10A NCAC 09 .0601 · Violation

Name of Operation: EMONNIE'S LITTLE ANGELS Facility ID: 94000108 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 9 Completed Date: 4/9/2025 Age: From 2 To 8 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 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. J. Bryan, Administrator, assisted me with the visit. Your program currently operates with a three-star license, issued 4/7/20, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for center has a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was conducted 6/6/24. The sanitation inspection was completed 12/12/24 with a “Superior” classification. The last fire inspection was conducted 9/6/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety six percent as of 4/8/25. The NC Secretary of State website was reviewed on 4/8/25 and Emonnie’s Little Angels Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children throughout the center were engaged in free play in centers, group time, and personal care routines. In space #3, a staff member read the children the book If You Give a Mouse a Cookie. School aged children took turns reading a book aloud with a staff member. The outdoor space was observed to have a merry go round, climbing dome, basketball goal, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of beef meatballs, rice, corn, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the merry go round and the climbing dome was exposed causing a tripping hazard. The mulch beneath the stationary climbing dome was one inch in depth rather than the required six (6) inches. The stationary climbing dome had exposed rust on much of the climber. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, an albuterol inhaler was on file without the prescription labeled box. .0803(2)(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). R. Cahoon, qualification letter expired on February 3, 2025, and the five-year renewal qualification letter was issued on March 4, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. J. Moore had certification of First Aid that expired on 2/24 and a renewal certificate that dated 1/29/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. J. Moore had certification of CPR that expired on 2/24 and a renewal certificate that dated 1/29/25. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) out of the four (4) children’s files reviewed did not have a medical report on file. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #3, a child enrolled did not have a medical action plan on file for asthma. A child enrolled in space #3 had a medical action plan on file for asthma that was dated 3/30/23. .0801(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 4/23/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. R. Cahoon, qualification letter expired on February 3, 2025, and the five-year renewal qualification letter was issued on March 4, 2025. You stated that it was the first time going through the new background check process with the portal and the fingerprints were not sent as child care prints to the SBI. We discussed using you staff and training worksheet as a tool and to add expiration dates in a digital calendar that will send reminders. Regularly reviewing your files will help keep you informed about upcoming expiring dates. Medication/Child Files: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #3, a child enrolled did not have a medical action plan on file for asthma. A child enrolled in space #3 had a medical action plan on file for asthma that was dated 3/30/23. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the inhalers that are on site for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you had requested a medical action plan for the other child but had not received it. In space #3, an albuterol inhaler was on file without the prescription labeled box. You stated that you have requested that the parent bring in the box. Two (2) out of the four (4) children’s files reviewed did not have a medical report on file. You stated that you have request medical reports within 15 days of enrollment. When a child enrolls, review the children’s file checklist to ensure that all documents are received and review the medication to ensure that it is in the prescription labeled box. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. J. Moore had certification of CPR and First Aid that expired on 2/24 and a renewal certificate that dated 1/29/25. You stated that the staff member was out on medical leave around the time that the certification expired, and you realized that it was needed when you were completing the staff and training worksheet. We discussed that if a staff member is out for 6 months or longer, they should be considered a new hire and receive all required documents. Ensure that staff member have all required certifications on file when they return from being on leave. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The landscape fabric beneath the mulch under the merry go round and the climbing dome was exposed causing a tripping hazard. The mulch beneath the stationary climbing dome was one inch in depth rather than the required six (6) inches. The stationary climbing dome had exposed rust on much of the climber. You stated that you paint the climber and add mulch every spring and have the materials. I observed large bags of mulch. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. Additional Comments: ABCMS Provider Portal: You have completed the provider portal training and I provided you instructions for how to connect staff members application to your facility id. Complete this process for all employees to complete the roster for your facility. DCDEE WORKS: I provided you with instructions on how to submit electronic transcripts. The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for child care centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025 deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. We collaborate with professionals in the early childhood education field to foster the development and learning of young children. The website ncrlap.org offers resources, trainings, videos, worksheets, and getting ready for ITERS-3 and ECERS-3. