing mat. 15A NCAC 18A .2819(a) & (b) 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 DP did not complete their medical report prior to employment. It was completed on November 20, 2024. They were hired October 1, 2024. 10A NCAC 09 .0701(a) 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. Teacher DP did not complete their TB screening/test prior to employment. It was completed on November 22, 2024. They were hired October 1, 2024. .0701(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 DP did not have verification of completing their Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 January 23, 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: Adriana Espinosa, Administrator, Pasitos Felices (Happy Steps), ID # 19000290 Technical Assistance: We discussed developing a record system to help ensure that all required new hire documents are completed within the required timeframes. You may want to use a spreadsheet to track staff records or another tracking system that works for you. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8601 and someone will assist you. 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: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 1/9/2025 Number Present: 49 Completed Date: 1/9/2025 Age: From 0 To 5 Total Minutes: 135 Time In: 09:45 AM Time Out: 12:00 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 five-star license, issued August 3, 2022, earning 7 points in the education component, 5 points in the program standards component meeting enhanced ratios and 1 quality point for offering a staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four and five star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted January 25, 2024. The sanitation inspection was completed October 21, 2024, with a “Superior” classification. The last fire inspection was conducted August 7, 2024, 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 five percent as of January 9, 2025. The NC Secretary of State website was reviewed on January 9, 2025, and Pasitos Felices LLC was listed as Active-Not Current. Please update your information with the NC secretary of State to update your status to current-active. You visited each indoor and outdoor space with me. Children were participating in free play activities. Teachers were seen walking around the room engaging with the children attending to their needs. I found ratios, interactions, and supervision to be in compliance. I also reviewed the following during todays inspection: Program requirements, equipment, furnishings, ratios, supervision, medication, emergency drills, outdoor area, staff records, children records, and all child care requirements. 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 changing mat in the one and two year old room is torn and is no longer nonabsorbent. Please replace with a new changing mat. 15A NCAC 18A .2819(a) & (b) 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 DP did not complete their medical report prior to employment. It was completed on November 20, 2024. They were hired October 1, 2024. 10A NCAC 09 .0701(a) 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. Teacher DP did not complete their TB screening/test prior to employment. It was completed on November 22, 2024. They were hired October 1, 2024. .0701(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 DP did not have verification of completing their Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 January 23, 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: Adriana Espinosa, Administrator, Pasitos Felices (Happy Steps), ID # 19000290 Technical Assistance: We discussed developing a record system to help ensure that all required new hire documents are completed within the required timeframes. You may want to use a spreadsheet to track staff records or another tracking system that works for you. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8601 and someone will assist you. 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 .0901 · Violation

Name of Operation: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: 0524-272L Visit Date: 5/29/2024 Number Present: 53 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that the posted menu is not followed, required food portions are not followed, posted staff/child ratios are not followed, inadequate supervision, and children in the two-year-old room are not attended to in a nurturing and appropriate manner. During today’s inspection Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. I observed the teachers walking around the rooms and engaging with the children in care. Children were participating in free play activities. When I arrived at the center, I inform you that purpose of my visit was to obtain information regarding alleged violations of child care requirements. I started the inspection by looking in each indoor learning environment and looking at staff/child ratios. The center is operating within staff/child ratios today. After verifying staff/child ratios and enrollment I met with the administrator and their assistant. I began to inform them of the allegations that were reported to the division. I first informed them of the allegation of the center not following the menu that is posted for parents to see. The administrator informed me that most days they follow what is listed on the menu. They stated that occasionally they may need to make a change and when they do all parents are notified using their electronic communication system, bright wheel. They informed me that today was one of those days as they did not have the food that was listed for today, so they were serving the food that was planned for tomorrow and that they notified parents. While they notified parents, the posted menu did not reflect the change. Based on the information above the allegation of the center not following the posted menu is substantiated. I then asked about portions given to the children. They informed me that all food is measured out using measuring cups. I was able to observe lunch during my visit and was able to verify that the portions given met the nutrition standards