God's Growing Angels

G.S.110-91 · Violation

Name of Operation: GOD'S GROWING ANGELS Facility ID: 92003859 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 11/13/2025 Number Present: 2 Completed Date: 11/13/2025 Age: From 3 To 4 Total Minutes: 175 Time In: 11:15 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. My visit today was conducted with you, Brandy Truesdale, Operator. There were two children present. One child was resting while the other child was playing with materials. The other child got up and began playing in various activity areas. You assisted children with interactions, prepared lunch, and provided supervision. The facility was monitored for health and safety requirements, equipment, and furnishings. The operator, children, and program records were monitored. You do not have any medication onsite. A checklist was used to monitor compliance. One violation regarding program records and one violation regarding transportation was cited. The last annual compliance visit was conducted on 1/9/2025. Violation Number Comment Rule 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. A written activity plan was not available. G.S.110-91(12) & .1718(a)(6) 1997 Vehicle used for transportation did not have a fire extinguisher. A fire extinguisher could not be located in the vehicle used for transportation. .1723(11) 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 September 27, 2025, I must receive a written, dated, and signed compliance letter explaining 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: Antionette Williams 2201 Mail Service Center Raleigh, NC 27699 Antionette.williams@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: Fire Extinguisher – Being able to access the fire extinguisher inside your vehicle is important because you will be able to use it in case of a fire. You will need to locate and secure the fire extinguisher in a specified location, accessible to you inside your vehicle. Activity plan – Today you explained you are aware you are supposed to have an activity plan for the children. The activity plan is a guide so children can have activities that aid in their overall development. There may be times when children do not want to participate in the set activity however, you may provide an alternative that may be child driven. CONSULTATION: Today I offered guidance on completing transportation permission. I explained that if you take children to a specific outing on a regular basis and on a regular schedule, you may have the parent complete authorization for up to twelve months. For example, if you take children to play on a bouncy inflatable on Tuesdays from 10am to 11am, you may complete a transportation form specifically noting the location, departure/arrival/return times, and all other information required on the form, for up to twelve months. If children are participating in a field trip, you would need to complete a permission form for each field trip children participate in. A blanket authorization to transportation children to unspecified locations during a specific timeframe is not allowed. Feel free to contact me if you need additional clarification. ABCMS: Today we verified you need to go into the system and hire yourself and your daughter to complete the connection process. You explained you may need assistance with NCID. You may reach out to NCID for assistance with password or username information at 800-722-3946. QRIS MODERNIZATION: During today’s visit, we briefly discussed the new QRIS Rated License. I shared between now through March 2026, we will discuss the Pathways and your anticipated application date. You stated you have been looking at the pathways to determine the one you are interested in. I explained we will have an in-depth discussion to review the pathway requirements. Here are additional resources: -Early Years NC: https://www.earlyyearsnc.org/ -Smart Start: https://www.wakesmartstart.org/ -North Carolina Rated License Assessment Project (NCRLAP): https://www.ncrlap.org/ -A 3-month self-study is required for PATHWAY 1 for childcare centers and family childcare homes. Visit the link for more information on the 3-month self-study. -Self-study for centers: https://ncrlap.org/Resources/SelfStudy/Center/ -Resources for the ITERS-3, ECERS-3 and FCCERS-3 are provided on the website: https://ncrlap.org/ You can find more information about each Pathway and its requirements here: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization The visit summary was reviewed with you and sent to you after the visit. Feel free to contact me with questions about today’s visit at 919-819-9383 or antionette.williams@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOD'S GROWING ANGELS Facility ID: 92003859 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 11/13/2025 Number Present: 2 Completed Date: 11/13/2025 Age: From 3 To 4 Total Minutes: 175 Time In: 11:15 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. My visit today was conducted with you, Brandy Truesdale, Operator. There were two children present. One child was resting while the other child was playing with materials. The other child got up and began playing in various activity areas. You assisted children with interactions, prepared lunch, and provided supervision. The facility was monitored for health and safety requirements, equipment, and furnishings. The operator, children, and program records were monitored. You do not have any medication onsite. A checklist was used to monitor compliance. One violation regarding program records and one violation regarding transportation was cited. The last annual compliance visit was conducted on 1/9/2025. Violation Number Comment Rule 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. A written activity plan was not available. G.S.110-91(12) & .1718(a)(6) 1997 Vehicle used for transportation did not have a fire extinguisher. A fire extinguisher could not be located in the vehicle used for transportation. .1723(11) 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 September 27, 2025, I must receive a written, dated, and signed compliance letter explaining 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: Antionette Williams 2201 Mail Service Center Raleigh, NC 27699 Antionette.williams@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: Fire Extinguisher – Being able to access the fire extinguisher inside your vehicle is important because you will be able to use it in case of a fire. You will need to locate and secure the fire extinguisher in a specified location, accessible to you inside your vehicle. Activity plan – Today you explained you are aware you are supposed to have an activity