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@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: EMONNIE'S LITTLE ANGELS Facility ID: 94000108 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 9 Completed Date: 4/9/2025 Age: From 2 To 8 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 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. J. Bryan, Administrator, assisted me with the visit. Your program currently operates with a three-star license, issued 4/7/20, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for center has a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was conducted 6/6/24. The sanitation inspection was completed 12/12/24 with a “Superior” classification. The last fire inspection was conducted 9/6/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety six percent as of 4/8/25. The NC Secretary of State website was reviewed on 4/8/25 and Emonnie’s Little Angels Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children throughout the center were engaged in free play in centers, group time, and personal care routines. In space #3, a staff member read the children the book If You Give a Mouse a Cookie. School aged children took turns reading a book aloud with a staff member. The outdoor space was observed to have a merry go round, climbing dome, basketball goal, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of beef meatballs, rice, corn, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the merry go round and the climbing dome was exposed causing a tripping hazard. The mulch beneath the stationary climbing dome was one inch in depth rather than the required six (6) inches. The stationary climbing dome had exposed rust on much of the climber. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, an albuterol inhaler was on file without the prescription labeled box. .0803(2)(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). R. Cahoon, qualification letter expired on February 3, 2025, and the five-year renewal qualification letter was issued on March 4, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. J. Moore had certification of First Aid that expired on 2/24 and a renewal certificate that dated 1/29/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. J. Moore had certification of CPR that expired on 2/24 and a renewal certificate that dated 1/29/25. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) out of the four (4) children’s files reviewed did not have a medical report on file. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #3, a child enrolled did not have a medical action plan on file for asthma. A child enrolled in space #3 had a medical action plan on file for asthma that was dated 3/30/23. .0801(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 4/23/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. R. Cahoon, qualification letter expired on February 3, 2025, and the five-year renewal qualification letter was issued on March 4, 2025. You stated that it was the first time going through the new background check process with the portal and the fingerprints were not sent as child care prints to the SBI. We discussed using you staff and training worksheet as a tool and to add expiration dates in a digital calendar that will send reminders. Regularly reviewing your files will help keep you informed about upcoming expiring dates. Medication/Child Files: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #3, a child enrolled did not have a medical action plan on file for asthma. A child enrolled in space #3 had a medical action plan on file for asthma that was dated 3/30/23. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the inhalers that are on site for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you had requested a medical action plan for the other child but had not received it. In space #3, an albuterol inhaler was on file without the prescription labeled box. You stated that you have requested that the parent bring in the box. Two (2) out of the four (4) children’s files reviewed did not have a medical report on file. You stated that you have request medical reports within 15 days of enrollment. When a child enrolls, review the children’s file checklist to ensure that all documents are received and review the medication to ensure that it is in the prescription labeled box. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. J. Moore had certification of CPR and First Aid that expired on 2/24 and a renewal certificate that dated 1/29/25. You stated that the staff member was out on medical leave around the time that the certification expired, and you realized that it was needed when you were completing the staff and training worksheet. We discussed that if a staff member is out for 6 months or longer, they should be considered a new hire and receive all required documents. Ensure that staff member have all required certifications on file when they return from being on leave. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The landscape fabric beneath the mulch under the merry go round and the climbing dome was exposed causing a tripping hazard. The mulch beneath the stationary climbing dome was one inch in depth rather than the required six (6) inches. The stationary climbing dome had exposed rust on much of the climber. You stated that you paint the climber and add mulch every spring and have the materials. I observed large bags of mulch. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. Additional Comments: ABCMS Provider Portal: You have completed the provider portal training and I provided you instructions for how to connect staff members application to your facility id. Complete this process for all employees to complete the roster for your facility. DCDEE WORKS: I provided you with instructions on how to submit electronic transcripts. The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for child care centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025 deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. We collaborate with professionals in the early childhood education field to foster the development and learning of young children. The website ncrlap.org offers resources, trainings, videos, worksheets, and getting ready for ITERS-3 and ECERS-3. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@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