required by the CACFP meal and snack requirements. I ask about children that may want more food. They stated that extra food is always prepared and when a child asks, they are given extra food. Based on the information provided and my observation the allegation of not serving the required portions in unsubstantiated. I then asked about ratios in the mornings during drop off. Then center was in ratio during my visit today and I asked for a few days at random to look at ratios during drop off. Comparing attendance records and employee timesheets I was able to determine that the center was operating within the required ratios. The center opens at 7:30 am with one teacher in each room with the exception of the preschool room. Preschoolers are combined with the three-year olds. Each room has two teachers by 8:00 am. All children are in their assigned classroom by 8:30 am. Based on my observation of attendance records and employee timesheets the allegation of the center operation over staff/child ratio is unsubstantiated. There was a concern that teachers did not provide adequate supervision and care provided was not adequate and did not meet the developmental needs of the children. I overserved each classroom individually during todays visit. I observed teachers walking around the room and meeting the developmental needs of each child. I found teacher interactions to be age appropriate. I asked the administrator if they have had any problems with the current teachers specifically mentioning supervision and nurturing the children. The administrator reported that all the teachers in the center are great with the children and that the children love them. They did mention that, they have worked with teachers in the past with their tone but these teachers do not work at the center any more. Based on my interviews and observations the allegations of inadequate supervision and teachers not meeting the developmental needs of each child are unsubstantiated. During today’s visit, I observed four additional violations that were not related to the allegations. When inspecting the infant room during naptime, two infants were asleep in bouncers. This is a violation of not following the center’s safe sleep policy. This was corrected during the visit by the teachers transitioning the sleeping infants to a crib. The center has hired three new teachers (FE, MB, and AS). The three teachers did not have staff records available for review. They also did not have their criminal background checks and had not completed the background check prior to working. These teachers were sent home immediately. They cannot be on the premises until they have all of their new hire paperwork completed and qualification letters cleared. These violations have been documented during today’s inspection. The following violations were observed. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu was not updated with the substitution for today. This was corrected during the visit by the administrator updating the posted menu. 10A NCAC 09 .0901(b) 871 Center staff did not comply with the safe sleep policy. Two infants were asleep in bouncers. This was corrected during the visit by the teachers moving the infants to a crib. 10A NCAC 09 .0606(a) 1041 Prior to employment a Criminal Background Check was not completed. Teachers FE, AS and MB did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Teachers FE, AS and MB did not have staff records available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Teachers FE, AS and MB did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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 12, 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 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: Adriana Espinosa, Administrator Pasitos Felices (Happy Steps) ID # 19000290 Technical Assistance: We discussed reminding teachers to transfer sleeping infants the moment they fall asleep to a crib. We also discussed the importance of having teachers complete all new hire paperwork including criminal background checks. The teachers cited above may not be on the premises until their paperwork is on file and qualification letter cleared and filed. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. 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, 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.

10A NCAC 09 .0606 · Violation

Name of Operation: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: 0524-272L Visit Date: 5/29/2024 Number Present: 53 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that the posted menu is not followed, required food portions are not followed, posted staff/child ratios are not followed, inadequate supervision, and children in the two-year-old room are not attended to in a nurturing and appropriate manner. During today’s inspection Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. I observed the teachers walking around the rooms and engaging with the children in care. Children were participating in free play activities. When I arrived at the center, I inform you that purpose of my visit was to obtain information regarding alleged violations of child care requirements. I started the inspection by looking in each indoor learning environment and looking at staff/child ratios. The center is operating within staff/child ratios today. After verifying staff/child ratios and enrollment I met with the administrator and their assistant. I began to inform them of the allegations that were reported to the division. I first informed them of the allegation of the center not following the menu that is posted for parents to see. The administrator informed me that most days they follow what is listed on the menu. They stated that occasionally they may need to make a change and when they do all parents are notified using their electronic communication system, bright wheel. They informed me that today was one of those days as they did not have the food that was listed for today, so they were serving the food that was planned for tomorrow and that they notified parents. While they notified parents, the posted menu did