plan for the children. The activity plan is a guide so children can have activities that aid in their overall development. There may be times when children do not want to participate in the set activity however, you may provide an alternative that may be child driven. CONSULTATION: Today I offered guidance on completing transportation permission. I explained that if you take children to a specific outing on a regular basis and on a regular schedule, you may have the parent complete authorization for up to twelve months. For example, if you take children to play on a bouncy inflatable on Tuesdays from 10am to 11am, you may complete a transportation form specifically noting the location, departure/arrival/return times, and all other information required on the form, for up to twelve months. If children are participating in a field trip, you would need to complete a permission form for each field trip children participate in. A blanket authorization to transportation children to unspecified locations during a specific timeframe is not allowed. Feel free to contact me if you need additional clarification. ABCMS: Today we verified you need to go into the system and hire yourself and your daughter to complete the connection process. You explained you may need assistance with NCID. You may reach out to NCID for assistance with password or username information at 800-722-3946. QRIS MODERNIZATION: During today’s visit, we briefly discussed the new QRIS Rated License. I shared between now through March 2026, we will discuss the Pathways and your anticipated application date. You stated you have been looking at the pathways to determine the one you are interested in. I explained we will have an in-depth discussion to review the pathway requirements. Here are additional resources: -Early Years NC: https://www.earlyyearsnc.org/ -Smart Start: https://www.wakesmartstart.org/ -North Carolina Rated License Assessment Project (NCRLAP): https://www.ncrlap.org/ -A 3-month self-study is required for PATHWAY 1 for childcare centers and family childcare homes. Visit the link for more information on the 3-month self-study. -Self-study for centers: https://ncrlap.org/Resources/SelfStudy/Center/ -Resources for the ITERS-3, ECERS-3 and FCCERS-3 are provided on the website: https://ncrlap.org/ You can find more information about each Pathway and its requirements here: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization The visit summary was reviewed with you and sent to you after the visit. Feel free to contact me with questions about today’s visit at 919-819-9383 or antionette.williams@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: GOD'S GROWING ANGELS Facility ID: 92003859 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 1/9/2025 Number Present: 2 Completed Date: 1/9/2025 Age: From 3 To 3 Total Minutes: 171 Time In: 10:25 AM Time Out: 01:16 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Upon arrival, you, Brandy Truesdale, was present caring for children. Your program currently operates with a Four-star license. The facility was monitored for health and safety requirements and two violations were cited. Equipment and furnishings were also observed. Operator, substitute, and children’s records were monitored and four violations were cited. Program records were monitored and one violation related to activity plans was cited. A checklist was used to monitor compliance. Transportation requirements were monitored and one violation was cited. The last annual compliance visit was conducted 1/25/24. Two children were moving about the indoor area while playing with materials, eating lunch, and resting. You assisted children with activities and transitions. The following violation(s) were documented: Violation Number Comment Rule 411 Individuals who provide care for less than 5 hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The substitute did not have documentation of 16 hours of orientation, completed health questionnaire, emergency medical care plan review, review of EPR plan, and prevention of shaken baby syndrome and abusive head trauma policy review. 10A NCAC 09.1701(c) 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not on file for one child. .1721(a)(3)(I) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Health assessments were not on file for two children. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Immunization record was not on file for two children. GS 110-91(1); .1721(a)(2) 920 Records were not made available for review. The EPR plan was not available for review. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The operator did not have identifying information for children being transported that included a photograph and a copy of the emergency medical care information in the vehicle whenever children were transported. .1723(13) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Hazardous cleaning supplies including bleach, aerosol can of Microban, laundry detergent, and multipurpose cleaner were stored in an unlocked laundry room accessible to children. .1719(a)(6) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. The operator did not collect and submit samples of water used for drinking or food preparation for lead analysis. 10A NCAC 09 .1725(a)(2) 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 1/23/2025, 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 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: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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: Storage of Hazardous Items – Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that require locked storage and items that are required to be out-of-reach of children were improperly stored in the unlocked laundry room. You explained you moved the items from under a kitchen cabinet and placed them in the laundry so they could be out-of-reach of children. We discussed out-of-reach is at least five feet above the floor. We also discussed examples of items that are required to be locked. A hazardous storage checklist may be downloaded from the provider documents section on DCDEE website. Transportation - Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children for you to comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have emergency contact information on file along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. The children transported do not have the required identifying information. Lead Testing – Today I observed the Clean Classrooms for Carolin Kids website indicated you started the enrollment for lead in water, paint, and asbestos requirements. You explained no one had come out to take a sample