GS110-91 · Violation

Name of Operation: EMONNIE'S LITTLE ANGELS Facility ID: 94000108 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 9 Completed Date: 4/9/2025 Age: From 2 To 8 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 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. J. Bryan, Administrator, assisted me with the visit. Your program currently operates with a three-star license, issued 4/7/20, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for center has a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was conducted 6/6/24. The sanitation inspection was completed 12/12/24 with a “Superior” classification. The last fire inspection was conducted 9/6/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety six percent as of 4/8/25. The NC Secretary of State website was reviewed on 4/8/25 and Emonnie’s Little Angels Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children throughout the center were engaged in free play in centers, group time, and personal care routines. In space #3, a staff member read the children the book If You Give a Mouse a Cookie. School aged children took turns reading a book aloud with a staff member. The outdoor space was observed to have a merry go round, climbing dome, basketball goal, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of beef meatballs, rice, corn, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the merry go round and the climbing dome was exposed causing a tripping hazard. The mulch beneath the stationary climbing dome was one inch in depth rather than the required six (6) inches. The stationary climbing dome had exposed rust on much of the climber. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, an albuterol inhaler was on file without the prescription labeled box. .0803(2)(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). R. Cahoon, qualification letter expired on February 3, 2025, and the five-year renewal qualification letter was issued on March 4, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. J. Moore had certification of First Aid that expired on 2/24 and a renewal certificate that dated 1/29/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. J. Moore had certification of CPR that expired on 2/24 and a renewal certificate that dated 1/29/25. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) out of the four (4) children’s files reviewed did not have a medical report on file. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #3, a child enrolled did not have a medical action plan on file for asthma. A child enrolled in space #3 had a medical action plan on file for asthma that was dated 3/30/23. .0801(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 4/23/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. R. Cahoon, qualification letter expired on February 3, 2025, and the five-year renewal qualification letter was issued on March 4, 2025. You stated that it was the first time going through the new background check process with the portal and the fingerprints were not sent as child care prints to the SBI. We discussed using you staff and training worksheet as a tool and to add expiration dates in a digital calendar that will send reminders. Regularly reviewing your files will help keep you informed about upcoming expiring dates. Medication/Child Files: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #3, a child enrolled did not have a medical action plan on file for asthma. A child enrolled in space #3 had a medical action plan on file for asthma that was dated 3/30/23. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the inhalers that are on site for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you had requested a medical action plan for the other child but had not received it. In space #3, an albuterol inhaler was on file without the prescription labeled box. You stated that you have requested that the parent bring in the box. Two (2) out of the four (4) children’s files reviewed did not have a medical report on file. You stated that you have request medical reports within 15 days of enrollment. When a child enrolls, review the children’s file checklist to ensure that all documents are received and review the medication to ensure that it is in the prescription labeled box. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. J. Moore had certification of CPR and First Aid that expired on 2/24 and a renewal certificate that dated 1/29/25. You stated that the staff member was out on medical leave around the time that the certification expired, and you realized that it was needed when you were completing the staff and training worksheet. We discussed that if a staff member is out for 6 months or longer, they should be considered a new hire and receive all required documents. Ensure that staff member have all required certifications on file when they return from being on leave. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The landscape fabric beneath the mulch under the merry go round and the climbing dome was exposed causing a tripping hazard. The mulch beneath the stationary climbing dome was one inch in depth rather than the required six (6) inches. The stationary climbing dome had exposed rust on much of the climber. You stated that you paint the climber and add mulch every spring and have the materials. I observed large bags of mulch. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. Additional Comments: ABCMS Provider Portal: You have completed the provider portal training and I provided you instructions for how to connect staff members application to your facility id. Complete this process for all employees to complete the roster for your facility. DCDEE WORKS: I provided you with instructions on how to submit electronic transcripts. The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for child care centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025 deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. We collaborate with professionals in the early childhood education field to foster the development and learning of young children. The website ncrlap.org offers resources, trainings, videos, worksheets, and getting ready for ITERS-3 and ECERS-3. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@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: EMONNIE'S LITTLE ANGELS Facility ID: 94000108 Consultant: BRITTANY JONES Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 9 Completed Date: 4/9/2025 Age: From 2 To 8 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 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. J. Bryan, Administrator, assisted me with the visit. Your program currently operates with a three-star license, issued 4/7/20, earning 5 points in the education component, 2 points in the program standards component (meeting enhanced space) and 1 quality point for center has a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months. The last annual compliance visit was conducted 6/6/24. The sanitation inspection was completed 12/12/24 with a “Superior” classification. The last fire inspection was conducted 9/6/24. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety six percent as of 4/8/25. The NC Secretary of State website was reviewed on 4/8/25 and Emonnie’s Little Angels Inc. was listed as current- active. We reviewed your facility contact information listed on the Division of Child Development and Early Education (DCDEE) website and all information is current. Contact me if you need to make any changes to your contact information, e.g., phone numbers, mailing address. All indoor and outdoor spaces were monitored. Children throughout the center were engaged in free play in centers, group time, and personal care routines. In space #3, a staff member read the children the book If You Give a Mouse a Cookie. School aged children took turns reading a book aloud with a staff member. The outdoor space was observed to have a merry go round, climbing dome, basketball goal, riding toys, and balls for the children to engage in gross motor activities. Lunch was observed and consisted of beef meatballs, rice, corn, peaches, and milk. The following violation(s) were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The landscape fabric beneath the mulch under the merry go round and the climbing dome was exposed causing a tripping hazard. The mulch beneath the stationary climbing dome was one inch in depth rather than the required six (6) inches. The stationary climbing dome had exposed rust on much of the climber. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space #3, an albuterol inhaler was on file without the prescription labeled box. .0803(2)(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). R. Cahoon, qualification letter expired on February 3, 2025, and the five-year renewal qualification letter was issued on March 4, 2025. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. J. Moore had certification of First Aid that expired on 2/24 and a renewal certificate that dated 1/29/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. J. Moore had certification of CPR that expired on 2/24 and a renewal certificate that dated 1/29/25. .1102(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) out of the four (4) children’s files reviewed did not have a medical report on file. GS110-91(1) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space #3, a child enrolled did not have a medical action plan on file for asthma. A child enrolled in space #3 had a medical action plan on file for asthma that was dated 3/30/23. .0801(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 4/23/25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware 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: Brittany Jones, Child Care Consultant PO Box 3272 New Bern, NC 28564 Brittany.j.jones@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance with Documented Violations: Criminal Background Checks: Criminal background checks (CBC) are completed to protect children from abuse and reduce liability risks. Background screenings are needed to provide a safe program environment, support children’s health and safety, and are important for preventing child maltreatment in early care and education programs. A CBC must be completed prior to employee hire and every five years thereafter. An expiration date is now listed on each Qualification Letter. Submissions can also be made six months before the expiration date listed on the current Qualification Letter. R. Cahoon, qualification letter expired on February 3, 2025, and the five-year renewal qualification letter was issued on March 4, 2025. You stated that it was the first time going through the new background check process with the portal and the fingerprints were not sent as child care prints to the SBI. We discussed using you staff and training worksheet as a tool and to add expiration dates in a digital calendar that will send reminders. Regularly reviewing your files will help keep you informed about upcoming expiring dates. Medication/Child Files: Medicines can be crucial to the health and wellness of children. They can also be very dangerous if the wrong type or wrong amount is given to the wrong person or at the wrong time. A medical action plan is required for children that need emergency medication, the form needs to be completed by the parent or a health care professional. In space #3, a child enrolled did not have a medical action plan on file for asthma. A child enrolled in space #3 had a medical action plan on file for asthma that was dated 3/30/23. We