not reflect the change. Based on the information above the allegation of the center not following the posted menu is substantiated. I then asked about portions given to the children. They informed me that all food is measured out using measuring cups. I was able to observe lunch during my visit and was able to verify that the portions given met the nutrition standards required by the CACFP meal and snack requirements. I ask about children that may want more food. They stated that extra food is always prepared and when a child asks, they are given extra food. Based on the information provided and my observation the allegation of not serving the required portions in unsubstantiated. I then asked about ratios in the mornings during drop off. Then center was in ratio during my visit today and I asked for a few days at random to look at ratios during drop off. Comparing attendance records and employee timesheets I was able to determine that the center was operating within the required ratios. The center opens at 7:30 am with one teacher in each room with the exception of the preschool room. Preschoolers are combined with the three-year olds. Each room has two teachers by 8:00 am. All children are in their assigned classroom by 8:30 am. Based on my observation of attendance records and employee timesheets the allegation of the center operation over staff/child ratio is unsubstantiated. There was a concern that teachers did not provide adequate supervision and care provided was not adequate and did not meet the developmental needs of the children. I overserved each classroom individually during todays visit. I observed teachers walking around the room and meeting the developmental needs of each child. I found teacher interactions to be age appropriate. I asked the administrator if they have had any problems with the current teachers specifically mentioning supervision and nurturing the children. The administrator reported that all the teachers in the center are great with the children and that the children love them. They did mention that, they have worked with teachers in the past with their tone but these teachers do not work at the center any more. Based on my interviews and observations the allegations of inadequate supervision and teachers not meeting the developmental needs of each child are unsubstantiated. During today’s visit, I observed four additional violations that were not related to the allegations. When inspecting the infant room during naptime, two infants were asleep in bouncers. This is a violation of not following the center’s safe sleep policy. This was corrected during the visit by the teachers transitioning the sleeping infants to a crib. The center has hired three new teachers (FE, MB, and AS). The three teachers did not have staff records available for review. They also did not have their criminal background checks and had not completed the background check prior to working. These teachers were sent home immediately. They cannot be on the premises until they have all of their new hire paperwork completed and qualification letters cleared. These violations have been documented during today’s inspection. The following violations were observed. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu was not updated with the substitution for today. This was corrected during the visit by the administrator updating the posted menu. 10A NCAC 09 .0901(b) 871 Center staff did not comply with the safe sleep policy. Two infants were asleep in bouncers. This was corrected during the visit by the teachers moving the infants to a crib. 10A NCAC 09 .0606(a) 1041 Prior to employment a Criminal Background Check was not completed. Teachers FE, AS and MB did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Teachers FE, AS and MB did not have staff records available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Teachers FE, AS and MB did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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 12, 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 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: Adriana Espinosa, Administrator Pasitos Felices (Happy Steps) ID # 19000290 Technical Assistance: We discussed reminding teachers to transfer sleeping infants the moment they fall asleep to a crib. We also discussed the importance of having teachers complete all new hire paperwork including criminal background checks. The teachers cited above may not be on the premises until their paperwork is on file and qualification letter cleared and filed. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. 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, 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

G.S. 110-90 · Violation

Name of Operation: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: 0524-272L Visit Date: 5/29/2024 Number Present: 53 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that the posted menu is not followed, required food portions are not followed, posted staff/child ratios are not followed, inadequate supervision, and children in the two-year-old room are not attended to in a nurturing and appropriate manner. During today’s inspection Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. I observed the teachers walking around the rooms and engaging with the children in care. Children were participating in free play activities. When I arrived at the center, I inform you that purpose of my visit was to obtain information regarding alleged violations of child care requirements. I started the inspection by looking in each indoor learning environment and looking at staff/child ratios. The center is operating within staff/child ratios today. After verifying staff/child ratios and enrollment I met with the administrator and their assistant. I began to inform them of the allegations that were reported to the division. I first informed them of the allegation of the center not following the menu that is posted for parents to see. The administrator informed me that most days they follow what is listed on the menu. They stated that occasionally they may need