of the water. I explained the process includes you submitting water samples. You may need to visit the website, https://www.cleanwaterforuskids.org/en/carolina/, and select the contact us tab so you can speak with someone to understand the required steps. Children/Substitute Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Review children’s files often to ensure the program is maintaining accurate licensing records. We discussed using a substitute staff record checklist to make sure required records are on file. It is your responsibility to review all staff’s documentation and completed children’s records to verify that required documents are received within the specified time frame and are completed accurately. A children and substitute file checklist are available on the DCDEE website under the Provider tab and provider documents links. EPR Plan - It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. You are required to have procedures in place to address natural disasters that are relevant to your location (such as tornados, flash floods, and hurricanes) and all hazards/disasters that could occur in any location including acts of violence, bioterrorism/terrorism, exposure to hazardous agents, facility damage, fire, missing child, power outage, and other situations that may require evacuation, lock-down, or shelter-in-place. The procedures must be part of your ready to go file, updated, reviewed annually, and accessible in case of an emergency. RESOURCES: Caring For Our Kids is an all-inclusive resource that contains policies, practices, and guidelines for caring for children. This resource may be accessed at www.nrckids.org/CFOC . You may search many topics including those related to health and safety to gain information to maintain the safety and well-being of children. You should also visit healthychildcare.unc.edu for additional information for a variety of training and guidance on maintaining hazardous items, and other topics related to child care. UPDATES: Hold harmless: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to complete the rated license process unless you voluntarily request to. Providers in Cohort 1 are not required to go any further with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year unless you want to. Be sure to visit DCDEE website and access the What’s New section for the newest child care rules. The visit summary was not completed on-site. The visit summary was emailed to you. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions about today’s visit. 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 09.1701 · Violation

Name of Operation: GOD'S GROWING ANGELS Facility ID: 92003859 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 1/9/2025 Number Present: 2 Completed Date: 1/9/2025 Age: From 3 To 3 Total Minutes: 171 Time In: 10:25 AM Time Out: 01:16 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Upon arrival, you, Brandy Truesdale, was present caring for children. Your program currently operates with a Four-star license. The facility was monitored for health and safety requirements and two violations were cited. Equipment and furnishings were also observed. Operator, substitute, and children’s records were monitored and four violations were cited. Program records were monitored and one violation related to activity plans was cited. A checklist was used to monitor compliance. Transportation requirements were monitored and one violation was cited. The last annual compliance visit was conducted 1/25/24. Two children were moving about the indoor area while playing with materials, eating lunch, and resting. You assisted children with activities and transitions. The following violation(s) were documented: Violation Number Comment Rule 411 Individuals who provide care for less than 5 hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The substitute did not have documentation of 16 hours of orientation, completed health questionnaire, emergency medical care plan review, review of EPR plan, and prevention of shaken baby syndrome and abusive head trauma policy review. 10A NCAC 09.1701(c) 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not on file for one child. .1721(a)(3)(I) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Health assessments were not on file for two children. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Immunization record was not on file for two children. GS 110-91(1); .1721(a)(2) 920 Records were not made available for review. The EPR plan was not available for review. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The operator did not have identifying information for children being transported that included a photograph and a copy of the emergency medical care information in the vehicle whenever children were transported. .1723(13) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Hazardous cleaning supplies including bleach, aerosol can of Microban, laundry detergent, and multipurpose cleaner were stored in an unlocked laundry room accessible to children. .1719(a)(6) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. The operator did not collect and submit samples of water used for drinking or food preparation for lead analysis. 10A NCAC 09 .1725(a)(2) 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 1/23/2025, 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 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: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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: Storage of Hazardous Items – Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that require locked storage and items that are required to be out-of-reach of children were improperly stored in the unlocked laundry room. You explained you moved the items from under a kitchen cabinet and placed them in the laundry so they could be out-of-reach of children. We discussed out-of-reach is at least five feet above the floor. We also discussed examples of items that are required to be locked. A hazardous storage checklist may be downloaded from the provider documents section on DCDEE website. Transportation - Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children for you to comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have emergency contact information on file along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. The children transported do not have the required identifying information. Lead Testing – Today I observed the Clean Classrooms for Carolin Kids website indicated you started the enrollment for lead in water, paint, and asbestos requirements. You explained no one had come out to take a sample of the water. I explained the process