discussed the importance of understanding the symptoms the child shows and the instructions to administer the inhalers that are on site for the child. You stated that you were unaware that the medical action plans had to be updated annually and that you had requested a medical action plan for the other child but had not received it. In space #3, an albuterol inhaler was on file without the prescription labeled box. You stated that you have requested that the parent bring in the box. Two (2) out of the four (4) children’s files reviewed did not have a medical report on file. You stated that you have request medical reports within 15 days of enrollment. When a child enrolls, review the children’s file checklist to ensure that all documents are received and review the medication to ensure that it is in the prescription labeled box. CPR/First Aid: Knowing what to do in an emergency medical situation can mean the difference between life or death. Being trained in CPR and first aid can be invaluable when someone is in serious medical distress. Therefore, it is so important that all staff working directly with children have current CPR and First Aid Certification. J. Moore had certification of CPR and First Aid that expired on 2/24 and a renewal certificate that dated 1/29/25. You stated that the staff member was out on medical leave around the time that the certification expired, and you realized that it was needed when you were completing the staff and training worksheet. We discussed that if a staff member is out for 6 months or longer, they should be considered a new hire and receive all required documents. Ensure that staff member have all required certifications on file when they return from being on leave. Outdoor Environment: The outdoor learning environment offers a sense of freedom for children. Children are able to play freely with peers, expand their imagination beyond restraints of indoor activities, release energy and explore their sense of touch, smell, taste and their sense of motion. It is important that the outdoor area is checked daily and proper upkeep is conducted to ensure the environment is safe for use. The landscape fabric beneath the mulch under the merry go round and the climbing dome was exposed causing a tripping hazard. The mulch beneath the stationary climbing dome was one inch in depth rather than the required six (6) inches. The stationary climbing dome had exposed rust on much of the climber. You stated that you paint the climber and add mulch every spring and have the materials. I observed large bags of mulch. Check the outdoor spaces daily before the children arrive to ensure that hazards are removed and inspect equipment thoroughly each month during the playground inspections for hazards. Additional Comments: ABCMS Provider Portal: You have completed the provider portal training and I provided you instructions for how to connect staff members application to your facility id. Complete this process for all employees to complete the roster for your facility. DCDEE WORKS: I provided you with instructions on how to submit electronic transcripts. The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket costs. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement and will allow facilities to participate in the funding mechanisms. Required water testing for child care centers under rule 15A NCAC 18A .2816 is not affected by the new May 31, 2025 deadline. Enroll today at https://www.cleanwaterforcarolinakids.org/enroll. If you have enrolled for only one or two of the program sections, log back in to complete surveys for the remaining section(s) to comply with the rule requirements. The T.E.A.C.H. Early Childhood® North Carolina Scholarship Program provides educational scholarships to early care professionals and those who perform specialized functions in the early care system. https://www.childcareservices.org/programs/teach-north-carolina/ Natural Learning Initiative: https://naturalearning.org/resources/ Resources are created, often in collaboration with the Natural Learning Initiative’s interdisciplinary partners, to support technical assistance, professional development, and generally to promote the importance of the natural environment in the daily experience of all children. Please use and share. North Carolina Rated License Assessment Project: NCRLAP’s mission is to promote the quality of child care by consistently and reliably assessing environments for the North Carolina Star Rated License. We collaborate with professionals in the early childhood education field to foster the development and learning of young children. The website ncrlap.org offers resources, trainings, videos, worksheets, and getting ready for ITERS-3 and ECERS-3. The Tyrrell-Washington Partnership for Children / Child Care Resource and Referral is also able to provide you with resources and information, training opportunities, and technical assistance on child care issues. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Brittany Jones, Child Care Consultant, (252) 947-1036, Brittany.j.jones@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, (252) 373-4199, Jennifer.Linhardt@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 .0601 · Violation

