Doves At Play Childcare LLC Two

G.S. 110-90 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 3/17/2026 Number Present: 39 Completed Date: 3/17/2026 Age: From 0 To 5 Total Minutes: 110 Time In: 08:55 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up A/N Announced/Unannounced: Unannounced An unannounced visit was conducted today to monitor for compliance with applicable child care requirements to a facility during a follow up visit for an Administrative Action. The visit was conducted with Josephine Clark, Owner/Director. Pam Hauser, Licensing Supervisor, was also present today. A Written Warning Administrative Action was issued. The Cover Letter and Corrective Action Plan was posted. It must remain posted until a closure letter is received from the Division of Child Development and Early Education. The administrative action, corrective action plan and the appeal process was reviewed with Ms. Clark during a telephone call on August 20, 2025. Item #1: Visits will be conducted every four to six weeks. The facility must maintain compliance with child care requirements applicable. Item #2: All staff attended a Rules Review training on November 19, 2025. Documentation of the training must be kept on file for review. Item #3: A policy and procedures regarding staff/child ratio was submitted. An email was sent to Ms. Clark on December 31, 2025, informing her that the stipulation was met. Item #4: Within one (1) week of the policy approval Ms. Clark shall conduct a mandatory staff meeting. Documentation of the staff meeting must be kept for review. A signed roster of all attendees and the meeting minutes must be kept for review. Ms. Clark emailed me a signed roster however it stated that the roster was for a training on requirements not a staff meeting regarding the facility’s policy. It was must be submitted to me by March 18, 2026. Upon arrival at 8:55 we rang the front doorbell two (2) times. We went to the classroom for infants and were allowed into the building by that entrance door. Twenty-nine (29) children were present. The children were observed arriving, eating breakfast, completing routine tasks and playing indoors. There were two (2) new staff. The files were reviewed. One (1) new staff did not have a copy of their criminal background qualifying letter which required to be on file first day of employment. She was in the ABCMS system as having a current qualifying letter. The ABCMS system was checked and the staff roster has not been completed. This was reviewed as consultation during the annual compliance visit conducted on September 15, 2025. The following violations were cited today. Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A new staff member did not have a copy of the letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There was not a staff roster in the ABCMS system. G.S. 110-90.2 & .2703(r) Technical Assistance: The head count sheets were not being utilized as children were signed in and as they transitioned to another classroom. This was a procedure that Ms. Clark had developed as part of her staff/child ratio policy and procedure. We spoke with the teacher and Ms. Clark about the importance of completing these sheets as children arrive and as they are transitioned. As per the staff/child ratio policy and procedure the staff were not utilizing the walkie talkies to transition children nor communicate regarding meals. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by March 31, 2026. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. Continuing noncompliance of child care requirements may lead to a more stringent action. 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 atleast seventy-five percent. Any violation documented may impact the compliance history score. Prior to today’s visit the compliance history score was seventy-five percent. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 or you may contact my supervisor Pam Hauser at pamela.hauser@dhhs.nc.gov, if you have questions or concerns. 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 3/17/2026 Number Present: 39 Completed Date: 3/17/2026 Age: From 0 To 5 Total Minutes: 110 Time In: 08:55 AM Time Out: 10:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up A/N Announced/Unannounced: Unannounced An unannounced visit was conducted today to monitor for compliance with applicable child care requirements to a facility during a follow up visit for an Administrative Action. The visit was conducted with Josephine Clark, Owner/Director. Pam Hauser, Licensing Supervisor, was also present today. A Written Warning Administrative Action was issued. The Cover Letter and Corrective Action Plan was posted. It must remain posted until a closure letter is received from the Division of Child Development and Early Education. The administrative action, corrective action plan and the appeal process was reviewed with Ms. Clark during a telephone call on August 20, 2025. Item #1: Visits will be conducted every four to six weeks. The facility must maintain compliance with child care requirements applicable. Item #2: All staff attended a Rules Review training on November 19, 2025. Documentation of the training must be kept on file for review. Item #3: A policy and procedures regarding staff/child ratio was submitted. An email was sent to Ms. Clark on December 31, 2025, informing her that the stipulation was met. Item #4: Within one (1) week of the policy approval Ms. Clark shall conduct a mandatory staff meeting. Documentation of the staff meeting must be kept for review. A signed roster of all attendees and the meeting minutes must be kept for review. Ms. Clark emailed me a signed roster however it stated that the roster was for a training on requirements not a staff meeting regarding the facility’s policy. It was must be submitted to me by March 18, 2026. Upon arrival at 8:55 we rang the front doorbell two (2) times. We went to the classroom for infants and were allowed into the building by that entrance door. Twenty-nine (29) children were present. The children were observed arriving, eating breakfast, completing routine tasks and playing indoors. There were two (2) new staff. The files were reviewed. One (1) new staff did not have a copy of their criminal background qualifying letter which required to be on file first day of employment. She was in the ABCMS system as having a current qualifying letter. The ABCMS system was checked and the staff roster has not been completed. This was reviewed as consultation during the annual compliance visit conducted on September 15, 2025. The following violations were cited today. Violation Number Comment Rule 1757 A valid qualification letter was not on file and available to review at the facility. A new staff member did not have a copy of the letter on file. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. There was not a staff roster in the ABCMS system. G.S. 110-90.2 & .2703(r) Technical Assistance: The head count sheets were not being utilized as children were signed in and as they transitioned to another classroom. This was a procedure that Ms. Clark had developed as part of her staff/child ratio policy and procedure. We spoke with the teacher and Ms. Clark about the importance of completing these sheets as children arrive and as they are transitioned. As per the staff/child ratio policy and procedure the staff were not utilizing the walkie talkies to transition children nor communicate regarding meals. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by March 31, 2026. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. Continuing noncompliance of child care requirements may lead to a more stringent action. 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 atleast seventy-five percent. Any violation documented may impact the compliance history score. Prior to today’s visit the compliance history score was seventy-five percent. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 or you may contact my supervisor Pam Hauser at pamela.hauser@dhhs.nc.gov, if you have questions or concerns. 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/15/2026 Number Present: 28 Completed Date: 1/15/2026 Age: From 0 To 5 Total Minutes: 99 Time In: 09:01 AM Time Out: 10:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced An unannounced visit was conducted today to monitor for compliance with applicable child care requirements to a facility during a follow up visit for an Administrative Action. The visit was conducted with Josephine Clark, Owner/Director. A Written Warning Administrative Action was issued. The Cover Letter and Corrective Action Plan was posted. It must remain posted until a closure letter is received from the Division of Child Development and Early Education. The administrative action, corrective action plan and the appeal process was reviewed with Ms. Clark during a telephone call on August 20, 2025. Item #1: Visits will be conducted every four to six weeks. The facility must maintain compliance with child care requirements applicable. A staff/child ratio violation was cited today. A follow up visit will be conducted to ensure compliance. Item #2: All staff attended a Rules Review training on November 19, 2025. Documentation of the training must be kept on file for review. Item #3: A policy and procedures regarding staff/child ratio was submitted. An email was sent to Ms. Clark on December 31, 2025, informing her that the stipulation was met. Item #4: Within one (1) week of the policy approval Ms. Clark shall conduct a mandatory staff meeting. Documentation of the staff meeting must be kept for review. A signed roster of all attendees and the meeting minutes must be kept for review. The staff meeting should have been conducted on January 7, 2026. Today, Ms. Clark stated that she has not conducted the meeting. She stated that she planned to have the meeting on January 16, 2026. The staff roster and meeting minutes must be emailed to me Tuesday, January 20, 2026. Upon arrival at 9:01 I rang the front doorbell three (3) times. I went to the classroom for three-five year old children and knocked on the outside door and there was no answer. I could see children sitting at the table through the glass on the door. I knocked on the outside door to the classroom for infants. There was no answer. I attempted to call Ms. Clark three times but there was no answer. I knocked on the door to the classroom for infants again at 9:08am and the teacher let me into the classroom. She stated that Ms. Clark was in a classroom down the hall. I went to the classroom for two year old children and Ms. Clark was present with eight (8) children, ages one to two years. Twenty-eight (28) children were present. In space 1, the classroom for infants, there were six (6) children, ages 0-1 years, with one (1) teacher. I asked Ms. Clark if the teacher has completed the ITS-SIDS training. She stated that she will email it to me following today’s visit since she was in a classroom and could not access the staff files. If I do not receive the training certificate at the end of business today then a violation will be added to today’s visit. In space 2, there were eight (8) children, ages one to two years, with one (1) staff. In space 3, there were fourteen (14) children, ages two to five years, with one (1) staff. The following violation was cited today. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1, there were six children, ages zero to one year, with one (1) teacher. In space 2, there were eight (8) children, ages one to two years, with one (1) teacher. In space 3, there were fourteen (14) children, ages two to five years, with one (1) teacher. GS 110-91(7);.0713(a-d) Technical Assistance: I asked Ms. Clark why she was not following her policies and procedures for staff/child ratios that she submitted. In the policy it states “If accepting a child would cause a ratio violation, staff politely delay acceptance and notify administration via walkie-talkie. Parents may wait or return once ratio is restored. Staff document these incidents in the sign in binders located in the classrooms.” She stated that the staff had already accepted the children by the time she had gotten to the facility. I asked what time she arrived to the facility today and she stated 8:30am. I asked if all the children present were already here by the time she had arrived. She stated no that some children had come after she arrived. Ms. Clark stated that two (2) staff had called out right before their shift started. In the policy Ms. Clark stated “Call-outs must be made 2 hours before scheduled shift is to begin directly to administration by call or text. Staff must notify admin immediately if running late. Children may not enter out-of-ratio classrooms.” Ms. Clark is not following the policy that she submitted. She also has not reviewed the policy with staff so that they have a clear understanding of her policy for maintaining staff/child ratio. Ms. Clark stated that her two (2) daughters were coming today to help with the staff absences. She stated that both had their CBC qualifying letters. I asked if they had a current medical report and TB test results and she stated that they both did. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by January 29, 2026. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. A follow up visit will be conducted due to a staff/child ratio violation. Continuing noncompliance of child care requirements may lead to a more stringent action. 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 atleast seventy-five percent. Any violation documented may impact the compliance history score. Prior to today’s visit the compliance history score was seventy-five percent. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 or you may contact my supervisor Pam Hauser at pamela.hauser@dhhs.nc.gov, if you have questions or concerns. 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 1/15/2026 Number Present: 28 Completed Date: 1/15/2026 Age: From 0 To 5 Total Minutes: 99 Time In: 09:01 AM Time Out: 10:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced An unannounced visit was conducted today to monitor for compliance with applicable child care requirements to a facility during a follow up visit for an Administrative Action. The visit was conducted with Josephine Clark, Owner/Director. A Written Warning Administrative Action was issued. The Cover Letter and Corrective Action Plan was posted. It must remain posted until a closure letter is received from the Division of Child Development and Early Education. The administrative action, corrective action plan and the appeal process was reviewed with Ms. Clark during a telephone call on August 20, 2025. Item #1: Visits will be conducted every four to six weeks. The facility must maintain compliance with child care requirements applicable. A staff/child ratio violation was cited today. A follow up visit will be conducted to ensure compliance. Item #2: All staff attended a Rules Review training on November 19, 2025. Documentation of the training must be kept on file for review. Item #3: A policy and procedures regarding staff/child ratio was submitted. An email was sent to Ms. Clark on December 31, 2025, informing her that the stipulation was met. Item #4: Within one (1) week of the policy approval Ms. Clark shall conduct a mandatory staff meeting. Documentation of the staff meeting must be kept for review. A signed roster of all attendees and the meeting minutes must be kept for review. The staff meeting should have been conducted on January 7, 2026. Today, Ms. Clark stated that she has not conducted the meeting. She stated that she planned to have the meeting on January 16, 2026. The staff roster and meeting minutes must be emailed to me Tuesday, January 20, 2026. Upon arrival at 9:01 I rang the front doorbell three (3) times. I went to the classroom for three-five year old children and knocked on the outside door and there was no answer. I could see children sitting at the table through the glass on the door. I knocked on the outside door to the classroom for infants. There was no answer. I attempted to call Ms. Clark three times but there was no answer. I knocked on the door to the classroom for infants again at 9:08am and the teacher let me into the classroom. She stated that Ms. Clark was in a classroom down the hall. I went to the classroom for two year old children and Ms. Clark was present with eight (8) children, ages one to two years. Twenty-eight (28) children were present. In space 1, the classroom for infants, there were six (6) children, ages 0-1 years, with one (1) teacher. I asked Ms. Clark if the teacher has completed the ITS-SIDS training. She stated that she will email it to me following today’s visit since she was in a classroom and could not access the staff files. If I do not receive the training certificate at the end of business today then a violation will be added to today’s visit. In space 2, there were eight (8) children, ages one to two years, with one (1) staff. In space 3, there were fourteen (14) children, ages two to five years, with one (1) staff. The following violation was cited today. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1, there were six children, ages zero to one year, with one (1) teacher. In space 2, there were eight (8) children, ages one to two years, with one (1) teacher. In space 3, there were fourteen (14) children, ages two to five years, with one (1) teacher. GS 110-91(7);.0713(a-d) Technical Assistance: I asked Ms. Clark why she was not following her policies and procedures for staff/child ratios that she submitted. In the policy it states “If accepting a child would cause a ratio violation, staff politely delay acceptance and notify administration via walkie-talkie. Parents may wait or return once ratio is restored. Staff document these incidents in the sign in binders located in the classrooms.” She stated that the staff had already accepted the children by the time she had gotten to the facility. I asked what time she arrived to the facility today and she stated 8:30am. I asked if all the children present were already here by the time she had arrived. She stated no that some children had come after she arrived. Ms. Clark stated that two (2) staff had called out right before their shift started. In the policy Ms. Clark stated “Call-outs must be made 2 hours before scheduled shift is to begin directly to administration by call or text. Staff must notify admin immediately if running late. Children may not enter out-of-ratio classrooms.” Ms. Clark is not following the policy that she submitted. She also has not reviewed the policy with staff so that they have a clear understanding of her policy for maintaining staff/child ratio. Ms. Clark stated that her two (2) daughters were coming today to help with the staff absences. She stated that both had their CBC qualifying letters. I asked if they had a current medical report and TB test results and she stated that they both did. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by January 29, 2026. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. A follow up visit will be conducted due to a staff/child ratio violation. Continuing noncompliance of child care requirements may lead to a more stringent action. 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 atleast seventy-five percent. Any violation documented may impact the compliance history score. Prior to today’s visit the compliance history score was seventy-five percent. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 or you may contact my supervisor Pam Hauser at pamela.hauser@dhhs.nc.gov, if you have questions or concerns. 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 86 Time In: 09:04 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced An unannounced visit was conducted today to monitor for compliance with applicable child care requirements to a facility during a follow up visit for an Administrative Action. The visit was conducted with Josephine Clark, Owner/Director. Melinda Lescar, Child Care Consultant, accompanied me on today’s visit. A Written Warning Administrative Action was issued. The Cover Letter and Corrective Action Plan was posted. It must remain posted until a closure letter is received from the Division of Child Development and Early Education. The administrative action, corrective action plan and the appeal process was reviewed with Ms. Clark during a telephone call on August 20, 2025. Item #1: Visits will be conducted every four to six weeks. The facility must maintain compliance with child care requirements applicable. A staff/child ratio violation was cited today. A follow up visit will be conducted to ensure compliance. Item #2: All staff attended a Rules Review training on November 19, 2025. Documentation of the training must be kept on file for review. Item #3: A policy and procedures regarding staff/child ratio must be submitted to me by December 3, 2025. Item #4: Within one (1) week of the policy approval Ms. Clark shall conduct a mandatory staff meeting. Documentation of the staff meeting must be kept for review. A signed roster of all attendees and the meeting minutes must be kept for review. Upon arrival at 9:04 I rang the front doorbell twice. The teacher in the classroom for infants came to the door and then walked away without opening the door. After another minute I walked to the door to space 3 and knocked on the door. The teacher did not open the door as I could see her walking around the table of children. Then I knocked on the door for the classroom for infants. The same teacher I saw come to the front door and walk away answered and stated that I had to go to the front door. I responded that I did go to the front door which she saw me and did not open the front door. I went back to the front door and rang the doorbell again and at 9:10 a teacher from space 3 opened the door. Thirty-one (31) children were present. The children were observed eating breakfast, playing indoors and outdoors. The following violation was cited today. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. in space 2, there were seven (7) children, ages one to two years, with one (1) teacher. GS 110-91(7);.0713(a-d) Technical Assistance: Ms. Clark asked if she could have the one and two year old children combined as she was allowed to at her other facility. I informed her that one and two year old children could be combined but the ratio for the youngest child must be maintained. It is important the teachers know each child’s age as they move children to different classrooms to maintain staff/child ratios. It may be helpful to add the children’s birthdate or age to the headcount sheets. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by December 4, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. A follow up visit will be conducted due to a staff/child ratio violation. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: 1025-078L Visit Date: 10/9/2025 Number Present: 17 Completed Date: 10/9/2025 Age: From 0 To 5 Total Minutes: 116 Time In: 08:04 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding an alleged violation of childcare requirements. This visit was conducted with Josephine Clark, Owner/ Director. The allegations are as follows: There are concerns regarding staff/child ratio. There are concerns regarding safety. During today’s visit, the allegation was discussed with you. You had the opportunity to respond. Information shared during this visit is documented in this visit summary. Your program currently operates with a Three (3) star license. Restrictions include daytime and overnight care, meets enhanced space and children under 2 ½ years old in rooms with direct exit only. Today, the following items, in addition to the allegations, were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There are concerns regarding staff/child ratio. Observation and/or Interviews #1: Today I observed in each indoor classroom space. I monitored the sign-in/sign-out sheets for each classroom for September 29, 2025. Due to technical difficulties with Ms. Clark’s computer I was unable to review the staff time sheets to see which staff were present on September 29, 2025. Ms. Clark stated that once she is able to retrieve the information then she will send it to me. Conclusion #1: This allegation is pending conclusion until additional information is submitted to me. Please submit the information to me by Monday, October 13, 2025. Allegation #2: There are concerns regarding safety. Observation and/or interview #2: I observed parents dropping children off at space 1 and space 3 exit doors. None of the parents were observed coming into the classroom spaces. I interviewed three (3) staff and Ms. Clark about the facility’s policy on parental access. Each person interviewed stated that the parents come to the doors at drop off and pick up times but if they asked to come into the classroom they would be allowed. Conclusion #2: Based on information gathered in the interviews the allegation is unsubstantiated. The following violation was cited during today’s visit. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. There was an infant observed sleeping in a bouncy seat. According to the safe sleep monitoring chart the infant had been asleep in the seat since 6:54am until I observed her waking up at 8:20am. 10A NCAC 09 .0606(a) Comments Section – Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before October 23, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to sally.allen@dhhs.nc.gov or mail two copies of the letter to: P.O. Box 962 Eden, NC 27289 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance: It is important for an infant to be placed on their backs to sleep in his or her own crib or approved sleep space. If a baby falls asleep in a bouncy seat they should immediately be moved to a safe sleep surface. Any inclined position can cause a baby’s head to slump forward onto their chest pinching their airway and restricting breathing. The facility has a safe sleep policy which states “Infants are not placed in or left in car safety seats, strollers, swings, or infant carriers to sleep.” and “We use Consumer Product Safety Commission approved sleep spaces for infants. Each infant has his or her own crib or sleep space.” Consultation provided during today’s visit: During my observation there were two (2) staff in the classroom for infants/toddlers. One (1) of the teachers left the room for a few minutes. The classroom was still in staff/child ratio with only one teacher. However, the teacher left alone does not have her ITS-SIDS training completed yet. I spoke with Ms. Clark about this and she stated that as soon as she learned the teacher that has completed ITS-SIDS training had left the classroom she told her to return immediately. Please remind the staff that there must always be a staff that has completed ITS-SIDS training in the classroom for infants. All staff that work in that classroom must have completed ITS-SIDS training within two (2) months of hire. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, Child Care Consultant (336)580-3782 sally.allen@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: 1025-078L Visit Date: 10/9/2025 Number Present: 17 Completed Date: 10/9/2025 Age: From 0 To 5 Total Minutes: 116 Time In: 08:04 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding an alleged violation of childcare requirements. This visit was conducted with Josephine Clark, Owner/ Director. The allegations are as follows: There are concerns regarding staff/child ratio. There are concerns regarding safety. During today’s visit, the allegation was discussed with you. You had the opportunity to respond. Information shared during this visit is documented in this visit summary. Your program currently operates with a Three (3) star license. Restrictions include daytime and overnight care, meets enhanced space and children under 2 ½ years old in rooms with direct exit only. Today, the following items, in addition to the allegations, were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There are concerns regarding staff/child ratio. Observation and/or Interviews #1: Today I observed in each indoor classroom space. I monitored the sign-in/sign-out sheets for each classroom for September 29, 2025. Due to technical difficulties with Ms. Clark’s computer I was unable to review the staff time sheets to see which staff were present on September 29, 2025. Ms. Clark stated that once she is able to retrieve the information then she will send it to me. Conclusion #1: This allegation is pending conclusion until additional information is submitted to me. Please submit the information to me by Monday, October 13, 2025. Allegation #2: There are concerns regarding safety. Observation and/or interview #2: I observed parents dropping children off at space 1 and space 3 exit doors. None of the parents were observed coming into the classroom spaces. I interviewed three (3) staff and Ms. Clark about the facility’s policy on parental access. Each person interviewed stated that the parents come to the doors at drop off and pick up times but if they asked to come into the classroom they would be allowed. Conclusion #2: Based on information gathered in the interviews the allegation is unsubstantiated. The following violation was cited during today’s visit. Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. There was an infant observed sleeping in a bouncy seat. According to the safe sleep monitoring chart the infant had been asleep in the seat since 6:54am until I observed her waking up at 8:20am. 10A NCAC 09 .0606(a) Comments Section – Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before October 23, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to sally.allen@dhhs.nc.gov or mail two copies of the letter to: P.O. Box 962 Eden, NC 27289 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance: It is important for an infant to be placed on their backs to sleep in his or her own crib or approved sleep space. If a baby falls asleep in a bouncy seat they should immediately be moved to a safe sleep surface. Any inclined position can cause a baby’s head to slump forward onto their chest pinching their airway and restricting breathing. The facility has a safe sleep policy which states “Infants are not placed in or left in car safety seats, strollers, swings, or infant carriers to sleep.” and “We use Consumer Product Safety Commission approved sleep spaces for infants. Each infant has his or her own crib or sleep space.” Consultation provided during today’s visit: During my observation there were two (2) staff in the classroom for infants/toddlers. One (1) of the teachers left the room for a few minutes. The classroom was still in staff/child ratio with only one teacher. However, the teacher left alone does not have her ITS-SIDS training completed yet. I spoke with Ms. Clark about this and she stated that as soon as she learned the teacher that has completed ITS-SIDS training had left the classroom she told her to return immediately. Please remind the staff that there must always be a staff that has completed ITS-SIDS training in the classroom for infants. All staff that work in that classroom must have completed ITS-SIDS training within two (2) months of hire. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, Child Care Consultant (336)580-3782 sally.allen@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 29 Completed Date: 9/15/2025 Age: From 1 To 5 Total Minutes: 275 Time In: 08:45 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Josephine Clark, Owner/Director. Currently this center operates with a Three (3) Star license. The restrictions include daytime and overnight care, meets enhanced space, and children under 2 ½ years old in rooms with direct exit only. The facility is owned and operated by Doves At Play Childcare LLC Two. The secretary of state website was checked prior to today’s visit and the corporation is listed as current and active. Twenty-nine (29) children were present. The children were observed arriving, eating breakfast, playing indoors, completing routine tasks, playing outdoors, eating lunch and napping.. All indoor and outdoor areas were monitored. Fire drill reports were monitored during today's visit. The last fire drill was conducted on September 5, 2025. It took the children two (2) minutes and forty-eight (48) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on May 30, 2025. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Clark stated that no children enrolled have emergency medication. There were rooms that had children with diaper creams. Ms. Clark stated that the facility does not provide transportation. Administrative action: The facility was issued a Written Warning on August 13, 2025. The appeal deadline was September 12, 2025. I contacted Ms. Clark by telephone to review the administrative action and the appeal process on August 20, 2025. Ms. Clark stated that she was not appealing. Today, I observed that only the cover letter and the first page of the administrative action were posted at the front door. I informed Ms. Clark that she must post the full administrative action and cover letter in a location visible to parents and visitors b=near the entrance for three (3) months. Ms. Clarks needs to reach back out to Tammy Childress, Lead Child Care Consultant, regarding the rules review and the date she has chosen. By not moving forward with the CAP this will extend the Written Warning and possible additional visits. An Administrative Action follow up will be made during the actions time frame. The following violations were observed during today's visit. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space 2, there was only one (1) crayon accessible for children to use. There was one (1) soft toy that the children were observed fighting over. There were not enough building blocks that would allow more than one (1) child to build a structure. .0510(e)(3) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A child's special diet was not posted in space 3. .0901(g) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 1, a child did not wash her hands upon arrival at the center. In spaces 2 and 3, the children did not wash their hands before eating. 15A NCAC 18A .2803(c) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space 3, the handle to the play refrigerator is broken leaving protrusions at children's eye level. .0601(c) 721 All equipment and furnishings were not in good repair. On the outdoor play area there is a rusted dump truck, two (2) little tykes cars with broken front plates that is allowing screws to be exposed, broken red child sized chair, broken green container, and a broken plastic platter. The door to one of the small play structure is off and laying on the ground. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 2, there was an aerosol can of Lysol not locked on an open shelf. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space 2, there was a tube of Nystatin that was not locked. It was in a container with other not prescribed diaper creams out of reach of children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space 2, there were three (3) non prescribed diaper creams and one (1) tube of Nystatin that did not have parent's authorization to use. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections were completed by an individual that was not trained in playground safety. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One floater does not have a medical report on file. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have an orientation form on file at all. On a staff, hired March 24, 2025, did not have dates that the orientation for the six (6) weeks were completed documented. .1101(a) 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. One (1) staff's first aid expired July 2025. .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. One (1) staff's CPR training expired July 2025. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was completed in May 2025. Another drill should have been completed in August 2025. .0604(u);.0302(d)(8) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) The administrator only posted the cover letter and first page of the administrative action instead of the full action. 10A NCAC 09 .2201(i)(1-4) Technical Assistance: Over the counter non medicated ointments must have parental permission prior to applying on the child. The parental permission must contain all the required information. This is important so that children do not come into contact with an ointment that they are not use to and they may react to due to ingredients used. It is important that staff files be current and all required information on file for review. When trainings are taken then you must print a copy of the certificate and place it in the staff’s file. Health and Safety trainings must be completed within the first year of employment and then all topics must be completed every five (5) years after the initial completion, unless otherwise required. It is important that each classroom have sufficient materials in each activity area so that children do not have to compete for the toys. This could create behavior issues if children are left waiting to use materials and/or competing for favorite materials. Consultation: 1-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by September 29, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. If more time is needed to correct any of the violations, you must send a request for an extension as soon as possible. The request must include a reason for the extension and a timeline of when the violation will be corrected. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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 .0803 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 29 Completed Date: 9/15/2025 Age: From 1 To 5 Total Minutes: 275 Time In: 08:45 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Josephine Clark, Owner/Director. Currently this center operates with a Three (3) Star license. The restrictions include daytime and overnight care, meets enhanced space, and children under 2 ½ years old in rooms with direct exit only. The facility is owned and operated by Doves At Play Childcare LLC Two. The secretary of state website was checked prior to today’s visit and the corporation is listed as current and active. Twenty-nine (29) children were present. The children were observed arriving, eating breakfast, playing indoors, completing routine tasks, playing outdoors, eating lunch and napping.. All indoor and outdoor areas were monitored. Fire drill reports were monitored during today's visit. The last fire drill was conducted on September 5, 2025. It took the children two (2) minutes and forty-eight (48) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on May 30, 2025. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Clark stated that no children enrolled have emergency medication. There were rooms that had children with diaper creams. Ms. Clark stated that the facility does not provide transportation. Administrative action: The facility was issued a Written Warning on August 13, 2025. The appeal deadline was September 12, 2025. I contacted Ms. Clark by telephone to review the administrative action and the appeal process on August 20, 2025. Ms. Clark stated that she was not appealing. Today, I observed that only the cover letter and the first page of the administrative action were posted at the front door. I informed Ms. Clark that she must post the full administrative action and cover letter in a location visible to parents and visitors b=near the entrance for three (3) months. Ms. Clarks needs to reach back out to Tammy Childress, Lead Child Care Consultant, regarding the rules review and the date she has chosen. By not moving forward with the CAP this will extend the Written Warning and possible additional visits. An Administrative Action follow up will be made during the actions time frame. The following violations were observed during today's visit. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space 2, there was only one (1) crayon accessible for children to use. There was one (1) soft toy that the children were observed fighting over. There were not enough building blocks that would allow more than one (1) child to build a structure. .0510(e)(3) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A child's special diet was not posted in space 3. .0901(g) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 1, a child did not wash her hands upon arrival at the center. In spaces 2 and 3, the children did not wash their hands before eating. 15A NCAC 18A .2803(c) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space 3, the handle to the play refrigerator is broken leaving protrusions at children's eye level. .0601(c) 721 All equipment and furnishings were not in good repair. On the outdoor play area there is a rusted dump truck, two (2) little tykes cars with broken front plates that is allowing screws to be exposed, broken red child sized chair, broken green container, and a broken plastic platter. The door to one of the small play structure is off and laying on the ground. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 2, there was an aerosol can of Lysol not locked on an open shelf. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space 2, there was a tube of Nystatin that was not locked. It was in a container with other not prescribed diaper creams out of reach of children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space 2, there were three (3) non prescribed diaper creams and one (1) tube of Nystatin that did not have parent's authorization to use. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections were completed by an individual that was not trained in playground safety. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One floater does not have a medical report on file. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have an orientation form on file at all. On a staff, hired March 24, 2025, did not have dates that the orientation for the six (6) weeks were completed documented. .1101(a) 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. One (1) staff's first aid expired July 2025. .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. One (1) staff's CPR training expired July 2025. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was completed in May 2025. Another drill should have been completed in August 2025. .0604(u);.0302(d)(8) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) The administrator only posted the cover letter and first page of the administrative action instead of the full action. 10A NCAC 09 .2201(i)(1-4) Technical Assistance: Over the counter non medicated ointments must have parental permission prior to applying on the child. The parental permission must contain all the required information. This is important so that children do not come into contact with an ointment that they are not use to and they may react to due to ingredients used. It is important that staff files be current and all required information on file for review. When trainings are taken then you must print a copy of the certificate and place it in the staff’s file. Health and Safety trainings must be completed within the first year of employment and then all topics must be completed every five (5) years after the initial completion, unless otherwise required. It is important that each classroom have sufficient materials in each activity area so that children do not have to compete for the toys. This could create behavior issues if children are left waiting to use materials and/or competing for favorite materials. Consultation: 1-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by September 29, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. If more time is needed to correct any of the violations, you must send a request for an extension as soon as possible. The request must include a reason for the extension and a timeline of when the violation will be corrected. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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 .2201 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 29 Completed Date: 9/15/2025 Age: From 1 To 5 Total Minutes: 275 Time In: 08:45 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Josephine Clark, Owner/Director. Currently this center operates with a Three (3) Star license. The restrictions include daytime and overnight care, meets enhanced space, and children under 2 ½ years old in rooms with direct exit only. The facility is owned and operated by Doves At Play Childcare LLC Two. The secretary of state website was checked prior to today’s visit and the corporation is listed as current and active. Twenty-nine (29) children were present. The children were observed arriving, eating breakfast, playing indoors, completing routine tasks, playing outdoors, eating lunch and napping.. All indoor and outdoor areas were monitored. Fire drill reports were monitored during today's visit. The last fire drill was conducted on September 5, 2025. It took the children two (2) minutes and forty-eight (48) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on May 30, 2025. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Clark stated that no children enrolled have emergency medication. There were rooms that had children with diaper creams. Ms. Clark stated that the facility does not provide transportation. Administrative action: The facility was issued a Written Warning on August 13, 2025. The appeal deadline was September 12, 2025. I contacted Ms. Clark by telephone to review the administrative action and the appeal process on August 20, 2025. Ms. Clark stated that she was not appealing. Today, I observed that only the cover letter and the first page of the administrative action were posted at the front door. I informed Ms. Clark that she must post the full administrative action and cover letter in a location visible to parents and visitors b=near the entrance for three (3) months. Ms. Clarks needs to reach back out to Tammy Childress, Lead Child Care Consultant, regarding the rules review and the date she has chosen. By not moving forward with the CAP this will extend the Written Warning and possible additional visits. An Administrative Action follow up will be made during the actions time frame. The following violations were observed during today's visit. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space 2, there was only one (1) crayon accessible for children to use. There was one (1) soft toy that the children were observed fighting over. There were not enough building blocks that would allow more than one (1) child to build a structure. .0510(e)(3) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A child's special diet was not posted in space 3. .0901(g) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 1, a child did not wash her hands upon arrival at the center. In spaces 2 and 3, the children did not wash their hands before eating. 15A NCAC 18A .2803(c) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space 3, the handle to the play refrigerator is broken leaving protrusions at children's eye level. .0601(c) 721 All equipment and furnishings were not in good repair. On the outdoor play area there is a rusted dump truck, two (2) little tykes cars with broken front plates that is allowing screws to be exposed, broken red child sized chair, broken green container, and a broken plastic platter. The door to one of the small play structure is off and laying on the ground. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 2, there was an aerosol can of Lysol not locked on an open shelf. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space 2, there was a tube of Nystatin that was not locked. It was in a container with other not prescribed diaper creams out of reach of children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space 2, there were three (3) non prescribed diaper creams and one (1) tube of Nystatin that did not have parent's authorization to use. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections were completed by an individual that was not trained in playground safety. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One floater does not have a medical report on file. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have an orientation form on file at all. On a staff, hired March 24, 2025, did not have dates that the orientation for the six (6) weeks were completed documented. .1101(a) 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. One (1) staff's first aid expired July 2025. .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. One (1) staff's CPR training expired July 2025. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was completed in May 2025. Another drill should have been completed in August 2025. .0604(u);.0302(d)(8) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) The administrator only posted the cover letter and first page of the administrative action instead of the full action. 10A NCAC 09 .2201(i)(1-4) Technical Assistance: Over the counter non medicated ointments must have parental permission prior to applying on the child. The parental permission must contain all the required information. This is important so that children do not come into contact with an ointment that they are not use to and they may react to due to ingredients used. It is important that staff files be current and all required information on file for review. When trainings are taken then you must print a copy of the certificate and place it in the staff’s file. Health and Safety trainings must be completed within the first year of employment and then all topics must be completed every five (5) years after the initial completion, unless otherwise required. It is important that each classroom have sufficient materials in each activity area so that children do not have to compete for the toys. This could create behavior issues if children are left waiting to use materials and/or competing for favorite materials. Consultation: 1-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by September 29, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. If more time is needed to correct any of the violations, you must send a request for an extension as soon as possible. The request must include a reason for the extension and a timeline of when the violation will be corrected. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 9/15/2025 Number Present: 29 Completed Date: 9/15/2025 Age: From 1 To 5 Total Minutes: 275 Time In: 08:45 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Josephine Clark, Owner/Director. Currently this center operates with a Three (3) Star license. The restrictions include daytime and overnight care, meets enhanced space, and children under 2 ½ years old in rooms with direct exit only. The facility is owned and operated by Doves At Play Childcare LLC Two. The secretary of state website was checked prior to today’s visit and the corporation is listed as current and active. Twenty-nine (29) children were present. The children were observed arriving, eating breakfast, playing indoors, completing routine tasks, playing outdoors, eating lunch and napping.. All indoor and outdoor areas were monitored. Fire drill reports were monitored during today's visit. The last fire drill was conducted on September 5, 2025. It took the children two (2) minutes and forty-eight (48) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on May 30, 2025. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Clark stated that no children enrolled have emergency medication. There were rooms that had children with diaper creams. Ms. Clark stated that the facility does not provide transportation. Administrative action: The facility was issued a Written Warning on August 13, 2025. The appeal deadline was September 12, 2025. I contacted Ms. Clark by telephone to review the administrative action and the appeal process on August 20, 2025. Ms. Clark stated that she was not appealing. Today, I observed that only the cover letter and the first page of the administrative action were posted at the front door. I informed Ms. Clark that she must post the full administrative action and cover letter in a location visible to parents and visitors b=near the entrance for three (3) months. Ms. Clarks needs to reach back out to Tammy Childress, Lead Child Care Consultant, regarding the rules review and the date she has chosen. By not moving forward with the CAP this will extend the Written Warning and possible additional visits. An Administrative Action follow up will be made during the actions time frame. The following violations were observed during today's visit. Violation Number Comment Rule 488 For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In space 2, there was only one (1) crayon accessible for children to use. There was one (1) soft toy that the children were observed fighting over. There were not enough building blocks that would allow more than one (1) child to build a structure. .0510(e)(3) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A child's special diet was not posted in space 3. .0901(g) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 1, a child did not wash her hands upon arrival at the center. In spaces 2 and 3, the children did not wash their hands before eating. 15A NCAC 18A .2803(c) 705 Equipment and furnishings were not sturdy, stable and free of hazards. In space 3, the handle to the play refrigerator is broken leaving protrusions at children's eye level. .0601(c) 721 All equipment and furnishings were not in good repair. On the outdoor play area there is a rusted dump truck, two (2) little tykes cars with broken front plates that is allowing screws to be exposed, broken red child sized chair, broken green container, and a broken plastic platter. The door to one of the small play structure is off and laying on the ground. G.S. 110-91(6); .0601(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 2, there was an aerosol can of Lysol not locked on an open shelf. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space 2, there was a tube of Nystatin that was not locked. It was in a container with other not prescribed diaper creams out of reach of children. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. In space 2, there were three (3) non prescribed diaper creams and one (1) tube of Nystatin that did not have parent's authorization to use. 10A NCAC 09 .0803(4)(6-9) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The playground inspections were completed by an individual that was not trained in playground safety. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One floater does not have a medical report on file. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have an orientation form on file at all. On a staff, hired March 24, 2025, did not have dates that the orientation for the six (6) weeks were completed documented. .1101(a) 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. One (1) staff's first aid expired July 2025. .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. One (1) staff's CPR training expired July 2025. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was completed in May 2025. Another drill should have been completed in August 2025. .0604(u);.0302(d)(8) 1948 Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) The administrator only posted the cover letter and first page of the administrative action instead of the full action. 10A NCAC 09 .2201(i)(1-4) Technical Assistance: Over the counter non medicated ointments must have parental permission prior to applying on the child. The parental permission must contain all the required information. This is important so that children do not come into contact with an ointment that they are not use to and they may react to due to ingredients used. It is important that staff files be current and all required information on file for review. When trainings are taken then you must print a copy of the certificate and place it in the staff’s file. Health and Safety trainings must be completed within the first year of employment and then all topics must be completed every five (5) years after the initial completion, unless otherwise required. It is important that each classroom have sufficient materials in each activity area so that children do not have to compete for the toys. This could create behavior issues if children are left waiting to use materials and/or competing for favorite materials. Consultation: 1-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by September 29, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. If more time is needed to correct any of the violations, you must send a request for an extension as soon as possible. The request must include a reason for the extension and a timeline of when the violation will be corrected. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003. 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 23 Completed Date: 7/24/2025 Age: From 0 To 7 Total Minutes: 80 Time In: 08:20 AM Time Out: 09:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with a childcare requirement regarding staff/child ratio cited during a complaint follow-up visit conducted on July 17, 2025. This visit was conducted with Josephine Clark, Owner and Director. During the complaint follow-up visit conducted on July 17, 2025, one (1) violation, Item #301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met, was cited. The compliance letter, stating how the violation was immediately corrected, is due on July 31, 2025. All indoor areas were observed today for supervision, staff/child ratio, adequate/approved space, and permit restrictions. In space 1, there were five (5) children with one (1) teacher until 8:30am when another child arrived. At 8:34am another infant arrived making the staff/child ratio 1/7. The staff/child ratio for infants is 1/5. At 8:37am the assistant director took two (2) one-year-old children out of space 1. For seven (7) minutes the classroom was out of ratio. Twenty-three (23) children were present today. I observed children arriving, being held, playing indoors and napping on cots. The following violation was cited today. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 8:30am there were six (6) infants and one-year-olds with one (1) teacher. At 8:34am another infant arrived bringing the total of children to seven (7) to one (1) teacher until 8:37am when two (2) one-year-olds were taken to another classroom. The staff/child ratio for infants is 1/5. GS 110-91(7);.0713(a-d) COMMENTS SECTION: 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. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Consultation: I spoke with Ms. Clark about staffing patterns and having a policy in place on how they will maintain compliance with staff/child ratio. Ms. Clark asked me to contact my supervisor, Pam Hauser, to ask about them being out of ratio for those seven (7) minutes and if it was okay that they were out of compliance for that short of time. Ms. Clark stated that they were out of ratio due to a staff member being late. I contacted my supervisor at Ms. Clark’s request. Pam Hauser, Licensing Supervisor, stated that it is important that they have a plan for when staff are absent and/or late to arrive for their shift. They need to explain in the plan how they will maintain compliance at all times with staff/child ratios. I asked Ms. Clark about the staffing agency that she had told me during the complaint follow up visit would be assisting with the staffing issue. Ms. Clark stated that she was waiting for an email that she did not receive and that she was going to call the agency this week. Ms. Clark stated that she was looking to hire a new employee that would start Monday. Corrections: Please ensure that the above violation is corrected immediately and two (2) signed letters explaining how the violations were corrected must be mailed to me (PO Box 1305, Eden, NC 27289) or emailed to me (sally.allen@dhhs.nc.gov). The letters must be received by August 7, 2025. Due to a staff/child ratio being cited today a follow up visit will occur within the next fourteen (14) days. The compliance letter for the complaint follow-up visit conducted on July 17, 2025 is due by July 31, 2025. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Falsifying any information could result in an administrative action. According to NC General Statute 110-90(4) (d) for any child care facility to maintain a license or Notice of Compliance, the child care facility shall have a compliance history of at least seventy-five percent (75%), as assessed by the Department. When a child care facility fails to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less, as assessed by the Department, the Department may issue a provisional license. Any violation cited can impact the compliance history. The compliance history prior to today’s visit was seventy-four (74) percent. I informed Ms. Clark today of the compliance history score prior to today’s visit and that it will result in an administrative action being recommended. Thank you for today’s visit. If you have any questions or concerns, please contact me at 580-3782 or sally.allen@dhhs.nc.gov or you may contact my supervisor, Pam Hauser, at pamela.hauser@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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 23 Completed Date: 7/24/2025 Age: From 0 To 7 Total Minutes: 80 Time In: 08:20 AM Time Out: 09:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with a childcare requirement regarding staff/child ratio cited during a complaint follow-up visit conducted on July 17, 2025. This visit was conducted with Josephine Clark, Owner and Director. During the complaint follow-up visit conducted on July 17, 2025, one (1) violation, Item #301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met, was cited. The compliance letter, stating how the violation was immediately corrected, is due on July 31, 2025. All indoor areas were observed today for supervision, staff/child ratio, adequate/approved space, and permit restrictions. In space 1, there were five (5) children with one (1) teacher until 8:30am when another child arrived. At 8:34am another infant arrived making the staff/child ratio 1/7. The staff/child ratio for infants is 1/5. At 8:37am the assistant director took two (2) one-year-old children out of space 1. For seven (7) minutes the classroom was out of ratio. Twenty-three (23) children were present today. I observed children arriving, being held, playing indoors and napping on cots. The following violation was cited today. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. At 8:30am there were six (6) infants and one-year-olds with one (1) teacher. At 8:34am another infant arrived bringing the total of children to seven (7) to one (1) teacher until 8:37am when two (2) one-year-olds were taken to another classroom. The staff/child ratio for infants is 1/5. GS 110-91(7);.0713(a-d) COMMENTS SECTION: 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. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Consultation: I spoke with Ms. Clark about staffing patterns and having a policy in place on how they will maintain compliance with staff/child ratio. Ms. Clark asked me to contact my supervisor, Pam Hauser, to ask about them being out of ratio for those seven (7) minutes and if it was okay that they were out of compliance for that short of time. Ms. Clark stated that they were out of ratio due to a staff member being late. I contacted my supervisor at Ms. Clark’s request. Pam Hauser, Licensing Supervisor, stated that it is important that they have a plan for when staff are absent and/or late to arrive for their shift. They need to explain in the plan how they will maintain compliance at all times with staff/child ratios. I asked Ms. Clark about the staffing agency that she had told me during the complaint follow up visit would be assisting with the staffing issue. Ms. Clark stated that she was waiting for an email that she did not receive and that she was going to call the agency this week. Ms. Clark stated that she was looking to hire a new employee that would start Monday. Corrections: Please ensure that the above violation is corrected immediately and two (2) signed letters explaining how the violations were corrected must be mailed to me (PO Box 1305, Eden, NC 27289) or emailed to me (sally.allen@dhhs.nc.gov). The letters must be received by August 7, 2025. Due to a staff/child ratio being cited today a follow up visit will occur within the next fourteen (14) days. The compliance letter for the complaint follow-up visit conducted on July 17, 2025 is due by July 31, 2025. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Falsifying any information could result in an administrative action. According to NC General Statute 110-90(4) (d) for any child care facility to maintain a license or Notice of Compliance, the child care facility shall have a compliance history of at least seventy-five percent (75%), as assessed by the Department. When a child care facility fails to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less, as assessed by the Department, the Department may issue a provisional license. Any violation cited can impact the compliance history. The compliance history prior to today’s visit was seventy-four (74) percent. I informed Ms. Clark today of the compliance history score prior to today’s visit and that it will result in an administrative action being recommended. Thank you for today’s visit. If you have any questions or concerns, please contact me at 580-3782 or sally.allen@dhhs.nc.gov or you may contact my supervisor, Pam Hauser, at pamela.hauser@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