includes you submitting water samples. You may need to visit the website, https://www.cleanwaterforuskids.org/en/carolina/, and select the contact us tab so you can speak with someone to understand the required steps. Children/Substitute Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Review children’s files often to ensure the program is maintaining accurate licensing records. We discussed using a substitute staff record checklist to make sure required records are on file. It is your responsibility to review all staff’s documentation and completed children’s records to verify that required documents are received within the specified time frame and are completed accurately. A children and substitute file checklist are available on the DCDEE website under the Provider tab and provider documents links. EPR Plan - It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. You are required to have procedures in place to address natural disasters that are relevant to your location (such as tornados, flash floods, and hurricanes) and all hazards/disasters that could occur in any location including acts of violence, bioterrorism/terrorism, exposure to hazardous agents, facility damage, fire, missing child, power outage, and other situations that may require evacuation, lock-down, or shelter-in-place. The procedures must be part of your ready to go file, updated, reviewed annually, and accessible in case of an emergency. RESOURCES: Caring For Our Kids is an all-inclusive resource that contains policies, practices, and guidelines for caring for children. This resource may be accessed at www.nrckids.org/CFOC . You may search many topics including those related to health and safety to gain information to maintain the safety and well-being of children. You should also visit healthychildcare.unc.edu for additional information for a variety of training and guidance on maintaining hazardous items, and other topics related to child care. UPDATES: Hold harmless: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to complete the rated license process unless you voluntarily request to. Providers in Cohort 1 are not required to go any further with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year unless you want to. Be sure to visit DCDEE website and access the What’s New section for the newest child care rules. The visit summary was not completed on-site. The visit summary was emailed to you. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions about today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: GOD'S GROWING ANGELS Facility ID: 92003859 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 1/9/2025 Number Present: 2 Completed Date: 1/9/2025 Age: From 3 To 3 Total Minutes: 171 Time In: 10:25 AM Time Out: 01:16 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Upon arrival, you, Brandy Truesdale, was present caring for children. Your program currently operates with a Four-star license. The facility was monitored for health and safety requirements and two violations were cited. Equipment and furnishings were also observed. Operator, substitute, and children’s records were monitored and four violations were cited. Program records were monitored and one violation related to activity plans was cited. A checklist was used to monitor compliance. Transportation requirements were monitored and one violation was cited. The last annual compliance visit was conducted 1/25/24. Two children were moving about the indoor area while playing with materials, eating lunch, and resting. You assisted children with activities and transitions. The following violation(s) were documented: Violation Number Comment Rule 411 Individuals who provide care for less than 5 hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The substitute did not have documentation of 16 hours of orientation, completed health questionnaire, emergency medical care plan review, review of EPR plan, and prevention of shaken baby syndrome and abusive head trauma policy review. 10A NCAC 09.1701(c) 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not on file for one child. .1721(a)(3)(I) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Health assessments were not on file for two children. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Immunization record was not on file for two children. GS 110-91(1); .1721(a)(2) 920 Records were not made available for review. The EPR plan was not available for review. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The operator did not have identifying information for children being transported that included a photograph and a copy of the emergency medical care information in the vehicle whenever children were transported. .1723(13) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Hazardous cleaning supplies including bleach, aerosol can of Microban, laundry detergent, and multipurpose cleaner were stored in an unlocked laundry room accessible to children. .1719(a)(6) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. The operator did not collect and submit samples of water used for drinking or food preparation for lead analysis. 10A NCAC 09 .1725(a)(2) 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 1/23/2025, 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 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: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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: Storage of Hazardous Items – Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that require locked storage and items that are required to be out-of-reach of children were improperly stored in the unlocked laundry room. You explained you moved the items from under a kitchen cabinet and placed them in the laundry so they could be out-of-reach of children. We discussed out-of-reach is at least five feet above the floor. We also discussed examples of items that are required to be locked. A hazardous storage checklist may be downloaded from the provider documents section on DCDEE website. Transportation - Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children for you to comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have emergency contact information on file along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. The children transported do not have the required identifying information. Lead Testing – Today I observed the Clean Classrooms for Carolin Kids website indicated you started the enrollment for lead in water, paint, and asbestos requirements. You explained no one had come out to take a sample of the water. I explained the process includes you submitting water samples. You may need to visit the