to make a change and when they do all parents are notified using their electronic communication system, bright wheel. They informed me that today was one of those days as they did not have the food that was listed for today, so they were serving the food that was planned for tomorrow and that they notified parents. While they notified parents, the posted menu did not reflect the change. Based on the information above the allegation of the center not following the posted menu is substantiated. I then asked about portions given to the children. They informed me that all food is measured out using measuring cups. I was able to observe lunch during my visit and was able to verify that the portions given met the nutrition standards required by the CACFP meal and snack requirements. I ask about children that may want more food. They stated that extra food is always prepared and when a child asks, they are given extra food. Based on the information provided and my observation the allegation of not serving the required portions in unsubstantiated. I then asked about ratios in the mornings during drop off. Then center was in ratio during my visit today and I asked for a few days at random to look at ratios during drop off. Comparing attendance records and employee timesheets I was able to determine that the center was operating within the required ratios. The center opens at 7:30 am with one teacher in each room with the exception of the preschool room. Preschoolers are combined with the three-year olds. Each room has two teachers by 8:00 am. All children are in their assigned classroom by 8:30 am. Based on my observation of attendance records and employee timesheets the allegation of the center operation over staff/child ratio is unsubstantiated. There was a concern that teachers did not provide adequate supervision and care provided was not adequate and did not meet the developmental needs of the children. I overserved each classroom individually during todays visit. I observed teachers walking around the room and meeting the developmental needs of each child. I found teacher interactions to be age appropriate. I asked the administrator if they have had any problems with the current teachers specifically mentioning supervision and nurturing the children. The administrator reported that all the teachers in the center are great with the children and that the children love them. They did mention that, they have worked with teachers in the past with their tone but these teachers do not work at the center any more. Based on my interviews and observations the allegations of inadequate supervision and teachers not meeting the developmental needs of each child are unsubstantiated. During today’s visit, I observed four additional violations that were not related to the allegations. When inspecting the infant room during naptime, two infants were asleep in bouncers. This is a violation of not following the center’s safe sleep policy. This was corrected during the visit by the teachers transitioning the sleeping infants to a crib. The center has hired three new teachers (FE, MB, and AS). The three teachers did not have staff records available for review. They also did not have their criminal background checks and had not completed the background check prior to working. These teachers were sent home immediately. They cannot be on the premises until they have all of their new hire paperwork completed and qualification letters cleared. These violations have been documented during today’s inspection. The following violations were observed. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu was not updated with the substitution for today. This was corrected during the visit by the administrator updating the posted menu. 10A NCAC 09 .0901(b) 871 Center staff did not comply with the safe sleep policy. Two infants were asleep in bouncers. This was corrected during the visit by the teachers moving the infants to a crib. 10A NCAC 09 .0606(a) 1041 Prior to employment a Criminal Background Check was not completed. Teachers FE, AS and MB did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Teachers FE, AS and MB did not have staff records available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Teachers FE, AS and MB did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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 12, 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 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: Adriana Espinosa, Administrator Pasitos Felices (Happy Steps) ID # 19000290 Technical Assistance: We discussed reminding teachers to transfer sleeping infants the moment they fall asleep to a crib. We also discussed the importance of having teachers complete all new hire paperwork including criminal background checks. The teachers cited above may not be on the premises until their paperwork is on file and qualification letter cleared and filed. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. 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, 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

G.S. 110-91 · Violation

Name of Operation: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: 0524-272L Visit Date: 5/29/2024 Number Present: 53 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that the posted menu is not followed, required food portions are not followed, posted staff/child ratios are not followed, inadequate supervision, and children in the two-year-old room are not attended to in a nurturing and appropriate manner. During today’s inspection Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. I observed the teachers walking around the rooms and engaging with the children in care. Children were participating in free play activities. When I arrived at the center, I inform you that purpose of my visit was to obtain information regarding alleged violations of child care requirements. I started the inspection by looking in each indoor learning environment and looking at staff/child ratios. The center is operating within staff/child ratios today. After verifying staff/child ratios and enrollment I met