Name of Operation: EMONNIE'S LITTLE ANGELS Facility ID: 94000108 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 14 Completed Date: 6/6/2024 Age: From 1 To 4 Total Minutes: 180 Time In: 09:00 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. J. Bryan, administrator was on-site and assisted me when needed. Your program currently operated with a three(3)-star license issued 4/7/2020. The last annual compliance visit was conducted 76/2023. The sanitation inspection was completed 5/17/2024 with a “Superior” classification. The last fire inspection was conducted 9/6/2023 and your facility was approved for daytime care and night care. The program’s compliance history was ninety-four percent as of 5/31/2024. The NC Secretary of State website was reviewed on 5/31/2024 and Emonnie’s Little Angels INC. was listed as current- active. A walk-through of the facility was completed today, all areas were monitored. Children throughout the center were engaged in indoor free play and. Toys were available on low-lying open shelves. After lunch children engaged in personal care routines and transitioned to rest on their linen covered cots. The fenced outdoor play area located behind the building consisted of areas for shade, push/pull toys, basketball goal, and a bike trail. Lunch was served and consisted of spaghetti, peaches, green beans, and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The key to the kitchen door was located in the lock. 10A NCAC 09 .0601(a) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. In one(1) out of four(4) files reviewed the acknowledgment form was not available. .0604(j) 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 6/20/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Tamaria.Williams@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Safe Indoor Environment- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, the key to the kitchen door was located in the lock. You removed the key and ensured that the kitchen was locked. Children must be restricted from access to the stove when cooking surfaces are hot and hazardous and toxic substances. Review childcare rule 10A NCAC 09 .0604: Safety Requirements for Child Care Centers with your staff. Place a visual reminder on the door to remind staff to keep the door closed and locked at all times. This was corrected during the visit. Additional Information: The Tyrell-Washington Partnership for Children is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment is required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.) Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation(NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Healthy Social Behaviors-Do you have children who bite? Do you have children who struggle to focus during circle time? Help is available for these and other challenging behaviors through the Challenging Behaviors Helpline dial 1-888-600-1685 Option 1 and you can speak to a Behavior Support advisor for advice and resources specific to the challenging behaviors in your classroom. 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 Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0604 · Violation

Name of Operation: EMONNIE'S LITTLE ANGELS Facility ID: 94000108 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 14 Completed Date: 6/6/2024 Age: From 1 To 4 Total Minutes: 180 Time In: 09:00 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. J. Bryan, administrator was on-site and assisted me when needed. Your program currently operated with a three(3)-star license issued 4/7/2020. The last annual compliance visit was conducted 76/2023. The sanitation inspection was completed 5/17/2024 with a “Superior” classification. The last fire inspection was conducted 9/6/2023 and your facility was approved for daytime care and night care. The program’s compliance history was ninety-four percent as of 5/31/2024. The NC Secretary of State website was reviewed on 5/31/2024 and Emonnie’s Little Angels INC. was listed as current- active. A walk-through of the facility was completed today, all areas were monitored. Children throughout the center were engaged in indoor free play and. Toys were available on low-lying open shelves. After lunch children engaged in personal care routines and transitioned to rest on their linen covered cots. The fenced outdoor play area located behind the building consisted of areas for shade, push/pull toys, basketball goal, and a bike trail. Lunch was served and consisted of spaghetti, peaches, green beans, and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The key to the kitchen door was located in the lock. 10A NCAC 09 .0601(a) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. In one(1) out of four(4) files reviewed the acknowledgment form was not available. .0604(j) 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 6/20/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Tamaria.Williams@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Safe Indoor Environment- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, the key to the kitchen door was located in the lock. You removed the key and ensured that the kitchen was locked. Children must be restricted from access to the stove when cooking surfaces are hot and hazardous and toxic substances. Review childcare rule 10A NCAC 09 .0604: Safety Requirements for Child Care Centers with your staff. Place a visual reminder on the door to remind staff to keep the door closed and locked at all times. This was corrected during the visit. Additional Information: The Tyrell-Washington Partnership for Children is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment is required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.) Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation(NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Healthy Social Behaviors-Do you have children who bite? Do you have children who struggle to focus during circle time? Help is available for these and other challenging behaviors through the Challenging Behaviors Helpline dial 1-888-600-1685 Option 1 and you can speak to a Behavior Support advisor for advice and resources specific to the challenging behaviors in your classroom. 