GS 110-91 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: 0625-306L Visit Date: 7/17/2025 Number Present: 21 Completed Date: 7/17/2025 Age: From 0 To 12 Total Minutes: 96 Time In: 08:09 AM Time Out: 09:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to verify compliance with child care requirements cited as violations during a complaint visit conducted on July 9, 2025. This visit was conducted with Josephine Clark. Today, the following items were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • Permit Restrictions Upon arrival, staff/child ratio and space capacity were monitored as indicated on the attached worksheet. The following violation documented during the complaint visit on July 9, 2025, was monitored for compliance during this visit: Item 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Upon my arrival at 8:09 I was allowed entry into space 3. In space 3, there were fifteen (15) children, ages two years to twelve years, with one teacher. Three (3) more children arrived during my observation to space 3. This gave the teacher a total of eighteen (18) children. In space 1, there were six (6) children, ages two months to one year, with one (1) teacher. I asked the teacher in space 3, where Ms. Clark was and what time she will be at the facility. The teacher stated that Ms. Clark was at the store getting food for breakfast and she should be back soon. Ms. Clark arrived at 8:22am. At 8:30am Ms. Clark took five (5) children, ages two years, to space 2 leaving thirteen (13) children, ages three to twelve years, in space 3. At 8:45am Ms. Clark took a one year old from space 1. At this time all classrooms were in compliance. I asked Ms. Clark how would she maintain compliance and cook meals. She stated that another staff member was coming in to work. The compliance letter for the complaint visit conducted on July 9, 2025, is due on or before July 23, 2025. The compliance letter for today’s visit is due on or before July 31, 2025. Due to a staff/child ratio being cited today a follow up visit will be conducted anytime within the next fourteen days. Two consecutive violations of staff/child ratio being cited can result in an administrative action. The following violation was cited during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1, there were six (6) children, ages two months to one year, with one (1) teacher. Staff/child ratio for infants is 1/5. In space 3, there were fifteen (15) children, ages two to twelve years, with one (1) teacher. The staff/child ratio for two year olds is 1/10. GS 110-91(7);.0713(a-d) Consultation: 1- Maintaining required staff-to-child ratios in licensed child care is crucial for ensuring children's safety, development, and well-being. Required ratios and group sizes help staff provide better supervision and care and provide children with more opportunities to develop social skills by allowing them to consistently interact with a smaller group of children and staff. In addition, by maintaining staff/child ratios, there's a greater chance of preventing accidents and injuries, caregivers can more closely monitor children's activities, especially in potentially hazardous situations like playgrounds and/or during field trips, Lower ratios allow caregivers to form stronger bonds with children, understand their individual needs, and provide more focused support for learning and development. Secure attachments with caregivers are crucial for children's social and emotional well-being, and lower ratios facilitate these connections. I asked Ms. Clark what was her plan for ensuring that the facility is in compliance with staff/child ratio. She stated that she has been in contact with a staffing agency. She stated that the agency should be able to assist in staffing as soon as Monday. I reminded Ms. Clark that any person that works with children one on one or is counted in staff/child ratio must meet all child care requirements. There must be a criminal record check qualifying letter from the Division of Child Development and Early Education on file on their first day. Also, they must have a medical and negative TB test result or screening on file on their first day. Ms. Clark stated that the staffing agency said that their employees have the required documents. Ms. Clark also stated that she is hiring kitchen staff. She stated that the person is waiting to receive their criminal record check qualifying letter. I asked what she plans to do to be in compliance tomorrow. Ms. Clark stated that the staff that are absent today will be back. I asked what she will do if all staff are needed in the classrooms for ratios how will meals be provided. I asked if she had thought of contacting anyone that would be willing to deliver meals to the facility. She stated that the assistant director had offered to deliver meals today. Please make sure that all meals offered follow the meal patterns and that the substitutions, if applicable, are posted on the menu prior to serving the food. Compliance: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance by July 31, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. Due to a staff/child ratio violation being cited a follow up visit must be conducted. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, (336) 580-3782 or sally.allen@dhhs.nc.gov Pam Hauser pamela.hauser@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 .0901 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: 0625-306L Visit Date: 7/9/2025 Number Present: 27 Completed Date: 7/9/2025 Age: From 0 To 7 Total Minutes: 215 Time In: 08:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding an alleged violation of childcare requirements. This visit was conducted with Josephine Clark, Owner and Director. The allegations are as follows: There are concerns regarding supervision, staff/child ratio, caregiving for infants, safe environment, diapering and nutrition. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Three Star License. Restrictions include daytime and overnight care, meets enhanced space and children under 2 ½ years old in rooms with direct exit only. Today, the following items, in addition to the allegations, were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There are concerns regarding supervision. Observation and/or Interviews: I observed in each classroom space in use today. During observations today all children were supervised. I interviewed the director, assistant director, and four (4) teachers present today. In the interview the assistant director stated that during an incident a former staff member was upset and speaking to her in a loud voice. She stated that the staff member was in the classroom with her back to the class. She stated that another staff member was in the classroom but was leaving during the conversation. At the point that the former staff member became increasingly agitated she asked her to leave the facility and she went into the classroom. Conclusion: Based on observations and information gathered the allegation is unsubstantiated. Allegation #2: There are concerns regarding staff/child ratio. Observation and/or Interviews: Upon my arrival at the facility there were eleven (11) children, infants and one year olds, present with two teachers in space 1 and fifteen (15) children, ages two to seven, with one (1) teacher in space 3. Another child arrived to space 1 at 8:55am making the group size twelve (12). The group size remained twelve (12) for infants and toddlers until the director moved two (2) children to another classroom after she was finished serving breakfast around 10:00am. Another teacher arrived to space 3 at 8:35am and took the seven (7) two year olds into space 2. When I went back into space 3 at 8:58am more children had arrived and the teacher was alone with seventeen (17) children, ages three to seven years. The assistant director came into space 3 at 9:04am to get the four (4) school aged children to move them to space 4. Conclusion: Based on observation the allegation is substantiated. Allegation #3: There are concerns regarding caregiving for infants. Observation and/or Interviews: I observed one (1) infant in a crib from 8:25am to 8:47am awake. The child was not given any activities and was not removed from the crib during this time frame. No teacher engaged the child during this time. Four (4) one year olds were in highchairs. Three (3) were not eating or drinking. One was removed from the highchair after thirteen (13) minutes and the other two not eating were removed after twenty-two minutes. Conclusion: Based on observation the allegation is substantiated. Allegation #4: There are concerns regarding safe environment. Observation and/or Interviews: During the interview the assistant director stated that they have been advised that an individual was not allowed on the premises. She stated that when she saw this individual she asked them to leave immediately. This also was the day that the incident occurred with the former staff person. The assistant director stated that there was no physical altercation. She stated that she asked the staff person to leave the facility and she did. I was told that local police have been contacted and they have been making routine checks to ensure that the individual and former staff person do not show up at the facility. Conclusion: Based on information gathered the allegation is unsubstantiated. Allegation #5: There are concerns regarding diapering. Observation and/or Interviews: I observed diaper changing occurring today. Diapers were changed when soiled. Children were taken to the bathroom and pull ups were changed accordingly. Conclusion: Based on observations the allegation is unsubstantiated. Allegation #6: There are concerns regarding nutrition. Observation and/or Interviews: The menu posted listed the breakfast to be served today as muffins, apple juice and milk. Today, breakfast served was fruit loops, mixed fruit and milk. The substitution was not indicated on the menu. Conclusion: Based on observed the allegation is substantiated. The following violations were cited during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1, there were twelve (12) children, infants and toddlers. The group size for infants must be ten (10). In space 3, there were fifteen (15) children, ages two to seven years with one (1) teacher. The staff/child ratio for two-year-olds is 1/10. After moving two-year-olds from space 3 to space 2, more children arrived at the facility and were dropped off in space 3. That teacher was again out of ratio with seventeen (17) children, ages three to seven years. The ratio for three-year-olds is 1/15. GS 110-91(7);.0713(a-d) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. I observed one infant in a crib awake with no staff engagement or activity for twenty-two (22) minutes. I observed three (3) toddlers in high chairs not eating or drinking for thirteen (13) to twenty-two (22) minutes. .0511 (a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu posted had muffins, apple juice and milk planned to be served. Fruit loops, mixed fruit and milk were served. The substitution was not recorded on the menu. 10A NCAC 09 .0901(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. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before July 23, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to sally.allen@dhhs.nc.gov or mail two copies of the letter to: P.O. Box 1305 Eden, NC 27289 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Due to a staff/child ratio, group size violation being cited a follow up visit will be made. Technical assistance provided during today’s visit: We discussed staffing patterns and creating a plan for when staff absences occur. I discussed with Ms. Clark and the assistant director how they can be in compliance today and the number of children that can be in each space. We talked about having a policy and procedure to review with staff regarding staff/child ratio. It is important that infants and toddlers have the ability to explore their environment. We must create an environment that is safe for our non-mobile while having room for our children that are mobile. We discussed ways that this can be achieved in our classroom spaces. Menus planning also includes that we have the food available so that someone isn’t having to leave to purchase needed food. Make sure that if substitutions are needed to be made the change is made to the menu prior to the food being served. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, Child Care Consultant (336)580-3782 sally.allen@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: 0625-306L Visit Date: 7/9/2025 Number Present: 27 Completed Date: 7/9/2025 Age: From 0 To 7 Total Minutes: 215 Time In: 08:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding an alleged violation of childcare requirements. This visit was conducted with Josephine Clark, Owner and Director. The allegations are as follows: There are concerns regarding supervision, staff/child ratio, caregiving for infants, safe environment, diapering and nutrition. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Three Star License. Restrictions include daytime and overnight care, meets enhanced space and children under 2 ½ years old in rooms with direct exit only. Today, the following items, in addition to the allegations, were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There are concerns regarding supervision. Observation and/or Interviews: I observed in each classroom space in use today. During observations today all children were supervised. I interviewed the director, assistant director, and four (4) teachers present today. In the interview the assistant director stated that during an incident a former staff member was upset and speaking to her in a loud voice. She stated that the staff member was in the classroom with her back to the class. She stated that another staff member was in the classroom but was leaving during the conversation. At the point that the former staff member became increasingly agitated she asked her to leave the facility and she went into the classroom. Conclusion: Based on observations and information gathered the allegation is unsubstantiated. Allegation #2: There are concerns regarding staff/child ratio. Observation and/or Interviews: Upon my arrival at the facility there were eleven (11) children, infants and one year olds, present with two teachers in space 1 and fifteen (15) children, ages two to seven, with one (1) teacher in space 3. Another child arrived to space 1 at 8:55am making the group size twelve (12). The group size remained twelve (12) for infants and toddlers until the director moved two (2) children to another classroom after she was finished serving breakfast around 10:00am. Another teacher arrived to space 3 at 8:35am and took the seven (7) two year olds into space 2. When I went back into space 3 at 8:58am more children had arrived and the teacher was alone with seventeen (17) children, ages three to seven years. The assistant director came into space 3 at 9:04am to get the four (4) school aged children to move them to space 4. Conclusion: Based on observation the allegation is substantiated. Allegation #3: There are concerns regarding caregiving for infants. Observation and/or Interviews: I observed one (1) infant in a crib from 8:25am to 8:47am awake. The child was not given any activities and was not removed from the crib during this time frame. No teacher engaged the child during this time. Four (4) one year olds were in highchairs. Three (3) were not eating or drinking. One was removed from the highchair after thirteen (13) minutes and the other two not eating were removed after twenty-two minutes. Conclusion: Based on observation the allegation is substantiated. Allegation #4: There are concerns regarding safe environment. Observation and/or Interviews: During the interview the assistant director stated that they have been advised that an individual was not allowed on the premises. She stated that when she saw this individual she asked them to leave immediately. This also was the day that the incident occurred with the former staff person. The assistant director stated that there was no physical altercation. She stated that she asked the staff person to leave the facility and she did. I was told that local police have been contacted and they have been making routine checks to ensure that the individual and former staff person do not show up at the facility. Conclusion: Based on information gathered the allegation is unsubstantiated. Allegation #5: There are concerns regarding diapering. Observation and/or Interviews: I observed diaper changing occurring today. Diapers were changed when soiled. Children were taken to the bathroom and pull ups were changed accordingly. Conclusion: Based on observations the allegation is unsubstantiated. Allegation #6: There are concerns regarding nutrition. Observation and/or Interviews: The menu posted listed the breakfast to be served today as muffins, apple juice and milk. Today, breakfast served was fruit loops, mixed fruit and milk. The substitution was not indicated on the menu. Conclusion: Based on observed the allegation is substantiated. The following violations were cited during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1, there were twelve (12) children, infants and toddlers. The group size for infants must be ten (10). In space 3, there were fifteen (15) children, ages two to seven years with one (1) teacher. The staff/child ratio for two-year-olds is 1/10. After moving two-year-olds from space 3 to space 2, more children arrived at the facility and were dropped off in space 3. That teacher was again out of ratio with seventeen (17) children, ages three to seven years. The ratio for three-year-olds is 1/15. GS 110-91(7);.0713(a-d) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. I observed one infant in a crib awake with no staff engagement or activity for twenty-two (22) minutes. I observed three (3) toddlers in high chairs not eating or drinking for thirteen (13) to twenty-two (22) minutes. .0511 (a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu posted had muffins, apple juice and milk planned to be served. Fruit loops, mixed fruit and milk were served. The substitution was not recorded on the menu. 10A NCAC 09 .0901(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. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before July 23, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to sally.allen@dhhs.nc.gov or mail two copies of the letter to: P.O. Box 1305 Eden, NC 27289 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Due to a staff/child ratio, group size violation being cited a follow up visit will be made. Technical assistance provided during today’s visit: We discussed staffing patterns and creating a plan for when staff absences occur. I discussed with Ms. Clark and the assistant director how they can be in compliance today and the number of children that can be in each space. We talked about having a policy and procedure to review with staff regarding staff/child ratio. It is important that infants and toddlers have the ability to explore their environment. We must create an environment that is safe for our non-mobile while having room for our children that are mobile. We discussed ways that this can be achieved in our classroom spaces. Menus planning also includes that we have the food available so that someone isn’t having to leave to purchase needed food. Make sure that if substitutions are needed to be made the change is made to the menu prior to the food being served. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, Child Care Consultant (336)580-3782 sally.allen@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: SALLY ALLEN Operation Type: Center Case Number: 0625-306L Visit Date: 7/9/2025 Number Present: 27 Completed Date: 7/9/2025 Age: From 0 To 7 Total Minutes: 215 Time In: 08:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding an alleged violation of childcare requirements. This visit was conducted with Josephine Clark, Owner and Director. The allegations are as follows: There are concerns regarding supervision, staff/child ratio, caregiving for infants, safe environment, diapering and nutrition. During today’s visit, the allegations were discussed with you. You had the opportunity to respond. Information shared during this visit are documented in this visit summary. Your program currently operates with a Three Star License. Restrictions include daytime and overnight care, meets enhanced space and children under 2 ½ years old in rooms with direct exit only. Today, the following items, in addition to the allegations, were monitored: • Supervision • Staff / Child Ratio • Adequate / Approved Space • License Posted • Permit Restrictions Allegation #1: There are concerns regarding supervision. Observation and/or Interviews: I observed in each classroom space in use today. During observations today all children were supervised. I interviewed the director, assistant director, and four (4) teachers present today. In the interview the assistant director stated that during an incident a former staff member was upset and speaking to her in a loud voice. She stated that the staff member was in the classroom with her back to the class. She stated that another staff member was in the classroom but was leaving during the conversation. At the point that the former staff member became increasingly agitated she asked her to leave the facility and she went into the classroom. Conclusion: Based on observations and information gathered the allegation is unsubstantiated. Allegation #2: There are concerns regarding staff/child ratio. Observation and/or Interviews: Upon my arrival at the facility there were eleven (11) children, infants and one year olds, present with two teachers in space 1 and fifteen (15) children, ages two to seven, with one (1) teacher in space 3. Another child arrived to space 1 at 8:55am making the group size twelve (12). The group size remained twelve (12) for infants and toddlers until the director moved two (2) children to another classroom after she was finished serving breakfast around 10:00am. Another teacher arrived to space 3 at 8:35am and took the seven (7) two year olds into space 2. When I went back into space 3 at 8:58am more children had arrived and the teacher was alone with seventeen (17) children, ages three to seven years. The assistant director came into space 3 at 9:04am to get the four (4) school aged children to move them to space 4. Conclusion: Based on observation the allegation is substantiated. Allegation #3: There are concerns regarding caregiving for infants. Observation and/or Interviews: I observed one (1) infant in a crib from 8:25am to 8:47am awake. The child was not given any activities and was not removed from the crib during this time frame. No teacher engaged the child during this time. Four (4) one year olds were in highchairs. Three (3) were not eating or drinking. One was removed from the highchair after thirteen (13) minutes and the other two not eating were removed after twenty-two minutes. Conclusion: Based on observation the allegation is substantiated. Allegation #4: There are concerns regarding safe environment. Observation and/or Interviews: During the interview the assistant director stated that they have been advised that an individual was not allowed on the premises. She stated that when she saw this individual she asked them to leave immediately. This also was the day that the incident occurred with the former staff person. The assistant director stated that there was no physical altercation. She stated that she asked the staff person to leave the facility and she did. I was told that local police have been contacted and they have been making routine checks to ensure that the individual and former staff person do not show up at the facility. Conclusion: Based on information gathered the allegation is unsubstantiated. Allegation #5: There are concerns regarding diapering. Observation and/or Interviews: I observed diaper changing occurring today. Diapers were changed when soiled. Children were taken to the bathroom and pull ups were changed accordingly. Conclusion: Based on observations the allegation is unsubstantiated. Allegation #6: There are concerns regarding nutrition. Observation and/or Interviews: The menu posted listed the breakfast to be served today as muffins, apple juice and milk. Today, breakfast served was fruit loops, mixed fruit and milk. The substitution was not indicated on the menu. Conclusion: Based on observed the allegation is substantiated. The following violations were cited during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1, there were twelve (12) children, infants and toddlers. The group size for infants must be ten (10). In space 3, there were fifteen (15) children, ages two to seven years with one (1) teacher. The staff/child ratio for two-year-olds is 1/10. After moving two-year-olds from space 3 to space 2, more children arrived at the facility and were dropped off in space 3. That teacher was again out of ratio with seventeen (17) children, ages three to seven years. The ratio for three-year-olds is 1/15. GS 110-91(7);.0713(a-d) 447 For children under two years of age, time and space for sleeping, eating, toileting, diaper changing, and playing was not provided according to child's needs. I observed one infant in a crib awake with no staff engagement or activity for twenty-two (22) minutes. I observed three (3) toddlers in high chairs not eating or drinking for thirteen (13) to twenty-two (22) minutes. .0511 (a) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu posted had muffins, apple juice and milk planned to be served. Fruit loops, mixed fruit and milk were served. The substitution was not recorded on the menu. 10A NCAC 09 .0901(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. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before July 23, 2025. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to sally.allen@dhhs.nc.gov or mail two copies of the letter to: P.O. Box 1305 Eden, NC 27289 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Due to a staff/child ratio, group size violation being cited a follow up visit will be made. Technical assistance provided during today’s visit: We discussed staffing patterns and creating a plan for when staff absences occur. I discussed with Ms. Clark and the assistant director how they can be in compliance today and the number of children that can be in each space. We talked about having a policy and procedure to review with staff regarding staff/child ratio. It is important that infants and toddlers have the ability to explore their environment. We must create an environment that is safe for our non-mobile while having room for our children that are mobile. We discussed ways that this can be achieved in our classroom spaces. Menus planning also includes that we have the food available so that someone isn’t having to leave to purchase needed food. Make sure that if substitutions are needed to be made the change is made to the menu prior to the food being served. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Sally Allen, Child Care Consultant (336)580-3782 sally.allen@dhh.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 32 Completed Date: 3/26/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to conduct a rated license assessment for the issuance of a star rated license. The visit was conducted with Josephine Clark, Administrator/Owner, by Tammy Childress, Lead Child Care Consultant, and Sally Allen, Child Care Consultant. Ms. Allen will be the assigned Child Care Consultant once the Temporary License has expired and a star rated license is issued. Currently this center operates with a Temporary License issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Upon arrival there were four classrooms in operation (Spaces 1, 2, 3, and 4), per Ms. Clark and based on observation. Ms. Clark, based on observation, was in Space 3. The infant caregiver, based on observation, was sitting in a vehicle, in the front parking lot. One staff member, based on observation, arrived in her vehicle into the parking lot after I arrived, and entered Space 2. One staff member, based on interview, stated that she had been in Space 2, prior to going back into her assigned classroom Space 3. One staff member was in Space 4 and based on interview stated she had not left the classroom at all today. One staff member was not present for work today. Of the five staff members working today, one was not on the premises and one staff member was observed in the parking lot in a vehicle, leaving three staff members inside the building with four classrooms with children present. A walkthrough of the facility was conducted by Ms. Childress and Ms. Allen. Ms. Clark, when able to leave Space 3, retrieved staff and children’s files from the office and placed them in the lobby for my review and then entered the infant children’s classroom as an additional caregiver. The walkthrough of the building consisted of the four classrooms in operation, the children’s restrooms, and the kitchen. Paperwork for today’s visit was completed in a classroom that was not in use. During the walkthrough of the facility, one staff person was observed providing care to eight children ages zero to twelve months. One infant was in a motion swing, which was plugged into the wall outlet located above the swing. The cord plugged into the outlet was draping loosely down the wall. The following items were monitored during today’s visit: •License Posted •Permit Restrictions •Staff/Child Ratios •Supervision •Group Size •Capacity •Hazardous Product Storage •New Staff Files (All staff files which were not completed in their entirety during previous visits.) •Indoor and Outdoor Space Safety Requirements •Applicable Rated License Requirements Ms. Clark provided me with six staff files and three children’s files for review. A completed staff and training worksheet was not available. Staff files did not contain the following documents: •Documentation of orientation, including the date, number of hours completed in each topic area, and the name of the individual who completed the orientation. •Date of a review of the Emergency Preparedness and Response Plan and the Emergency Medical Care Plan. •ITS-SIDS and CPR/FA training certificates, an application for employment and a certificate for Recognizing and Responding to Suspicions of Child Maltreatment for one staff member. •BSAC certificate for the Program Coordinator/Group Leader •Receipt and review of the Operational and Personnel Policies for one staff member and the Administrator. During the visit, a school age child arrived at the facility by public school bus transportation. After the child exited the bus, the child was observed to walk to the end of the building at the playground and then walk back to the building near the exterior classroom doors for Spaces 1 and 3. A staff person opened an exterior classroom door in Space 3 and the child entered inside the building. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was providing care to eight children ages infant to one year old during today's visit. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Three staff members were present inside the building and four classrooms occupied by children were in operation. .1801(a)(1-5) 801 Written procedures were not established for pick-up and delivery of children. A staff member was not outside to receive a school aged child as the child exited the school bus and did not accompany the child into the child care center. .1003(b) 815 Electrical cords were accessible to infants and toddlers. An infant swing in the infant children's classroom was plugged into a wall outlet and the cord was draped loosely down the wall toward the floor. 10A NCAC 09 .0604(f) 1043 All staff records, except financial records, were not made available for review. Staff files containing all required documents were not available for review. G.S. 110-91( 9) 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. One staff member did not have a training certificate or card on file showing current First Aid certification. .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. One staff member did not have a training certificate or card on file showing current CPR certification. .1102(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. One staff member responsible for providing care to infant children and alone in the classroom during the visit did not have a training certificate on file showing the completion of ITS-SIDS training. .01102 (f) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by April 8, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: Children in care must be supervised at all times and cannot be left alone (indoors or outdoors) for any reason. Supervision is defined In Child Care Rule 10A NCAC 09 .1801 as follows: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. We have reviewed Child Care Rule 10A NCAC 09 .0713, during previous visits on November 25, 2024, and January 17, 2025 that the required staff/child ratios must be maintained at all times, reviewed the ages of children that can be grouped during the operational day, and reviewed the staff/child ratios document and that applicable staff/child ratios for each classroom must be posted. Specifically, Child Care Rule 10A NCAC 09 .0713 in regard to today’s visit, requires that the minimum staff/child ratios and group sizes for the number and ages of children in care must be met. The staff member providing care for the infant children today did not have ITS-SIDS or CPR/FA Training certifications on file. Ms. Clark and the staff member stated that he had current CPR/FA training and that he had completed ITS-SIDS training on March 18, 2025, but had not received a training certificate. Ms. Clark provided the ITS-SIDS trainer’s name, telephone number and email address. During the visit conducted on November 26, 2024, we discussed using the Staff File Checklist available on the DCDEE website, and if a document was listed on the checklist, the document must be in the staff person’s file. We also discussed using the Staff and Training Worksheet as a guide to ensure all required documents were in staff files. During the visit conducted on February 18, 2025, we discussed completing and keeping the Staff and Training Worksheet up to date for all staff members. The infant swing plugged into the wall had a cord draped down the wall and the cord was accessible to the mobile children in the classroom. Safety must be maintained at all times in all spaces where children are in care. Child Care Rule 10A NCAC 09 .0604(f) states electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. The facility’s Safe Procedures for Pick-Up and Delivery, posted in the lobby state that upon arrival, children should be accompanied inside by a responsible person. An adult did not meet the school age child outside and accompany the child inside the building when the child exited the school bus. During previous visits, I have observed Ms. Clark going outside to meet the child and bring the child inside for care. Consultation provided during today’s visit: One of the restrooms for children in the hallway had a sign on the door stating it was out of order. This restroom did not have hot water at the sink when the water was turned on and ran for approximately one minute. The kitchen was equipped with hot water. The sinks in the four operational classrooms and an additional children’s restroom in the hallway, did not have warm water until the faucets were run for at least 2 minutes. Environmental Health was contacted during the visit, and we requested a visit be made to check the water temperatures. A thermometer to test the water temperatures was not available. Sanitation Rule 15A NCAC 18A .2803(e) documents the first step in handwashing procedures is to use liquid soap and tempered water. Sanitation Rule 15A NCAC 18A .2815(e) states that water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Cots where children were resting were observed with no linens. Sanitation Rule 15A NCAC 18A .2821 outlines the sanitation rules regarding beds, cots, mats and linens. Sanitation Rule 15A NCAC 18A 2821(c) states beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Sanitation Rule 15A NCAC 18A 2821(f) includes that linens shall be large enough to cover the bed, cot, or mat's sleeping surface. One child in the infant/toddler classroom was observed asleep with the child’s head covered completely with a blanket. Ms. Clark provided information that the child was over 12 months of age, and the child was later observed when awake to be walking and climbing. It is best practice that staff monitor all children while sleeping and remove any covering over the children’s faces and heads. Ms. Clark has completed an Application for a Two to Five Star Rated License and did not request an Environment Rating Scale Assessment at this time. The current compliance history for the facility prior to today’s visit was 78%. The possible points in each component of the rated license were reviewed as follows: Program Standards- 2 Points The facility will meet enhanced ratios per Child Care Rule 10A NCAC 09 .2818(b). Education- Pending Administrator: Program Coordinator: Lead Teachers (3 @ 50%= 1.5= 2)- 3 Points Teachers (2@50%=1)- 1 Points Group Leader (1)- Not Qualified On March 13, 2025, I emailed Ms. Clark and asked that she upload her BSAC certificate. Ms. Clark stated that she thought she had completed BSAC. During today’s visit, she stated she had completed school age coursework and did not think she needed BSAC training. Education points for Administrator, Program Coordinator, and Group Leader will be reviewed again. Ms. Clark documented on the Initial Application For a Two Through Five Star Rated License, in Part III Quality Point that she thought the program meets the option for “Enhance child-staff ratio requirements” in order to earn a Quality Point. This Quality Point Option is “ Has staff/child ratios decreased by at least one child per age group from the seven-point level as required in rule .2818(c). Based upon the number of children present today, the number of children enrolled, and the number of staff members employed at this facility, the staff/child ratios required by Child Care Rule 10A NCAC 09 .2818(c) are not being met and cannot be met at this time, as described below: -There are five staff members and one administrator. -Two staff members are required if nine or ten enrolled children ages 0-12 months are present; However, the maximum group size of 8 would be exceeded. -Two staff members are required if all enrolled children in the classroom for children ages 2 years old are present. -Two staff members are required if all children ages three to four years old are combined into one classroom, if all 18 of the children are present, and even if ten children are present. -One additional staff member is required for the school age children, if all 18 children ages three and four years old are present, because their maximum group size of 18 cannot be exceeded, by adding school age children to the group. The current number of staff and the staffing pattern does not account for staff who may be absent or allow for breaks for staff throughout the day. The total number of points earned for the star rated license could not be calculated today. I determined during the visit, after reviewing some of the violations with Ms. Clark, it was not appropriate to continue the Visit Summary review with Ms. Clark and she was providing care for infants and toddlers. I explained that I would contact her by telephone at a time she requested to finish reviewing the information and email the visit summary. Please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding 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 .0604 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 32 Completed Date: 3/26/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to conduct a rated license assessment for the issuance of a star rated license. The visit was conducted with Josephine Clark, Administrator/Owner, by Tammy Childress, Lead Child Care Consultant, and Sally Allen, Child Care Consultant. Ms. Allen will be the assigned Child Care Consultant once the Temporary License has expired and a star rated license is issued. Currently this center operates with a Temporary License issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Upon arrival there were four classrooms in operation (Spaces 1, 2, 3, and 4), per Ms. Clark and based on observation. Ms. Clark, based on observation, was in Space 3. The infant caregiver, based on observation, was sitting in a vehicle, in the front parking lot. One staff member, based on observation, arrived in her vehicle into the parking lot after I arrived, and entered Space 2. One staff member, based on interview, stated that she had been in Space 2, prior to going back into her assigned classroom Space 3. One staff member was in Space 4 and based on interview stated she had not left the classroom at all today. One staff member was not present for work today. Of the five staff members working today, one was not on the premises and one staff member was observed in the parking lot in a vehicle, leaving three staff members inside the building with four classrooms with children present. A walkthrough of the facility was conducted by Ms. Childress and Ms. Allen. Ms. Clark, when able to leave Space 3, retrieved staff and children’s files from the office and placed them in the lobby for my review and then entered the infant children’s classroom as an additional caregiver. The walkthrough of the building consisted of the four classrooms in operation, the children’s restrooms, and the kitchen. Paperwork for today’s visit was completed in a classroom that was not in use. During the walkthrough of the facility, one staff person was observed providing care to eight children ages zero to twelve months. One infant was in a motion swing, which was plugged into the wall outlet located above the swing. The cord plugged into the outlet was draping loosely down the wall. The following items were monitored during today’s visit: •License Posted •Permit Restrictions •Staff/Child Ratios •Supervision •Group Size •Capacity •Hazardous Product Storage •New Staff Files (All staff files which were not completed in their entirety during previous visits.) •Indoor and Outdoor Space Safety Requirements •Applicable Rated License Requirements Ms. Clark provided me with six staff files and three children’s files for review. A completed staff and training worksheet was not available. Staff files did not contain the following documents: •Documentation of orientation, including the date, number of hours completed in each topic area, and the name of the individual who completed the orientation. •Date of a review of the Emergency Preparedness and Response Plan and the Emergency Medical Care Plan. •ITS-SIDS and CPR/FA training certificates, an application for employment and a certificate for Recognizing and Responding to Suspicions of Child Maltreatment for one staff member. •BSAC certificate for the Program Coordinator/Group Leader •Receipt and review of the Operational and Personnel Policies for one staff member and the Administrator. During the visit, a school age child arrived at the facility by public school bus transportation. After the child exited the bus, the child was observed to walk to the end of the building at the playground and then walk back to the building near the exterior classroom doors for Spaces 1 and 3. A staff person opened an exterior classroom door in Space 3 and the child entered inside the building. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was providing care to eight children ages infant to one year old during today's visit. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Three staff members were present inside the building and four classrooms occupied by children were in operation. .1801(a)(1-5) 801 Written procedures were not established for pick-up and delivery of children. A staff member was not outside to receive a school aged child as the child exited the school bus and did not accompany the child into the child care center. .1003(b) 815 Electrical cords were accessible to infants and toddlers. An infant swing in the infant children's classroom was plugged into a wall outlet and the cord was draped loosely down the wall toward the floor. 10A NCAC 09 .0604(f) 1043 All staff records, except financial records, were not made available for review. Staff files containing all required documents were not available for review. G.S. 110-91( 9) 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. One staff member did not have a training certificate or card on file showing current First Aid certification. .