website, https://www.cleanwaterforuskids.org/en/carolina/, and select the contact us tab so you can speak with someone to understand the required steps. Children/Substitute Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Review children’s files often to ensure the program is maintaining accurate licensing records. We discussed using a substitute staff record checklist to make sure required records are on file. It is your responsibility to review all staff’s documentation and completed children’s records to verify that required documents are received within the specified time frame and are completed accurately. A children and substitute file checklist are available on the DCDEE website under the Provider tab and provider documents links. EPR Plan - It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. You are required to have procedures in place to address natural disasters that are relevant to your location (such as tornados, flash floods, and hurricanes) and all hazards/disasters that could occur in any location including acts of violence, bioterrorism/terrorism, exposure to hazardous agents, facility damage, fire, missing child, power outage, and other situations that may require evacuation, lock-down, or shelter-in-place. The procedures must be part of your ready to go file, updated, reviewed annually, and accessible in case of an emergency. RESOURCES: Caring For Our Kids is an all-inclusive resource that contains policies, practices, and guidelines for caring for children. This resource may be accessed at www.nrckids.org/CFOC . You may search many topics including those related to health and safety to gain information to maintain the safety and well-being of children. You should also visit healthychildcare.unc.edu for additional information for a variety of training and guidance on maintaining hazardous items, and other topics related to child care. UPDATES: Hold harmless: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to complete the rated license process unless you voluntarily request to. Providers in Cohort 1 are not required to go any further with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year unless you want to. Be sure to visit DCDEE website and access the What’s New section for the newest child care rules. The visit summary was not completed on-site. The visit summary was emailed to you. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions about today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: GOD'S GROWING ANGELS Facility ID: 92003859 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 1/9/2025 Number Present: 2 Completed Date: 1/9/2025 Age: From 3 To 3 Total Minutes: 171 Time In: 10:25 AM Time Out: 01:16 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Upon arrival, you, Brandy Truesdale, was present caring for children. Your program currently operates with a Four-star license. The facility was monitored for health and safety requirements and two violations were cited. Equipment and furnishings were also observed. Operator, substitute, and children’s records were monitored and four violations were cited. Program records were monitored and one violation related to activity plans was cited. A checklist was used to monitor compliance. Transportation requirements were monitored and one violation was cited. The last annual compliance visit was conducted 1/25/24. Two children were moving about the indoor area while playing with materials, eating lunch, and resting. You assisted children with activities and transitions. The following violation(s) were documented: Violation Number Comment Rule 411 Individuals who provide care for less than 5 hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The substitute did not have documentation of 16 hours of orientation, completed health questionnaire, emergency medical care plan review, review of EPR plan, and prevention of shaken baby syndrome and abusive head trauma policy review. 10A NCAC 09.1701(c) 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not on file for one child. .1721(a)(3)(I) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Health assessments were not on file for two children. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Immunization record was not on file for two children. GS 110-91(1); .1721(a)(2) 920 Records were not made available for review. The EPR plan was not available for review. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The operator did not have identifying information for children being transported that included a photograph and a copy of the emergency medical care information in the vehicle whenever children were transported. .1723(13) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Hazardous cleaning supplies including bleach, aerosol can of Microban, laundry detergent, and multipurpose cleaner were stored in an unlocked laundry room accessible to children. .1719(a)(6) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. The operator did not collect and submit samples of water used for drinking or food preparation for lead analysis. 10A NCAC 09 .1725(a)(2) 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 1/23/2025, 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 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: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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: Storage of Hazardous Items – Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that require locked storage and items that are required to be out-of-reach of children were improperly stored in the unlocked laundry room. You explained you moved the items from under a kitchen cabinet and placed them in the laundry so they could be out-of-reach of children. We discussed out-of-reach is at least five feet above the floor. We also discussed examples of items that are required to be locked. A hazardous storage checklist may be downloaded from the provider documents section on DCDEE website. Transportation - Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children for you to comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have emergency contact information on file along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. The children transported do not have the required identifying information. Lead Testing – Today I observed the Clean Classrooms for Carolin Kids website indicated you started the enrollment for lead in water, paint, and asbestos requirements. You explained no one had come out to take a sample of the water. I explained the process includes you submitting water samples. You may need to visit the website, https://www.cleanwaterforuskids.org/en/carolina/, and select the contact us tab so you can