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 Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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: EMONNIE'S LITTLE ANGELS Facility ID: 94000108 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 6/6/2024 Number Present: 14 Completed Date: 6/6/2024 Age: From 1 To 4 Total Minutes: 180 Time In: 09:00 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. J. Bryan, administrator was on-site and assisted me when needed. Your program currently operated with a three(3)-star license issued 4/7/2020. The last annual compliance visit was conducted 76/2023. The sanitation inspection was completed 5/17/2024 with a “Superior” classification. The last fire inspection was conducted 9/6/2023 and your facility was approved for daytime care and night care. The program’s compliance history was ninety-four percent as of 5/31/2024. The NC Secretary of State website was reviewed on 5/31/2024 and Emonnie’s Little Angels INC. was listed as current- active. A walk-through of the facility was completed today, all areas were monitored. Children throughout the center were engaged in indoor free play and. Toys were available on low-lying open shelves. After lunch children engaged in personal care routines and transitioned to rest on their linen covered cots. The fenced outdoor play area located behind the building consisted of areas for shade, push/pull toys, basketball goal, and a bike trail. Lunch was served and consisted of spaghetti, peaches, green beans, and milk. The following violations were documented. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The key to the kitchen door was located in the lock. 10A NCAC 09 .0601(a) 1851 The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. In one(1) out of four(4) files reviewed the acknowledgment form was not available. .0604(j) 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 6/20/2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Email the information to: Tamaria.Williams@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Safe Indoor Environment- Environments should ensure safety, promote health, provide comfort and be convenient for children and caregivers. Today, the key to the kitchen door was located in the lock. You removed the key and ensured that the kitchen was locked. Children must be restricted from access to the stove when cooking surfaces are hot and hazardous and toxic substances. Review childcare rule 10A NCAC 09 .0604: Safety Requirements for Child Care Centers with your staff. Place a visual reminder on the door to remind staff to keep the door closed and locked at all times. This was corrected during the visit. Additional Information: The Tyrell-Washington Partnership for Children is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. Required Water, Lead Paint, and Asbestos Testing - New child care rules require child care facilities to test for lead in drinking water, lead paint, and asbestos. Testing is required by 1/1/2025, but enrollment is required by 5/1/2024. Check out the FAQ in the updated Clean Classrooms for Carolina Kids. Currently there is funding to pay for the testing and to mitigate lead paint or asbestos hazards. Depending on the age of your home or building and the information you provide in the enrollment process, testing for lead paint and asbestos may not be required. (Lead paint was not used in homes built after 1978. Asbestos was not used in homes after 1988.) Water testing will be required every three years. For more information go to https://www.cleanwaterforuskids.org/en/carolina/ or contact your Environmental Health Specialist. Moodle Support – The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle Support. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation(NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Healthy Social Behaviors-Do you have children who bite? Do you have children who struggle to focus during circle time? Help is available for these and other challenging behaviors through the Challenging Behaviors Helpline dial 1-888-600-1685 Option 1 and you can speak to a Behavior Support advisor for advice and resources specific to the challenging behaviors in your classroom. 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 Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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 .0604 · Violation

Name of Operation: EMONNIE'S LITTLE ANGELS Facility ID: 94000108 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 11/13/2023 Number Present: 11 Completed Date: 11/13/2023 Age: From 0 To 4 Total Minutes: 150 Time In: 11:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. J. Bryan, administrator was on-site and assisted me when needed. Your program currently operated with a three(3)-star license issued 4/7/2020. The last annual compliance visit was conducted 76/2023. The sanitation inspection was completed 6/28/2023 with a “Superior” classification. The last fire inspection was conducted 9/6/2023 and your facility was approved for daytime care and night care. The program’s compliance history was ninety-four percent as of 11/9/23. The NC Secretary of State website was reviewed on 11/9/2023 and Emonnie’s Little Angels INC. was listed as current- active. A walk-through of the facility was completed today. I observed children eating lunch. After lunch children engaged in personal care routines and transitioned to rest time on their linen covered cots. Toys were available throughout the classroom spaces on low-lying open shelves. Lunch was served and consisted of chicken sandwiches, mandarin oranges, corn, and milk. The following violations were documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two(2) an outlet located in the library area did not have a safety plug. 10A NCAC 09 .0604(c) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation was not available for the weeks of 11/6/23-11/9/23 for one child. .0606(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 11/27/2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Tamaria Williams PO Box 1002 Williamston, NC 27892 Tamaria.Williams@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Safe Sleep- Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. Sleep charts for 11/6/2023-11/9/2023 were not available for review for one child enrolled in classroom space #1. Check sleep charts weekly to ensure they are completed daily for infants in care. Electrical Outlets-Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. In space two(2) an outlet located in the library area did not have a safety cover. Daily safety checks in your classrooms should be done to ensure that safety covers are replaced. Additional