with the administrator and their assistant. I began to inform them of the allegations that were reported to the division. I first informed them of the allegation of the center not following the menu that is posted for parents to see. The administrator informed me that most days they follow what is listed on the menu. They stated that occasionally they may need to make a change and when they do all parents are notified using their electronic communication system, bright wheel. They informed me that today was one of those days as they did not have the food that was listed for today, so they were serving the food that was planned for tomorrow and that they notified parents. While they notified parents, the posted menu did not reflect the change. Based on the information above the allegation of the center not following the posted menu is substantiated. I then asked about portions given to the children. They informed me that all food is measured out using measuring cups. I was able to observe lunch during my visit and was able to verify that the portions given met the nutrition standards required by the CACFP meal and snack requirements. I ask about children that may want more food. They stated that extra food is always prepared and when a child asks, they are given extra food. Based on the information provided and my observation the allegation of not serving the required portions in unsubstantiated. I then asked about ratios in the mornings during drop off. Then center was in ratio during my visit today and I asked for a few days at random to look at ratios during drop off. Comparing attendance records and employee timesheets I was able to determine that the center was operating within the required ratios. The center opens at 7:30 am with one teacher in each room with the exception of the preschool room. Preschoolers are combined with the three-year olds. Each room has two teachers by 8:00 am. All children are in their assigned classroom by 8:30 am. Based on my observation of attendance records and employee timesheets the allegation of the center operation over staff/child ratio is unsubstantiated. There was a concern that teachers did not provide adequate supervision and care provided was not adequate and did not meet the developmental needs of the children. I overserved each classroom individually during todays visit. I observed teachers walking around the room and meeting the developmental needs of each child. I found teacher interactions to be age appropriate. I asked the administrator if they have had any problems with the current teachers specifically mentioning supervision and nurturing the children. The administrator reported that all the teachers in the center are great with the children and that the children love them. They did mention that, they have worked with teachers in the past with their tone but these teachers do not work at the center any more. Based on my interviews and observations the allegations of inadequate supervision and teachers not meeting the developmental needs of each child are unsubstantiated. During today’s visit, I observed four additional violations that were not related to the allegations. When inspecting the infant room during naptime, two infants were asleep in bouncers. This is a violation of not following the center’s safe sleep policy. This was corrected during the visit by the teachers transitioning the sleeping infants to a crib. The center has hired three new teachers (FE, MB, and AS). The three teachers did not have staff records available for review. They also did not have their criminal background checks and had not completed the background check prior to working. These teachers were sent home immediately. They cannot be on the premises until they have all of their new hire paperwork completed and qualification letters cleared. These violations have been documented during today’s inspection. The following violations were observed. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu was not updated with the substitution for today. This was corrected during the visit by the administrator updating the posted menu. 10A NCAC 09 .0901(b) 871 Center staff did not comply with the safe sleep policy. Two infants were asleep in bouncers. This was corrected during the visit by the teachers moving the infants to a crib. 10A NCAC 09 .0606(a) 1041 Prior to employment a Criminal Background Check was not completed. Teachers FE, AS and MB did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Teachers FE, AS and MB did not have staff records available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Teachers FE, AS and MB did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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 12, 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 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: Adriana Espinosa, Administrator Pasitos Felices (Happy Steps) ID # 19000290 Technical Assistance: We discussed reminding teachers to transfer sleeping infants the moment they fall asleep to a crib. We also discussed the importance of having teachers complete all new hire paperwork including criminal background checks. The teachers cited above may not be on the premises until their paperwork is on file and qualification letter cleared and filed. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. 