speak with someone to understand the required steps. Children/Substitute Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Review children’s files often to ensure the program is maintaining accurate licensing records. We discussed using a substitute staff record checklist to make sure required records are on file. It is your responsibility to review all staff’s documentation and completed children’s records to verify that required documents are received within the specified time frame and are completed accurately. A children and substitute file checklist are available on the DCDEE website under the Provider tab and provider documents links. EPR Plan - It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. You are required to have procedures in place to address natural disasters that are relevant to your location (such as tornados, flash floods, and hurricanes) and all hazards/disasters that could occur in any location including acts of violence, bioterrorism/terrorism, exposure to hazardous agents, facility damage, fire, missing child, power outage, and other situations that may require evacuation, lock-down, or shelter-in-place. The procedures must be part of your ready to go file, updated, reviewed annually, and accessible in case of an emergency. RESOURCES: Caring For Our Kids is an all-inclusive resource that contains policies, practices, and guidelines for caring for children. This resource may be accessed at www.nrckids.org/CFOC . You may search many topics including those related to health and safety to gain information to maintain the safety and well-being of children. You should also visit healthychildcare.unc.edu for additional information for a variety of training and guidance on maintaining hazardous items, and other topics related to child care. UPDATES: Hold harmless: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to complete the rated license process unless you voluntarily request to. Providers in Cohort 1 are not required to go any further with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year unless you want to. Be sure to visit DCDEE website and access the What’s New section for the newest child care rules. The visit summary was not completed on-site. The visit summary was emailed to you. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions about today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: GOD'S GROWING ANGELS Facility ID: 92003859 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 1/9/2025 Number Present: 2 Completed Date: 1/9/2025 Age: From 3 To 3 Total Minutes: 171 Time In: 10:25 AM Time Out: 01:16 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Upon arrival, you, Brandy Truesdale, was present caring for children. Your program currently operates with a Four-star license. The facility was monitored for health and safety requirements and two violations were cited. Equipment and furnishings were also observed. Operator, substitute, and children’s records were monitored and four violations were cited. Program records were monitored and one violation related to activity plans was cited. A checklist was used to monitor compliance. Transportation requirements were monitored and one violation was cited. The last annual compliance visit was conducted 1/25/24. Two children were moving about the indoor area while playing with materials, eating lunch, and resting. You assisted children with activities and transitions. The following violation(s) were documented: Violation Number Comment Rule 411 Individuals who provide care for less than 5 hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The substitute did not have documentation of 16 hours of orientation, completed health questionnaire, emergency medical care plan review, review of EPR plan, and prevention of shaken baby syndrome and abusive head trauma policy review. 10A NCAC 09.1701(c) 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not on file for one child. .1721(a)(3)(I) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Health assessments were not on file for two children. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Immunization record was not on file for two children. GS 110-91(1); .1721(a)(2) 920 Records were not made available for review. The EPR plan was not available for review. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The operator did not have identifying information for children being transported that included a photograph and a copy of the emergency medical care information in the vehicle whenever children were transported. .1723(13) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Hazardous cleaning supplies including bleach, aerosol can of Microban, laundry detergent, and multipurpose cleaner were stored in an unlocked laundry room accessible to children. .1719(a)(6) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. The operator did not collect and submit samples of water used for drinking or food preparation for lead analysis. 10A NCAC 09 .1725(a)(2) 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 1/23/2025, 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 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: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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: Storage of Hazardous Items – Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that require locked storage and items that are required to be out-of-reach of children were improperly stored in the unlocked laundry room. You explained you moved the items from under a kitchen cabinet and placed them in the laundry so they could be out-of-reach of children. We discussed out-of-reach is at least five feet above the floor. We also discussed examples of items that are required to be locked. A hazardous storage checklist may be downloaded from the provider documents section on DCDEE website. Transportation - Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children for you to comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have emergency contact information on file along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. The children transported do not have the required identifying information. Lead Testing – Today I observed the Clean Classrooms for Carolin Kids website indicated you started the enrollment for lead in water, paint, and asbestos requirements. You explained no one had come out to take a sample of the water. I explained the process includes you submitting water samples. You may need to visit the website, https://www.cleanwaterforuskids.org/en/carolina/, and select the contact us tab so you can speak with someone to understand the required