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. One staff member did not have a training certificate or card on file showing current CPR certification. .1102(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. One staff member responsible for providing care to infant children and alone in the classroom during the visit did not have a training certificate on file showing the completion of ITS-SIDS training. .01102 (f) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by April 8, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: Children in care must be supervised at all times and cannot be left alone (indoors or outdoors) for any reason. Supervision is defined In Child Care Rule 10A NCAC 09 .1801 as follows: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. We have reviewed Child Care Rule 10A NCAC 09 .0713, during previous visits on November 25, 2024, and January 17, 2025 that the required staff/child ratios must be maintained at all times, reviewed the ages of children that can be grouped during the operational day, and reviewed the staff/child ratios document and that applicable staff/child ratios for each classroom must be posted. Specifically, Child Care Rule 10A NCAC 09 .0713 in regard to today’s visit, requires that the minimum staff/child ratios and group sizes for the number and ages of children in care must be met. The staff member providing care for the infant children today did not have ITS-SIDS or CPR/FA Training certifications on file. Ms. Clark and the staff member stated that he had current CPR/FA training and that he had completed ITS-SIDS training on March 18, 2025, but had not received a training certificate. Ms. Clark provided the ITS-SIDS trainer’s name, telephone number and email address. During the visit conducted on November 26, 2024, we discussed using the Staff File Checklist available on the DCDEE website, and if a document was listed on the checklist, the document must be in the staff person’s file. We also discussed using the Staff and Training Worksheet as a guide to ensure all required documents were in staff files. During the visit conducted on February 18, 2025, we discussed completing and keeping the Staff and Training Worksheet up to date for all staff members. The infant swing plugged into the wall had a cord draped down the wall and the cord was accessible to the mobile children in the classroom. Safety must be maintained at all times in all spaces where children are in care. Child Care Rule 10A NCAC 09 .0604(f) states electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. The facility’s Safe Procedures for Pick-Up and Delivery, posted in the lobby state that upon arrival, children should be accompanied inside by a responsible person. An adult did not meet the school age child outside and accompany the child inside the building when the child exited the school bus. During previous visits, I have observed Ms. Clark going outside to meet the child and bring the child inside for care. Consultation provided during today’s visit: One of the restrooms for children in the hallway had a sign on the door stating it was out of order. This restroom did not have hot water at the sink when the water was turned on and ran for approximately one minute. The kitchen was equipped with hot water. The sinks in the four operational classrooms and an additional children’s restroom in the hallway, did not have warm water until the faucets were run for at least 2 minutes. Environmental Health was contacted during the visit, and we requested a visit be made to check the water temperatures. A thermometer to test the water temperatures was not available. Sanitation Rule 15A NCAC 18A .2803(e) documents the first step in handwashing procedures is to use liquid soap and tempered water. Sanitation Rule 15A NCAC 18A .2815(e) states that water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Cots where children were resting were observed with no linens. Sanitation Rule 15A NCAC 18A .2821 outlines the sanitation rules regarding beds, cots, mats and linens. Sanitation Rule 15A NCAC 18A 2821(c) states beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Sanitation Rule 15A NCAC 18A 2821(f) includes that linens shall be large enough to cover the bed, cot, or mat's sleeping surface. One child in the infant/toddler classroom was observed asleep with the child’s head covered completely with a blanket. Ms. Clark provided information that the child was over 12 months of age, and the child was later observed when awake to be walking and climbing. It is best practice that staff monitor all children while sleeping and remove any covering over the children’s faces and heads. Ms. Clark has completed an Application for a Two to Five Star Rated License and did not request an Environment Rating Scale Assessment at this time. The current compliance history for the facility prior to today’s visit was 78%. The possible points in each component of the rated license were reviewed as follows: Program Standards- 2 Points The facility will meet enhanced ratios per Child Care Rule 10A NCAC 09 .2818(b). Education- Pending Administrator: Program Coordinator: Lead Teachers (3 @ 50%= 1.5= 2)- 3 Points Teachers (2@50%=1)- 1 Points Group Leader (1)- Not Qualified On March 13, 2025, I emailed Ms. Clark and asked that she upload her BSAC certificate. Ms. Clark stated that she thought she had completed BSAC. During today’s visit, she stated she had completed school age coursework and did not think she needed BSAC training. Education points for Administrator, Program Coordinator, and Group Leader will be reviewed again. Ms. Clark documented on the Initial Application For a Two Through Five Star Rated License, in Part III Quality Point that she thought the program meets the option for “Enhance child-staff ratio requirements” in order to earn a Quality Point. This Quality Point Option is “ Has staff/child ratios decreased by at least one child per age group from the seven-point level as required in rule .2818(c). Based upon the number of children present today, the number of children enrolled, and the number of staff members employed at this facility, the staff/child ratios required by Child Care Rule 10A NCAC 09 .2818(c) are not being met and cannot be met at this time, as described below: -There are five staff members and one administrator. -Two staff members are required if nine or ten enrolled children ages 0-12 months are present; However, the maximum group size of 8 would be exceeded. -Two staff members are required if all enrolled children in the classroom for children ages 2 years old are present. -Two staff members are required if all children ages three to four years old are combined into one classroom, if all 18 of the children are present, and even if ten children are present. -One additional staff member is required for the school age children, if all 18 children ages three and four years old are present, because their maximum group size of 18 cannot be exceeded, by adding school age children to the group. The current number of staff and the staffing pattern does not account for staff who may be absent or allow for breaks for staff throughout the day. The total number of points earned for the star rated license could not be calculated today. I determined during the visit, after reviewing some of the violations with Ms. Clark, it was not appropriate to continue the Visit Summary review with Ms. Clark and she was providing care for infants and toddlers. I explained that I would contact her by telephone at a time she requested to finish reviewing the information and email the visit summary. Please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding 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 .0713 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 32 Completed Date: 3/26/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to conduct a rated license assessment for the issuance of a star rated license. The visit was conducted with Josephine Clark, Administrator/Owner, by Tammy Childress, Lead Child Care Consultant, and Sally Allen, Child Care Consultant. Ms. Allen will be the assigned Child Care Consultant once the Temporary License has expired and a star rated license is issued. Currently this center operates with a Temporary License issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Upon arrival there were four classrooms in operation (Spaces 1, 2, 3, and 4), per Ms. Clark and based on observation. Ms. Clark, based on observation, was in Space 3. The infant caregiver, based on observation, was sitting in a vehicle, in the front parking lot. One staff member, based on observation, arrived in her vehicle into the parking lot after I arrived, and entered Space 2. One staff member, based on interview, stated that she had been in Space 2, prior to going back into her assigned classroom Space 3. One staff member was in Space 4 and based on interview stated she had not left the classroom at all today. One staff member was not present for work today. Of the five staff members working today, one was not on the premises and one staff member was observed in the parking lot in a vehicle, leaving three staff members inside the building with four classrooms with children present. A walkthrough of the facility was conducted by Ms. Childress and Ms. Allen. Ms. Clark, when able to leave Space 3, retrieved staff and children’s files from the office and placed them in the lobby for my review and then entered the infant children’s classroom as an additional caregiver. The walkthrough of the building consisted of the four classrooms in operation, the children’s restrooms, and the kitchen. Paperwork for today’s visit was completed in a classroom that was not in use. During the walkthrough of the facility, one staff person was observed providing care to eight children ages zero to twelve months. One infant was in a motion swing, which was plugged into the wall outlet located above the swing. The cord plugged into the outlet was draping loosely down the wall. The following items were monitored during today’s visit: •License Posted •Permit Restrictions •Staff/Child Ratios •Supervision •Group Size •Capacity •Hazardous Product Storage •New Staff Files (All staff files which were not completed in their entirety during previous visits.) •Indoor and Outdoor Space Safety Requirements •Applicable Rated License Requirements Ms. Clark provided me with six staff files and three children’s files for review. A completed staff and training worksheet was not available. Staff files did not contain the following documents: •Documentation of orientation, including the date, number of hours completed in each topic area, and the name of the individual who completed the orientation. •Date of a review of the Emergency Preparedness and Response Plan and the Emergency Medical Care Plan. •ITS-SIDS and CPR/FA training certificates, an application for employment and a certificate for Recognizing and Responding to Suspicions of Child Maltreatment for one staff member. •BSAC certificate for the Program Coordinator/Group Leader •Receipt and review of the Operational and Personnel Policies for one staff member and the Administrator. During the visit, a school age child arrived at the facility by public school bus transportation. After the child exited the bus, the child was observed to walk to the end of the building at the playground and then walk back to the building near the exterior classroom doors for Spaces 1 and 3. A staff person opened an exterior classroom door in Space 3 and the child entered inside the building. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was providing care to eight children ages infant to one year old during today's visit. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Three staff members were present inside the building and four classrooms occupied by children were in operation. .1801(a)(1-5) 801 Written procedures were not established for pick-up and delivery of children. A staff member was not outside to receive a school aged child as the child exited the school bus and did not accompany the child into the child care center. .1003(b) 815 Electrical cords were accessible to infants and toddlers. An infant swing in the infant children's classroom was plugged into a wall outlet and the cord was draped loosely down the wall toward the floor. 10A NCAC 09 .0604(f) 1043 All staff records, except financial records, were not made available for review. Staff files containing all required documents were not available for review. G.S. 110-91( 9) 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. One staff member did not have a training certificate or card on file showing current First Aid certification. .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. One staff member did not have a training certificate or card on file showing current CPR certification. .1102(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. One staff member responsible for providing care to infant children and alone in the classroom during the visit did not have a training certificate on file showing the completion of ITS-SIDS training. .01102 (f) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by April 8, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: Children in care must be supervised at all times and cannot be left alone (indoors or outdoors) for any reason. Supervision is defined In Child Care Rule 10A NCAC 09 .1801 as follows: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. We have reviewed Child Care Rule 10A NCAC 09 .0713, during previous visits on November 25, 2024, and January 17, 2025 that the required staff/child ratios must be maintained at all times, reviewed the ages of children that can be grouped during the operational day, and reviewed the staff/child ratios document and that applicable staff/child ratios for each classroom must be posted. Specifically, Child Care Rule 10A NCAC 09 .0713 in regard to today’s visit, requires that the minimum staff/child ratios and group sizes for the number and ages of children in care must be met. The staff member providing care for the infant children today did not have ITS-SIDS or CPR/FA Training certifications on file. Ms. Clark and the staff member stated that he had current CPR/FA training and that he had completed ITS-SIDS training on March 18, 2025, but had not received a training certificate. Ms. Clark provided the ITS-SIDS trainer’s name, telephone number and email address. During the visit conducted on November 26, 2024, we discussed using the Staff File Checklist available on the DCDEE website, and if a document was listed on the checklist, the document must be in the staff person’s file. We also discussed using the Staff and Training Worksheet as a guide to ensure all required documents were in staff files. During the visit conducted on February 18, 2025, we discussed completing and keeping the Staff and Training Worksheet up to date for all staff members. The infant swing plugged into the wall had a cord draped down the wall and the cord was accessible to the mobile children in the classroom. Safety must be maintained at all times in all spaces where children are in care. Child Care Rule 10A NCAC 09 .0604(f) states electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. The facility’s Safe Procedures for Pick-Up and Delivery, posted in the lobby state that upon arrival, children should be accompanied inside by a responsible person. An adult did not meet the school age child outside and accompany the child inside the building when the child exited the school bus. During previous visits, I have observed Ms. Clark going outside to meet the child and bring the child inside for care. Consultation provided during today’s visit: One of the restrooms for children in the hallway had a sign on the door stating it was out of order. This restroom did not have hot water at the sink when the water was turned on and ran for approximately one minute. The kitchen was equipped with hot water. The sinks in the four operational classrooms and an additional children’s restroom in the hallway, did not have warm water until the faucets were run for at least 2 minutes. Environmental Health was contacted during the visit, and we requested a visit be made to check the water temperatures. A thermometer to test the water temperatures was not available. Sanitation Rule 15A NCAC 18A .2803(e) documents the first step in handwashing procedures is to use liquid soap and tempered water. Sanitation Rule 15A NCAC 18A .2815(e) states that water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Cots where children were resting were observed with no linens. Sanitation Rule 15A NCAC 18A .2821 outlines the sanitation rules regarding beds, cots, mats and linens. Sanitation Rule 15A NCAC 18A 2821(c) states beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Sanitation Rule 15A NCAC 18A 2821(f) includes that linens shall be large enough to cover the bed, cot, or mat's sleeping surface. One child in the infant/toddler classroom was observed asleep with the child’s head covered completely with a blanket. Ms. Clark provided information that the child was over 12 months of age, and the child was later observed when awake to be walking and climbing. It is best practice that staff monitor all children while sleeping and remove any covering over the children’s faces and heads. Ms. Clark has completed an Application for a Two to Five Star Rated License and did not request an Environment Rating Scale Assessment at this time. The current compliance history for the facility prior to today’s visit was 78%. The possible points in each component of the rated license were reviewed as follows: Program Standards- 2 Points The facility will meet enhanced ratios per Child Care Rule 10A NCAC 09 .2818(b). Education- Pending Administrator: Program Coordinator: Lead Teachers (3 @ 50%= 1.5= 2)- 3 Points Teachers (2@50%=1)- 1 Points Group Leader (1)- Not Qualified On March 13, 2025, I emailed Ms. Clark and asked that she upload her BSAC certificate. Ms. Clark stated that she thought she had completed BSAC. During today’s visit, she stated she had completed school age coursework and did not think she needed BSAC training. Education points for Administrator, Program Coordinator, and Group Leader will be reviewed again. Ms. Clark documented on the Initial Application For a Two Through Five Star Rated License, in Part III Quality Point that she thought the program meets the option for “Enhance child-staff ratio requirements” in order to earn a Quality Point. This Quality Point Option is “ Has staff/child ratios decreased by at least one child per age group from the seven-point level as required in rule .2818(c). Based upon the number of children present today, the number of children enrolled, and the number of staff members employed at this facility, the staff/child ratios required by Child Care Rule 10A NCAC 09 .2818(c) are not being met and cannot be met at this time, as described below: -There are five staff members and one administrator. -Two staff members are required if nine or ten enrolled children ages 0-12 months are present; However, the maximum group size of 8 would be exceeded. -Two staff members are required if all enrolled children in the classroom for children ages 2 years old are present. -Two staff members are required if all children ages three to four years old are combined into one classroom, if all 18 of the children are present, and even if ten children are present. -One additional staff member is required for the school age children, if all 18 children ages three and four years old are present, because their maximum group size of 18 cannot be exceeded, by adding school age children to the group. The current number of staff and the staffing pattern does not account for staff who may be absent or allow for breaks for staff throughout the day. The total number of points earned for the star rated license could not be calculated today. I determined during the visit, after reviewing some of the violations with Ms. Clark, it was not appropriate to continue the Visit Summary review with Ms. Clark and she was providing care for infants and toddlers. I explained that I would contact her by telephone at a time she requested to finish reviewing the information and email the visit summary. Please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding 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 .1801 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 32 Completed Date: 3/26/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to conduct a rated license assessment for the issuance of a star rated license. The visit was conducted with Josephine Clark, Administrator/Owner, by Tammy Childress, Lead Child Care Consultant, and Sally Allen, Child Care Consultant. Ms. Allen will be the assigned Child Care Consultant once the Temporary License has expired and a star rated license is issued. Currently this center operates with a Temporary License issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Upon arrival there were four classrooms in operation (Spaces 1, 2, 3, and 4), per Ms. Clark and based on observation. Ms. Clark, based on observation, was in Space 3. The infant caregiver, based on observation, was sitting in a vehicle, in the front parking lot. One staff member, based on observation, arrived in her vehicle into the parking lot after I arrived, and entered Space 2. One staff member, based on interview, stated that she had been in Space 2, prior to going back into her assigned classroom Space 3. One staff member was in Space 4 and based on interview stated she had not left the classroom at all today. One staff member was not present for work today. Of the five staff members working today, one was not on the premises and one staff member was observed in the parking lot in a vehicle, leaving three staff members inside the building with four classrooms with children present. A walkthrough of the facility was conducted by Ms. Childress and Ms. Allen. Ms. Clark, when able to leave Space 3, retrieved staff and children’s files from the office and placed them in the lobby for my review and then entered the infant children’s classroom as an additional caregiver. The walkthrough of the building consisted of the four classrooms in operation, the children’s restrooms, and the kitchen. Paperwork for today’s visit was completed in a classroom that was not in use. During the walkthrough of the facility, one staff person was observed providing care to eight children ages zero to twelve months. One infant was in a motion swing, which was plugged into the wall outlet located above the swing. The cord plugged into the outlet was draping loosely down the wall. The following items were monitored during today’s visit: •License Posted •Permit Restrictions •Staff/Child Ratios •Supervision •Group Size •Capacity •Hazardous Product Storage •New Staff Files (All staff files which were not completed in their entirety during previous visits.) •Indoor and Outdoor Space Safety Requirements •Applicable Rated License Requirements Ms. Clark provided me with six staff files and three children’s files for review. A completed staff and training worksheet was not available. Staff files did not contain the following documents: •Documentation of orientation, including the date, number of hours completed in each topic area, and the name of the individual who completed the orientation. •Date of a review of the Emergency Preparedness and Response Plan and the Emergency Medical Care Plan. •ITS-SIDS and CPR/FA training certificates, an application for employment and a certificate for Recognizing and Responding to Suspicions of Child Maltreatment for one staff member. •BSAC certificate for the Program Coordinator/Group Leader •Receipt and review of the Operational and Personnel Policies for one staff member and the Administrator. During the visit, a school age child arrived at the facility by public school bus transportation. After the child exited the bus, the child was observed to walk to the end of the building at the playground and then walk back to the building near the exterior classroom doors for Spaces 1 and 3. A staff person opened an exterior classroom door in Space 3 and the child entered inside the building. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was providing care to eight children ages infant to one year old during today's visit. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Three staff members were present inside the building and four classrooms occupied by children were in operation. .1801(a)(1-5) 801 Written procedures were not established for pick-up and delivery of children. A staff member was not outside to receive a school aged child as the child exited the school bus and did not accompany the child into the child care center. .1003(b) 815 Electrical cords were accessible to infants and toddlers. An infant swing in the infant children's classroom was plugged into a wall outlet and the cord was draped loosely down the wall toward the floor. 10A NCAC 09 .0604(f) 1043 All staff records, except financial records, were not made available for review. Staff files containing all required documents were not available for review. G.S. 110-91( 9) 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. One staff member did not have a training certificate or card on file showing current First Aid certification. .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. One staff member did not have a training certificate or card on file showing current CPR certification. .1102(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. One staff member responsible for providing care to infant children and alone in the classroom during the visit did not have a training certificate on file showing the completion of ITS-SIDS training. .01102 (f) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by April 8, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: Children in care must be supervised at all times and cannot be left alone (indoors or outdoors) for any reason. Supervision is defined In Child Care Rule 10A NCAC 09 .1801 as follows: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. We have reviewed Child Care Rule 10A NCAC 09 .0713, during previous visits on November 25, 2024, and January 17, 2025 that the required staff/child ratios must be maintained at all times, reviewed the ages of children that can be grouped during the operational day, and reviewed the staff/child ratios document and that applicable staff/child ratios for each classroom must be posted. Specifically, Child Care Rule 10A NCAC 09 .0713 in regard to today’s visit, requires that the minimum staff/child ratios and group sizes for the number and ages of children in care must be met. The staff member providing care for the infant children today did not have ITS-SIDS or CPR/FA Training certifications on file. Ms. Clark and the staff member stated that he had current CPR/FA training and that he had completed ITS-SIDS training on March 18, 2025, but had not received a training certificate. Ms. Clark provided the ITS-SIDS trainer’s name, telephone number and email address. During the visit conducted on November 26, 2024, we discussed using the Staff File Checklist available on the DCDEE website, and if a document was listed on the checklist, the document must be in the staff person’s file. We also discussed using the Staff and Training Worksheet as a guide to ensure all required documents were in staff files. During the visit conducted on February 18, 2025, we discussed completing and keeping the Staff and Training Worksheet up to date for all staff members. The infant swing plugged into the wall had a cord draped down the wall and the cord was accessible to the mobile children in the classroom. Safety must be maintained at all times in all spaces where children are in care. Child Care Rule 10A NCAC 09 .0604(f) states electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. The facility’s Safe Procedures for Pick-Up and Delivery, posted in the lobby state that upon arrival, children should be accompanied inside by a responsible person. An adult did not meet the school age child outside and accompany the child inside the building when the child exited the school bus. During previous visits, I have observed Ms. Clark going outside to meet the child and bring the child inside for care. Consultation provided during today’s visit: One of the restrooms for children in the hallway had a sign on the door stating it was out of order. This restroom did not have hot water at the sink when the water was turned on and ran for approximately one minute. The kitchen was equipped with hot water. The sinks in the four operational classrooms and an additional children’s restroom in the hallway, did not have warm water until the faucets were run for at least 2 minutes. Environmental Health was contacted during the visit, and we requested a visit be made to check the water temperatures. A thermometer to test the water temperatures was not available. Sanitation Rule 15A NCAC 18A .2803(e) documents the first step in handwashing procedures is to use liquid soap and tempered water. Sanitation Rule 15A NCAC 18A .2815(e) states that water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Cots where children were resting were observed with no linens. Sanitation Rule 15A NCAC 18A .2821 outlines the sanitation rules regarding beds, cots, mats and linens. Sanitation Rule 15A NCAC 18A 2821(c) states beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Sanitation Rule 15A NCAC 18A 2821(f) includes that linens shall be large enough to cover the bed, cot, or mat's sleeping surface. One child in the infant/toddler classroom was observed asleep with the child’s head covered completely with a blanket. Ms. Clark provided information that the child was over 12 months of age, and the child was later observed when awake to be walking and climbing. It is best practice that staff monitor all children while sleeping and remove any covering over the children’s faces and heads. Ms. Clark has completed an Application for a Two to Five Star Rated License and did not request an Environment Rating Scale Assessment at this time. The current compliance history for the facility prior to today’s visit was 78%. The possible points in each component of the rated license were reviewed as follows: Program Standards- 2 Points The facility will meet enhanced ratios per Child Care Rule 10A NCAC 09 .2818(b). Education- Pending Administrator: Program Coordinator: Lead Teachers (3 @ 50%= 1.5= 2)- 3 Points Teachers (2@50%=1)- 1 Points Group Leader (1)- Not Qualified On March 13, 2025, I emailed Ms. Clark and asked that she upload her BSAC certificate. Ms. Clark stated that she thought she had completed BSAC. During today’s visit, she stated she had completed school age coursework and did not think she needed BSAC training. Education points for Administrator, Program Coordinator, and Group Leader will be reviewed again. Ms. Clark documented on the Initial Application For a Two Through Five Star Rated License, in Part III Quality Point that she thought the program meets the option for “Enhance child-staff ratio requirements” in order to earn a Quality Point. This Quality Point Option is “ Has staff/child ratios decreased by at least one child per age group from the seven-point level as required in rule .2818(c). Based upon the number of children present today, the number of children enrolled, and the number of staff members employed at this facility, the staff/child ratios required by Child Care Rule 10A NCAC 09 .2818(c) are not being met and cannot be met at this time, as described below: -There are five staff members and one administrator. -Two staff members are required if nine or ten enrolled children ages 0-12 months are present; However, the maximum group size of 8 would be exceeded. -Two staff members are required if all enrolled children in the classroom for children ages 2 years old are present. -Two staff members are required if all children ages three to four years old are combined into one classroom, if all 18 of the children are present, and even if ten children are present. -One additional staff member is required for the school age children, if all 18 children ages three and four years old are present, because their maximum group size of 18 cannot be exceeded, by adding school age children to the group. The current number of staff and the staffing pattern does not account for staff who may be absent or allow for breaks for staff throughout the day. The total number of points earned for the star rated license could not be calculated today. I determined during the visit, after reviewing some of the violations with Ms. Clark, it was not appropriate to continue the Visit Summary review with Ms. Clark and she was providing care for infants and toddlers. I explained that I would contact her by telephone at a time she requested to finish reviewing the information and email the visit summary. Please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding 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 .2818 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 32 Completed Date: 3/26/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to conduct a rated license assessment for the issuance of a star rated license. The visit was conducted with Josephine Clark, Administrator/Owner, by Tammy Childress, Lead Child Care Consultant, and Sally Allen, Child Care Consultant. Ms. Allen will be the assigned Child Care Consultant once the Temporary License has expired and a star rated license is issued. Currently this center operates with a Temporary License issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Upon arrival there were four classrooms in operation (Spaces 1, 2, 3, and 4), per Ms. Clark and based on observation. Ms. Clark, based on observation, was in Space 3. The infant caregiver, based on observation, was sitting in a vehicle, in the front parking lot. One staff member, based on observation, arrived in her vehicle into the parking lot after I arrived, and entered Space 2. One staff member, based on interview, stated that she had been in Space 2, prior to going back into her assigned classroom Space 3. One staff member was in Space 4 and based on interview stated she had not left the classroom at all today. One staff member was not present for work today. Of the five staff members working today, one was not on the premises and one staff member was observed in the parking lot in a vehicle, leaving three staff members inside the building with four classrooms with children present. A walkthrough of the facility was conducted by Ms. Childress and Ms. Allen. Ms. Clark, when able to leave Space 3, retrieved staff and children’s files from the office and placed them in the lobby for my review and then entered the infant children’s classroom as an additional caregiver. The walkthrough of the building consisted of the four classrooms in operation, the children’s restrooms, and the kitchen. Paperwork for today’s visit was completed in a classroom that was not in use. During the walkthrough of the facility, one staff person was observed providing care to eight children ages zero to twelve months. One infant was in a motion swing, which was plugged into the wall outlet located above the swing. The cord plugged into the outlet was draping loosely down the wall. The following items were monitored during today’s visit: •License Posted •Permit Restrictions •Staff/Child Ratios •Supervision •Group Size •Capacity •Hazardous Product Storage •New Staff Files (All staff files which were not completed in their entirety during previous visits.) •Indoor and Outdoor Space Safety Requirements •Applicable Rated License Requirements Ms. Clark provided me with six staff files and three children’s files for review. A completed staff and training worksheet was not available. Staff files did not contain the following documents: •Documentation of orientation, including the date, number of hours completed in each topic area, and the name of the individual who completed the orientation. •Date of a review of the Emergency Preparedness and Response Plan and the Emergency Medical Care Plan. •ITS-SIDS and CPR/FA training certificates, an application for employment and a certificate for Recognizing and Responding to Suspicions of Child Maltreatment for one staff member. •BSAC certificate for the Program Coordinator/Group Leader •Receipt and review of the Operational and Personnel Policies for one staff member and the Administrator. During the visit, a school age child arrived at the facility by public school bus transportation. After the child exited the bus, the child was observed to walk to the end of the building at the playground and then walk back to the building near the exterior classroom doors for Spaces 1 and 3. A staff person opened an exterior classroom door in Space 3 and the child entered inside the building. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was providing care to eight children ages infant to one year old during today's visit. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Three staff members were present inside the building and four classrooms occupied by children were in operation. .1801(a)(1-5) 801 Written procedures were not established for pick-up and delivery of children. A staff member was not outside to receive a school aged child as the child exited the school bus and did not accompany the child into the child care center. .1003(b) 815 Electrical cords were accessible to infants and toddlers. An infant swing in the infant children's classroom was plugged into a wall outlet and the cord was draped loosely down the wall toward the floor. 10A NCAC 09 .0604(f) 1043 All staff records, except financial records, were not made available for review. Staff files containing all required documents were not available for review. G.S. 110-91( 9) 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. One staff member did not have a training certificate or card on file showing current First Aid certification. .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. One staff member did not have a training certificate or card on file showing current CPR certification. .1102(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. One staff member responsible for providing care to infant children and alone in the classroom during the visit did not have a training certificate on file showing the completion of ITS-SIDS training. .01102 (f) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by April 8, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: Children in care must be supervised at all times and cannot be left alone (indoors or outdoors) for any reason. Supervision is defined In Child Care Rule 10A NCAC 09 .1801 as follows: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. We have reviewed Child Care Rule 10A NCAC 09 .0713, during previous visits on November 25, 2024, and January 17, 2025 that the required staff/child ratios must be maintained at all times, reviewed the ages of children that can be grouped during the operational day, and reviewed the staff/child ratios document and that applicable staff/child ratios for each classroom must be posted. Specifically, Child Care Rule 10A NCAC 09 .0713 in regard to today’s visit, requires that the minimum staff/child ratios and group sizes for the number and ages of children in care must be met. The staff member providing care for the infant children today did not have ITS-SIDS or CPR/FA Training certifications on file. Ms. Clark and the staff member stated that he had current CPR/FA training and that he had completed ITS-SIDS training on March 18, 2025, but had not received a training certificate. Ms. Clark provided the ITS-SIDS trainer’s name, telephone number and email address. During the visit conducted on November 26, 2024, we discussed using the Staff File Checklist available on the DCDEE website, and if a document was listed on the checklist, the document must be in the staff person’s file. We also discussed using the Staff and Training Worksheet as a guide to ensure all required documents were in staff files. During the visit conducted on February 18, 2025, we discussed completing and keeping the Staff and Training Worksheet up to date for all staff members. The infant swing plugged into the wall had a cord draped down the wall and the cord was accessible to the mobile children in the classroom. Safety must be maintained at all times in all spaces where children are in care. Child Care Rule 10A NCAC 09 .0604(f) states electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. The facility’s Safe Procedures for Pick-Up and Delivery, posted in the lobby state that upon arrival, children should be accompanied inside by a responsible person. An adult did not meet the school age child outside and accompany the child inside the building when the child exited the school bus. During previous visits, I have observed Ms. Clark going outside to meet the child and bring the child inside for care. Consultation provided during today’s visit: One of the restrooms for children in the hallway had a sign on the door stating it was out of order. This restroom did not have hot water at the sink when the water was turned on and ran for approximately one minute. The kitchen was equipped with hot water. The sinks in the four operational classrooms and an additional children’s restroom in the hallway, did not have warm water until the faucets were run for at least 2 minutes. Environmental Health was contacted during the visit, and we requested a visit be made to check the water temperatures. A thermometer to test the water temperatures was not available. Sanitation Rule 15A NCAC 18A .2803(e) documents the first step in handwashing procedures is to use liquid soap and tempered water. Sanitation Rule 15A NCAC 18A .2815(e) states that water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Cots where children were resting were observed with no linens. Sanitation Rule 15A NCAC 18A .2821 outlines the sanitation rules regarding beds, cots, mats and linens. Sanitation Rule 15A NCAC 18A 2821(c) states beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Sanitation Rule 15A NCAC 18A 2821(f) includes that linens shall be large enough to cover the bed, cot, or mat's sleeping surface. One child in the infant/toddler classroom was observed asleep with the child’s head covered completely with a blanket. Ms. Clark provided information that the child was over 12 months of age, and the child was later observed when awake to be walking and climbing. It is best practice that staff monitor all children while sleeping and remove any covering over the children’s faces and heads. Ms. Clark has completed an Application for a Two to Five Star Rated License and did not request an Environment Rating Scale Assessment at this time. The current compliance history for the facility prior to today’s visit was 78%. The possible points in each component of the rated license were reviewed as follows: Program Standards- 2 Points The facility will meet enhanced ratios per Child Care Rule 10A NCAC 09 .2818(b). Education- Pending Administrator: Program Coordinator: Lead Teachers (3 @ 50%= 1.5= 2)- 3 Points Teachers (2@50%=1)- 1 Points Group Leader (1)- Not Qualified On March 13, 2025, I emailed Ms. Clark and asked that she upload her BSAC certificate. Ms. Clark stated that she thought she had completed BSAC. During today’s visit, she stated she had completed school age coursework and did not think she needed BSAC training. Education points for Administrator, Program Coordinator, and Group Leader will be reviewed again. Ms. Clark documented on the Initial Application For a Two Through Five Star Rated License, in Part III Quality Point that she thought the program meets the option for “Enhance child-staff ratio requirements” in order to earn a Quality Point. This Quality Point Option is “ Has staff/child ratios decreased by at least one child per age group from the seven-point level as required in rule .2818(c). Based upon the number of children present today, the number of children enrolled, and the number of