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, 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: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: 0524-272L Visit Date: 5/29/2024 Number Present: 53 Completed Date: 5/29/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 10:10 AM Time Out: 02:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. The allegations are as follows: There is a concern that the posted menu is not followed, required food portions are not followed, posted staff/child ratios are not followed, inadequate supervision, and children in the two-year-old room are not attended to in a nurturing and appropriate manner. During today’s inspection Staff/child ratio, group size, supervision, use of licensed space, space capacity, and license restrictions were monitored. I observed the teachers walking around the rooms and engaging with the children in care. Children were participating in free play activities. When I arrived at the center, I inform you that purpose of my visit was to obtain information regarding alleged violations of child care requirements. I started the inspection by looking in each indoor learning environment and looking at staff/child ratios. The center is operating within staff/child ratios today. After verifying staff/child ratios and enrollment I met with the administrator and their assistant. I began to inform them of the allegations that were reported to the division. I first informed them of the allegation of the center not following the menu that is posted for parents to see. The administrator informed me that most days they follow what is listed on the menu. They stated that occasionally they may need to make a change and when they do all parents are notified using their electronic communication system, bright wheel. They informed me that today was one of those days as they did not have the food that was listed for today, so they were serving the food that was planned for tomorrow and that they notified parents. While they notified parents, the posted menu did not reflect the change. Based on the information above the allegation of the center not following the posted menu is substantiated. I then asked about portions given to the children. They informed me that all food is measured out using measuring cups. I was able to observe lunch during my visit and was able to verify that the portions given met the nutrition standards required by the CACFP meal and snack requirements. I ask about children that may want more food. They stated that extra food is always prepared and when a child asks, they are given extra food. Based on the information provided and my observation the allegation of not serving the required portions in unsubstantiated. I then asked about ratios in the mornings during drop off. Then center was in ratio during my visit today and I asked for a few days at random to look at ratios during drop off. Comparing attendance records and employee timesheets I was able to determine that the center was operating within the required ratios. The center opens at 7:30 am with one teacher in each room with the exception of the preschool room. Preschoolers are combined with the three-year olds. Each room has two teachers by 8:00 am. All children are in their assigned classroom by 8:30 am. Based on my observation of attendance records and employee timesheets the allegation of the center operation over staff/child ratio is unsubstantiated. There was a concern that teachers did not provide adequate supervision and care provided was not adequate and did not meet the developmental needs of the children. I overserved each classroom individually during todays visit. I observed teachers walking around the room and meeting the developmental needs of each child. I found teacher interactions to be age appropriate. I asked the administrator if they have had any problems with the current teachers specifically mentioning supervision and nurturing the children. The administrator reported that all the teachers in the center are great with the children and that the children love them. They did mention that, they have worked with teachers in the past with their tone but these teachers do not work at the center any more. Based on my interviews and observations the allegations of inadequate supervision and teachers not meeting the developmental needs of each child are unsubstantiated. During today’s visit, I observed four additional violations that were not related to the allegations. When inspecting the infant room during naptime, two infants were asleep in bouncers. This is a violation of not following the center’s safe sleep policy. This was corrected during the visit by the teachers transitioning the sleeping infants to a crib. The center has hired three new teachers (FE, MB, and AS). The three teachers did not have staff records available for review. They also did not have their criminal background checks and had not completed the background check prior to working. These teachers were sent home immediately. They cannot be on the premises until they have all of their new hire paperwork completed and qualification letters cleared. These violations have been documented during today’s inspection. The following violations were observed. Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The posted menu was not updated with the substitution for today. This was corrected during the visit by the administrator updating the posted menu. 10A NCAC 09 .0901(b) 871 Center staff did not comply with the safe sleep policy. Two infants were asleep in bouncers. This was corrected during the visit by the teachers moving the infants to a crib. 10A NCAC 09 .0606(a) 1041 Prior to employment a Criminal Background Check was not completed. Teachers FE, AS and MB did not complete a criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Teachers FE, AS and MB did not have staff records available for review. G.S. 110-91( 9) 1757 A valid qualification letter was not on file and available to review at the facility. Teachers FE, AS and MB did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 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 12, 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 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: Adriana Espinosa, Administrator Pasitos Felices (Happy Steps) ID # 19000290 Technical Assistance: We discussed reminding teachers to transfer sleeping infants the moment they fall asleep to a crib. We also discussed the importance of having teachers complete all new hire paperwork including criminal background checks. The teachers cited above may not be on the premises until their paperwork is on file and qualification letter cleared and filed. During the visit, we discussed that repeated violations of this nature during consecutive visits may lead to an administrative action against your license. A follow-up visit may be conducted in the near future to monitor compliance with child care requirements. 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, 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 .0514 · Violation