steps. Children/Substitute Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Review children’s files often to ensure the program is maintaining accurate licensing records. We discussed using a substitute staff record checklist to make sure required records are on file. It is your responsibility to review all staff’s documentation and completed children’s records to verify that required documents are received within the specified time frame and are completed accurately. A children and substitute file checklist are available on the DCDEE website under the Provider tab and provider documents links. EPR Plan - It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. You are required to have procedures in place to address natural disasters that are relevant to your location (such as tornados, flash floods, and hurricanes) and all hazards/disasters that could occur in any location including acts of violence, bioterrorism/terrorism, exposure to hazardous agents, facility damage, fire, missing child, power outage, and other situations that may require evacuation, lock-down, or shelter-in-place. The procedures must be part of your ready to go file, updated, reviewed annually, and accessible in case of an emergency. RESOURCES: Caring For Our Kids is an all-inclusive resource that contains policies, practices, and guidelines for caring for children. This resource may be accessed at www.nrckids.org/CFOC . You may search many topics including those related to health and safety to gain information to maintain the safety and well-being of children. You should also visit healthychildcare.unc.edu for additional information for a variety of training and guidance on maintaining hazardous items, and other topics related to child care. UPDATES: Hold harmless: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to complete the rated license process unless you voluntarily request to. Providers in Cohort 1 are not required to go any further with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year unless you want to. Be sure to visit DCDEE website and access the What’s New section for the newest child care rules. The visit summary was not completed on-site. The visit summary was emailed to you. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions about today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOD'S GROWING ANGELS Facility ID: 92003859 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 1/9/2025 Number Present: 2 Completed Date: 1/9/2025 Age: From 3 To 3 Total Minutes: 171 Time In: 10:25 AM Time Out: 01:16 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. A full assessment of child care requirements was conducted. Upon arrival, you, Brandy Truesdale, was present caring for children. Your program currently operates with a Four-star license. The facility was monitored for health and safety requirements and two violations were cited. Equipment and furnishings were also observed. Operator, substitute, and children’s records were monitored and four violations were cited. Program records were monitored and one violation related to activity plans was cited. A checklist was used to monitor compliance. Transportation requirements were monitored and one violation was cited. The last annual compliance visit was conducted 1/25/24. Two children were moving about the indoor area while playing with materials, eating lunch, and resting. You assisted children with activities and transitions. The following violation(s) were documented: Violation Number Comment Rule 411 Individuals who provide care for less than 5 hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. The substitute did not have documentation of 16 hours of orientation, completed health questionnaire, emergency medical care plan review, review of EPR plan, and prevention of shaken baby syndrome and abusive head trauma policy review. 10A NCAC 09.1701(c) 906 Authorization to seek medical care in the parent's absence was not available. Authorization to seek medical care in the parent's absence was not on file for one child. .1721(a)(3)(I) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. Health assessments were not on file for two children. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Immunization record was not on file for two children. GS 110-91(1); .1721(a)(2) 920 Records were not made available for review. The EPR plan was not available for review. G.S. 110-91(9) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. The operator did not have identifying information for children being transported that included a photograph and a copy of the emergency medical care information in the vehicle whenever children were transported. .1723(13) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Hazardous cleaning supplies including bleach, aerosol can of Microban, laundry detergent, and multipurpose cleaner were stored in an unlocked laundry room accessible to children. .1719(a)(6) 2058 The family child care home operator did not collect and submit samples of water from each outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. The operator did not collect and submit samples of water used for drinking or food preparation for lead analysis. 10A NCAC 09 .1725(a)(2) 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 1/23/2025, 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 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: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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: Storage of Hazardous Items – Intentional planning of the environment ensures a safe environment has been created which prevents and reduces injuries to young children. Items that require locked storage and items that are required to be out-of-reach of children were improperly stored in the unlocked laundry room. You explained you moved the items from under a kitchen cabinet and placed them in the laundry so they could be out-of-reach of children. We discussed out-of-reach is at least five feet above the floor. We also discussed examples of items that are required to be locked. A hazardous storage checklist may be downloaded from the provider documents section on DCDEE website. Transportation - Motor vehicle crashes are the leading cause of death in children two to fourteen years of age in the United States. It is necessary for the safety of children for you to comply with requirements governing the transportation of children in care, in the absence of the parent/guardian. Each child transported must have emergency contact information on file along with a photograph of each child. This is helpful in identifying children in the event of an emergency/accident. The children transported do not have the required identifying