Information: The Tyrell-Washington Partnership for Children is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation(NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Healthy Social Behaviors-Do you have children who bite? Do you have children who struggle to focus during circle time? Help is available for these and other challenging behaviors through the Challenging Behaviors Helpline dial 1-888-600-1685 Option 1 and you can speak to a Behavior Support advisor for advice and resources specific to the challenging behaviors in your classroom. Public Health Toolkit Updates - The ChildCareStrongNC Public Health Toolkit for Child Care (updated 7/2022) available on the DHHS website, and sent to your facility contact email, provides guidance on requirements and recommendations to reduce the spread of COVID-19 in child care facilities. If you have questions about COVID-19, an exposure, or exclusion policies, contact the Child Care Health Consultant assigned to your county and/or your local health department. 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 Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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: EMONNIE'S LITTLE ANGELS Facility ID: 94000108 Consultant: TAMARIA WILLIAMS Operation Type: Center Case Number: Visit Date: 11/13/2023 Number Present: 11 Completed Date: 11/13/2023 Age: From 0 To 4 Total Minutes: 150 Time In: 11:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. J. Bryan, administrator was on-site and assisted me when needed. Your program currently operated with a three(3)-star license issued 4/7/2020. The last annual compliance visit was conducted 76/2023. The sanitation inspection was completed 6/28/2023 with a “Superior” classification. The last fire inspection was conducted 9/6/2023 and your facility was approved for daytime care and night care. The program’s compliance history was ninety-four percent as of 11/9/23. The NC Secretary of State website was reviewed on 11/9/2023 and Emonnie’s Little Angels INC. was listed as current- active. A walk-through of the facility was completed today. I observed children eating lunch. After lunch children engaged in personal care routines and transitioned to rest time on their linen covered cots. Toys were available throughout the classroom spaces on low-lying open shelves. Lunch was served and consisted of chicken sandwiches, mandarin oranges, corn, and milk. The following violations were documented. Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space two(2) an outlet located in the library area did not have a safety plug. 10A NCAC 09 .0604(c) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Documentation was not available for the weeks of 11/6/23-11/9/23 for one child. .0606(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 11/27/2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is 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: Tamaria Williams PO Box 1002 Williamston, NC 27892 Tamaria.Williams@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: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical assistance: Safe Sleep- Documenting the supervision that is provided for sleeping infants is one way to reduce the risk of Sudden Infant Death Syndrome (SIDS). The use of sleep charts is identified in your center’s ITS-SIDS policy. Sleep charts are part of the center’s program records and must be kept on file and available for review. Sleep charts for 11/6/2023-11/9/2023 were not available for review for one child enrolled in classroom space #1. Check sleep charts weekly to ensure they are completed daily for infants in care. Electrical Outlets-Approximately 2,400 children are injured annually by inserting objects into the slots of electrical outlets. All electrical outlets not in use that are in areas accessible to children must be protected with an outlet cover. This includes unused outlets on power strips. In space two(2) an outlet located in the library area did not have a safety cover. Daily safety checks in your classrooms should be done to ensure that safety covers are replaced. Additional Information: The Tyrell-Washington Partnership for Children is able to provide you with resources and information, training opportunities, and technical assistance on child care issues and the Environment Rating Scales virtually. Their phone number is (252) 793-5437 or check out their website at www.twpfc.org. NITTO - The Birth-to-Three Quality Initiative and DCDEE are offering a New Infant Toddler Teacher Orientation(NITTO). * Free online format, with 14 credit hours upon completion * Comprehensive training completed in 7 weeks * Practical knowledge that you can apply in a birth-to-three classroom Understand your value as a birth-to-three teacher and ways to care for yourself while caring for our youngest. Find the course at dcdee.moodle.nc.gov. Individuals will need to have an NCID to access the Moodle site. Healthy Social Behaviors-Do you have children who bite? Do you have children who struggle to focus during circle time? Help is available for these and other challenging behaviors through the Challenging Behaviors Helpline dial 1-888-600-1685 Option 1 and you can speak to a Behavior Support advisor for advice and resources specific to the challenging behaviors in your classroom. Public Health Toolkit Updates - The ChildCareStrongNC Public Health Toolkit for Child Care (updated 7/2022) available on the DHHS website, and sent to your facility contact email, provides guidance on requirements and recommendations to reduce the spread of COVID-19 in child care facilities. If you have questions about COVID-19, an exposure, or exclusion policies, contact the Child Care Health Consultant assigned to your county and/or your local health department. 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 Tamaria Williams, Child Care Consultant, 252-508-5621, Tamaria.Williams@dhhs.nc.gov or Jennifer Linhardt, Licensing Supervisor, 252-373-4199, Jennifer.Linhardt@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