Name of Operation: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 51 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: -555 Time In: 09:45 AM Time Out: 12:30 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 five-star license, issued August 3, 2022, earning 7 points in the education component, 5 points in the program standards component meeting enhanced ratios and scoring an average of 5.73 on the rating scales and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted February 6, 2023. The sanitation inspection was completed October 2, 2023, with a “Superior” classification. The last fire inspection was conducted August 15, 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 eighty five percent as of January 25, 2024. The NC Secretary of State website was reviewed on January 25, 2024, and Pasitos Felices LLC was listed as current- active. You visited each indoor and outdoor space with me. Children enrolled were participating in group activities. Children were sitting on the floor in a circle and teachers were reading a book and singing songs with the children. I found supervision, interactions, and ratio to be in compliance. All program records were reviewed including children and staff records, emergency drills, infant sleep checks, medications, and all child care requirements. Lunch consisted of mac and cheese, green bean salad, apples, 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 changing mat in the two year old room is torn. 15A NCAC 18A .2819(a) & (b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff JS did not have a annual health questionnaire on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff ME, JS, RD did not have a Annual Staff Evaluation and Staff Development Plan on file. 10A NCAC 09 .0514(f) 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 DC did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 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. Staff ME, MA, IR did not have the Recognizing and Responding to Suspicions of Child Maltreatment training on file .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff JS did not renew their Health and Safety Training within the last five years. .1103(b) 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 February 8, 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: Adriana Espinosa, Administrator, Pasitos Felices (Happy Steps), ID # 19000290 Technical Assistance: We discussed removing changing pads the moment they become torn. Torn changing pads cannot be cleaned as the location of the tear will hold on to bacteria when it is cleaned. We also discussed reviewing files quarterly using the staff file checklist to ensure that all required documents and trainings are on file. 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: PASITOS FELICES (HAPPY STEPS) Facility ID: 19000290 Consultant: BRANDON FRY Operation Type: Center Case Number: Visit Date: 1/25/2024 Number Present: 51 Completed Date: 1/25/2024 Age: From 0 To 5 Total Minutes: -555 Time In: 09:45 AM Time Out: 12:30 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 five-star license, issued August 3, 2022, earning 7 points in the education component, 5 points in the program standards component meeting enhanced ratios and scoring an average of 5.73 on the rating scales and 1 quality point for having a staff benefits package and an infrastructure of parent involvement. Your program was also monitored for compliance with implementing an approved curriculum as required for all four- and five-star licensed facilities where four-year-old children are enrolled. The last annual compliance visit was conducted February 6, 2023. The sanitation inspection was completed October 2, 2023, with a “Superior” classification. The last fire inspection was conducted August 15, 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 eighty five percent as of January 25, 2024. The NC Secretary of State website was reviewed on January 25, 2024, and Pasitos Felices LLC was listed as current- active. You visited each indoor and outdoor space with me. Children enrolled were participating in group activities. Children were sitting on the floor in a circle and teachers were reading a book and singing songs with the children. I found supervision, interactions, and ratio to be in compliance. All program records were reviewed including children and staff records, emergency drills, infant sleep checks, medications, and all child care requirements. Lunch consisted of mac and cheese, green bean salad, apples, 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 changing mat in the two year old room is torn. 15A NCAC 18A .2819(a) & (b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff JS did not have a annual health questionnaire on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff ME, JS, RD did not have a Annual Staff Evaluation and Staff Development Plan on file. 10A NCAC 09 .0514(f) 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 DC did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. .0608(d)(1-4) 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. Staff ME, MA, IR did not have the Recognizing and Responding to Suspicions of Child Maltreatment training on file .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff JS did not renew their Health and Safety Training within the last five years. .1103(b) 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 February 8, 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: Adriana Espinosa, Administrator, Pasitos Felices (Happy Steps), ID # 19000290 Technical Assistance: We discussed removing changing pads the moment they become torn. Torn changing pads cannot be cleaned as the location of the tear will hold on to bacteria when it is cleaned. We also discussed reviewing files quarterly using the staff file checklist to ensure that all required documents and trainings are on file. 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