information. Lead Testing – Today I observed the Clean Classrooms for Carolin Kids website indicated you started the enrollment for lead in water, paint, and asbestos requirements. You explained no one had come out to take a sample of the water. I explained the process includes you submitting water samples. You may need to visit the website, https://www.cleanwaterforuskids.org/en/carolina/, and select the contact us tab so you can speak with someone to understand the required steps. Children/Substitute Records – Record keeping is one of the most time-consuming tasks associated with administering a child care program. It is an important part of licensure. Maintaining accurate children records can help identify special care giving and medical needs of children. Review children’s files often to ensure the program is maintaining accurate licensing records. We discussed using a substitute staff record checklist to make sure required records are on file. It is your responsibility to review all staff’s documentation and completed children’s records to verify that required documents are received within the specified time frame and are completed accurately. A children and substitute file checklist are available on the DCDEE website under the Provider tab and provider documents links. EPR Plan - It is important to consider how to prepare for and respond to emergency or natural disaster situations and develop written plans accordingly. You are required to have procedures in place to address natural disasters that are relevant to your location (such as tornados, flash floods, and hurricanes) and all hazards/disasters that could occur in any location including acts of violence, bioterrorism/terrorism, exposure to hazardous agents, facility damage, fire, missing child, power outage, and other situations that may require evacuation, lock-down, or shelter-in-place. The procedures must be part of your ready to go file, updated, reviewed annually, and accessible in case of an emergency. RESOURCES: Caring For Our Kids is an all-inclusive resource that contains policies, practices, and guidelines for caring for children. This resource may be accessed at www.nrckids.org/CFOC . You may search many topics including those related to health and safety to gain information to maintain the safety and well-being of children. You should also visit healthychildcare.unc.edu for additional information for a variety of training and guidance on maintaining hazardous items, and other topics related to child care. UPDATES: Hold harmless: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means that you do not need to complete the rated license process unless you voluntarily request to. Providers in Cohort 1 are not required to go any further with a rated license assessment unless you want to, and providers in Cohort 2 do not need to start their preparation year unless you want to. Be sure to visit DCDEE website and access the What’s New section for the newest child care rules. The visit summary was not completed on-site. The visit summary was emailed to you. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any questions about today’s visit. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: GOD'S GROWING ANGELS Facility ID: 92003859 Consultant: ANTIONETTE WILLIAMS Operation Type: Family CC Home Case Number: Visit Date: 5/15/2024 Number Present: 3 Completed Date: 5/15/2024 Age: From 2 To 2 Total Minutes: 90 Time In: 10:50 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with child care requirements for a routine unannounced assessment. You, Brandy Truesdale, Owner, assisted me today. Your daughter was present and you explained she was visiting. This facility currently operates with a Four-Star Child-Care License. The last annual compliance visit was conducted on 1/25/2024. I observed the child care space used by children. Three children were present moving about the child care space, playing with materials, interacting with each other, and interacting with you. You assisted children with needs and provided supervision. The license was posted. Storage of hazardous products complied. General safety requirements, and general health met compliance. Program records, fire safety, and sanitation complied. Your qualifying letter is current. Your CPR/FA training are current. No medications are administered at this time. Transportation requirements were not monitored. Violation Number Comment Rule 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. A bottle of Clorox cleaner was stored on the back of the toilet within reach of children. .1719(a)(6) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. Recognizing and Responding to Suspicions of Child Maltreatment. .1703(d)(2) 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 5/29/2024, 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: Antionette Williams PO Box 312 Garner, NC 27529 Antionette.williams@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: Child care staff are expected to be well informed about child abuse and neglect issues and adequately trained to prevent and recognize potential maltreatment. This training is part of the Health & Safety Training and should be completed again within 5 yrs. The training may be accessed via the DCDEE website at www.ncchildcare.nc.gov. Recognizing and Responding to Suspicions of Child Maltreatment is also available on Prevent Child Abuse NC website, www.preventchildabusenc.org, free of charge, and counts toward Health and Safety Training. The last Recognizing and Responding to Suspicions of Child Maltreatment training I have documented for you was completed on 4/10/2019. Today we went to the Prevent Child Abuse website so you could see where the training was located. UPDATES/RESOURCES: Lead Testing - Today I discussed information regarding Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in child care. REMEMBER you must complete the testing by January 1, 2025. You stated you have already completed the video and received your code for the lead water testing. Visit cleanwaterforuskids.org/Carolina to sign up and get more information. Funding may be available to assist programs needing abatement. Be sure to visit DCDEE website and access the What’s New section for the newest child care rules that were effective January 1, 2024. Today I gave you a summary of the rule changes that were effective January 1, 2024. You may visit MOODLE and complete training for the new child care requirements effective January 1, 2024. The visit summary was reviewed and left with you today. Contact me at 919-819-9383 or antionette.williams@dhhs.nc.gov if you have any 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