staff members employed at this facility, the staff/child ratios required by Child Care Rule 10A NCAC 09 .2818(c) are not being met and cannot be met at this time, as described below: -There are five staff members and one administrator. -Two staff members are required if nine or ten enrolled children ages 0-12 months are present; However, the maximum group size of 8 would be exceeded. -Two staff members are required if all enrolled children in the classroom for children ages 2 years old are present. -Two staff members are required if all children ages three to four years old are combined into one classroom, if all 18 of the children are present, and even if ten children are present. -One additional staff member is required for the school age children, if all 18 children ages three and four years old are present, because their maximum group size of 18 cannot be exceeded, by adding school age children to the group. The current number of staff and the staffing pattern does not account for staff who may be absent or allow for breaks for staff throughout the day. The total number of points earned for the star rated license could not be calculated today. I determined during the visit, after reviewing some of the violations with Ms. Clark, it was not appropriate to continue the Visit Summary review with Ms. Clark and she was providing care for infants and toddlers. I explained that I would contact her by telephone at a time she requested to finish reviewing the information and email the visit summary. Please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 32 Completed Date: 3/26/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to conduct a rated license assessment for the issuance of a star rated license. The visit was conducted with Josephine Clark, Administrator/Owner, by Tammy Childress, Lead Child Care Consultant, and Sally Allen, Child Care Consultant. Ms. Allen will be the assigned Child Care Consultant once the Temporary License has expired and a star rated license is issued. Currently this center operates with a Temporary License issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Upon arrival there were four classrooms in operation (Spaces 1, 2, 3, and 4), per Ms. Clark and based on observation. Ms. Clark, based on observation, was in Space 3. The infant caregiver, based on observation, was sitting in a vehicle, in the front parking lot. One staff member, based on observation, arrived in her vehicle into the parking lot after I arrived, and entered Space 2. One staff member, based on interview, stated that she had been in Space 2, prior to going back into her assigned classroom Space 3. One staff member was in Space 4 and based on interview stated she had not left the classroom at all today. One staff member was not present for work today. Of the five staff members working today, one was not on the premises and one staff member was observed in the parking lot in a vehicle, leaving three staff members inside the building with four classrooms with children present. A walkthrough of the facility was conducted by Ms. Childress and Ms. Allen. Ms. Clark, when able to leave Space 3, retrieved staff and children’s files from the office and placed them in the lobby for my review and then entered the infant children’s classroom as an additional caregiver. The walkthrough of the building consisted of the four classrooms in operation, the children’s restrooms, and the kitchen. Paperwork for today’s visit was completed in a classroom that was not in use. During the walkthrough of the facility, one staff person was observed providing care to eight children ages zero to twelve months. One infant was in a motion swing, which was plugged into the wall outlet located above the swing. The cord plugged into the outlet was draping loosely down the wall. The following items were monitored during today’s visit: •License Posted •Permit Restrictions •Staff/Child Ratios •Supervision •Group Size •Capacity •Hazardous Product Storage •New Staff Files (All staff files which were not completed in their entirety during previous visits.) •Indoor and Outdoor Space Safety Requirements •Applicable Rated License Requirements Ms. Clark provided me with six staff files and three children’s files for review. A completed staff and training worksheet was not available. Staff files did not contain the following documents: •Documentation of orientation, including the date, number of hours completed in each topic area, and the name of the individual who completed the orientation. •Date of a review of the Emergency Preparedness and Response Plan and the Emergency Medical Care Plan. •ITS-SIDS and CPR/FA training certificates, an application for employment and a certificate for Recognizing and Responding to Suspicions of Child Maltreatment for one staff member. •BSAC certificate for the Program Coordinator/Group Leader •Receipt and review of the Operational and Personnel Policies for one staff member and the Administrator. During the visit, a school age child arrived at the facility by public school bus transportation. After the child exited the bus, the child was observed to walk to the end of the building at the playground and then walk back to the building near the exterior classroom doors for Spaces 1 and 3. A staff person opened an exterior classroom door in Space 3 and the child entered inside the building. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was providing care to eight children ages infant to one year old during today's visit. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Three staff members were present inside the building and four classrooms occupied by children were in operation. .1801(a)(1-5) 801 Written procedures were not established for pick-up and delivery of children. A staff member was not outside to receive a school aged child as the child exited the school bus and did not accompany the child into the child care center. .1003(b) 815 Electrical cords were accessible to infants and toddlers. An infant swing in the infant children's classroom was plugged into a wall outlet and the cord was draped loosely down the wall toward the floor. 10A NCAC 09 .0604(f) 1043 All staff records, except financial records, were not made available for review. Staff files containing all required documents were not available for review. G.S. 110-91( 9) 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. One staff member did not have a training certificate or card on file showing current First Aid certification. .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. One staff member did not have a training certificate or card on file showing current CPR certification. .1102(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. One staff member responsible for providing care to infant children and alone in the classroom during the visit did not have a training certificate on file showing the completion of ITS-SIDS training. .01102 (f) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by April 8, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: Children in care must be supervised at all times and cannot be left alone (indoors or outdoors) for any reason. Supervision is defined In Child Care Rule 10A NCAC 09 .1801 as follows: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. We have reviewed Child Care Rule 10A NCAC 09 .0713, during previous visits on November 25, 2024, and January 17, 2025 that the required staff/child ratios must be maintained at all times, reviewed the ages of children that can be grouped during the operational day, and reviewed the staff/child ratios document and that applicable staff/child ratios for each classroom must be posted. Specifically, Child Care Rule 10A NCAC 09 .0713 in regard to today’s visit, requires that the minimum staff/child ratios and group sizes for the number and ages of children in care must be met. The staff member providing care for the infant children today did not have ITS-SIDS or CPR/FA Training certifications on file. Ms. Clark and the staff member stated that he had current CPR/FA training and that he had completed ITS-SIDS training on March 18, 2025, but had not received a training certificate. Ms. Clark provided the ITS-SIDS trainer’s name, telephone number and email address. During the visit conducted on November 26, 2024, we discussed using the Staff File Checklist available on the DCDEE website, and if a document was listed on the checklist, the document must be in the staff person’s file. We also discussed using the Staff and Training Worksheet as a guide to ensure all required documents were in staff files. During the visit conducted on February 18, 2025, we discussed completing and keeping the Staff and Training Worksheet up to date for all staff members. The infant swing plugged into the wall had a cord draped down the wall and the cord was accessible to the mobile children in the classroom. Safety must be maintained at all times in all spaces where children are in care. Child Care Rule 10A NCAC 09 .0604(f) states electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. The facility’s Safe Procedures for Pick-Up and Delivery, posted in the lobby state that upon arrival, children should be accompanied inside by a responsible person. An adult did not meet the school age child outside and accompany the child inside the building when the child exited the school bus. During previous visits, I have observed Ms. Clark going outside to meet the child and bring the child inside for care. Consultation provided during today’s visit: One of the restrooms for children in the hallway had a sign on the door stating it was out of order. This restroom did not have hot water at the sink when the water was turned on and ran for approximately one minute. The kitchen was equipped with hot water. The sinks in the four operational classrooms and an additional children’s restroom in the hallway, did not have warm water until the faucets were run for at least 2 minutes. Environmental Health was contacted during the visit, and we requested a visit be made to check the water temperatures. A thermometer to test the water temperatures was not available. Sanitation Rule 15A NCAC 18A .2803(e) documents the first step in handwashing procedures is to use liquid soap and tempered water. Sanitation Rule 15A NCAC 18A .2815(e) states that water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Cots where children were resting were observed with no linens. Sanitation Rule 15A NCAC 18A .2821 outlines the sanitation rules regarding beds, cots, mats and linens. Sanitation Rule 15A NCAC 18A 2821(c) states beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Sanitation Rule 15A NCAC 18A 2821(f) includes that linens shall be large enough to cover the bed, cot, or mat's sleeping surface. One child in the infant/toddler classroom was observed asleep with the child’s head covered completely with a blanket. Ms. Clark provided information that the child was over 12 months of age, and the child was later observed when awake to be walking and climbing. It is best practice that staff monitor all children while sleeping and remove any covering over the children’s faces and heads. Ms. Clark has completed an Application for a Two to Five Star Rated License and did not request an Environment Rating Scale Assessment at this time. The current compliance history for the facility prior to today’s visit was 78%. The possible points in each component of the rated license were reviewed as follows: Program Standards- 2 Points The facility will meet enhanced ratios per Child Care Rule 10A NCAC 09 .2818(b). Education- Pending Administrator: Program Coordinator: Lead Teachers (3 @ 50%= 1.5= 2)- 3 Points Teachers (2@50%=1)- 1 Points Group Leader (1)- Not Qualified On March 13, 2025, I emailed Ms. Clark and asked that she upload her BSAC certificate. Ms. Clark stated that she thought she had completed BSAC. During today’s visit, she stated she had completed school age coursework and did not think she needed BSAC training. Education points for Administrator, Program Coordinator, and Group Leader will be reviewed again. Ms. Clark documented on the Initial Application For a Two Through Five Star Rated License, in Part III Quality Point that she thought the program meets the option for “Enhance child-staff ratio requirements” in order to earn a Quality Point. This Quality Point Option is “ Has staff/child ratios decreased by at least one child per age group from the seven-point level as required in rule .2818(c). Based upon the number of children present today, the number of children enrolled, and the number of staff members employed at this facility, the staff/child ratios required by Child Care Rule 10A NCAC 09 .2818(c) are not being met and cannot be met at this time, as described below: -There are five staff members and one administrator. -Two staff members are required if nine or ten enrolled children ages 0-12 months are present; However, the maximum group size of 8 would be exceeded. -Two staff members are required if all enrolled children in the classroom for children ages 2 years old are present. -Two staff members are required if all children ages three to four years old are combined into one classroom, if all 18 of the children are present, and even if ten children are present. -One additional staff member is required for the school age children, if all 18 children ages three and four years old are present, because their maximum group size of 18 cannot be exceeded, by adding school age children to the group. The current number of staff and the staffing pattern does not account for staff who may be absent or allow for breaks for staff throughout the day. The total number of points earned for the star rated license could not be calculated today. I determined during the visit, after reviewing some of the violations with Ms. Clark, it was not appropriate to continue the Visit Summary review with Ms. Clark and she was providing care for infants and toddlers. I explained that I would contact her by telephone at a time she requested to finish reviewing the information and email the visit summary. Please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 3/25/2025 Number Present: 32 Completed Date: 3/26/2025 Age: From 0 To 4 Total Minutes: 150 Time In: 12:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the third temporary time period and to conduct a rated license assessment for the issuance of a star rated license. The visit was conducted with Josephine Clark, Administrator/Owner, by Tammy Childress, Lead Child Care Consultant, and Sally Allen, Child Care Consultant. Ms. Allen will be the assigned Child Care Consultant once the Temporary License has expired and a star rated license is issued. Currently this center operates with a Temporary License issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Upon arrival there were four classrooms in operation (Spaces 1, 2, 3, and 4), per Ms. Clark and based on observation. Ms. Clark, based on observation, was in Space 3. The infant caregiver, based on observation, was sitting in a vehicle, in the front parking lot. One staff member, based on observation, arrived in her vehicle into the parking lot after I arrived, and entered Space 2. One staff member, based on interview, stated that she had been in Space 2, prior to going back into her assigned classroom Space 3. One staff member was in Space 4 and based on interview stated she had not left the classroom at all today. One staff member was not present for work today. Of the five staff members working today, one was not on the premises and one staff member was observed in the parking lot in a vehicle, leaving three staff members inside the building with four classrooms with children present. A walkthrough of the facility was conducted by Ms. Childress and Ms. Allen. Ms. Clark, when able to leave Space 3, retrieved staff and children’s files from the office and placed them in the lobby for my review and then entered the infant children’s classroom as an additional caregiver. The walkthrough of the building consisted of the four classrooms in operation, the children’s restrooms, and the kitchen. Paperwork for today’s visit was completed in a classroom that was not in use. During the walkthrough of the facility, one staff person was observed providing care to eight children ages zero to twelve months. One infant was in a motion swing, which was plugged into the wall outlet located above the swing. The cord plugged into the outlet was draping loosely down the wall. The following items were monitored during today’s visit: •License Posted •Permit Restrictions •Staff/Child Ratios •Supervision •Group Size •Capacity •Hazardous Product Storage •New Staff Files (All staff files which were not completed in their entirety during previous visits.) •Indoor and Outdoor Space Safety Requirements •Applicable Rated License Requirements Ms. Clark provided me with six staff files and three children’s files for review. A completed staff and training worksheet was not available. Staff files did not contain the following documents: •Documentation of orientation, including the date, number of hours completed in each topic area, and the name of the individual who completed the orientation. •Date of a review of the Emergency Preparedness and Response Plan and the Emergency Medical Care Plan. •ITS-SIDS and CPR/FA training certificates, an application for employment and a certificate for Recognizing and Responding to Suspicions of Child Maltreatment for one staff member. •BSAC certificate for the Program Coordinator/Group Leader •Receipt and review of the Operational and Personnel Policies for one staff member and the Administrator. During the visit, a school age child arrived at the facility by public school bus transportation. After the child exited the bus, the child was observed to walk to the end of the building at the playground and then walk back to the building near the exterior classroom doors for Spaces 1 and 3. A staff person opened an exterior classroom door in Space 3 and the child entered inside the building. The following violations were documented during today’s visit: Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was providing care to eight children ages infant to one year old during today's visit. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. Three staff members were present inside the building and four classrooms occupied by children were in operation. .1801(a)(1-5) 801 Written procedures were not established for pick-up and delivery of children. A staff member was not outside to receive a school aged child as the child exited the school bus and did not accompany the child into the child care center. .1003(b) 815 Electrical cords were accessible to infants and toddlers. An infant swing in the infant children's classroom was plugged into a wall outlet and the cord was draped loosely down the wall toward the floor. 10A NCAC 09 .0604(f) 1043 All staff records, except financial records, were not made available for review. Staff files containing all required documents were not available for review. G.S. 110-91( 9) 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. One staff member did not have a training certificate or card on file showing current First Aid certification. .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. One staff member did not have a training certificate or card on file showing current CPR certification. .1102(d) 1831 At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. One staff member responsible for providing care to infant children and alone in the classroom during the visit did not have a training certificate on file showing the completion of ITS-SIDS training. .01102 (f) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by April 8, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: Children in care must be supervised at all times and cannot be left alone (indoors or outdoors) for any reason. Supervision is defined In Child Care Rule 10A NCAC 09 .1801 as follows: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. We have reviewed Child Care Rule 10A NCAC 09 .0713, during previous visits on November 25, 2024, and January 17, 2025 that the required staff/child ratios must be maintained at all times, reviewed the ages of children that can be grouped during the operational day, and reviewed the staff/child ratios document and that applicable staff/child ratios for each classroom must be posted. Specifically, Child Care Rule 10A NCAC 09 .0713 in regard to today’s visit, requires that the minimum staff/child ratios and group sizes for the number and ages of children in care must be met. The staff member providing care for the infant children today did not have ITS-SIDS or CPR/FA Training certifications on file. Ms. Clark and the staff member stated that he had current CPR/FA training and that he had completed ITS-SIDS training on March 18, 2025, but had not received a training certificate. Ms. Clark provided the ITS-SIDS trainer’s name, telephone number and email address. During the visit conducted on November 26, 2024, we discussed using the Staff File Checklist available on the DCDEE website, and if a document was listed on the checklist, the document must be in the staff person’s file. We also discussed using the Staff and Training Worksheet as a guide to ensure all required documents were in staff files. During the visit conducted on February 18, 2025, we discussed completing and keeping the Staff and Training Worksheet up to date for all staff members. The infant swing plugged into the wall had a cord draped down the wall and the cord was accessible to the mobile children in the classroom. Safety must be maintained at all times in all spaces where children are in care. Child Care Rule 10A NCAC 09 .0604(f) states electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. The facility’s Safe Procedures for Pick-Up and Delivery, posted in the lobby state that upon arrival, children should be accompanied inside by a responsible person. An adult did not meet the school age child outside and accompany the child inside the building when the child exited the school bus. During previous visits, I have observed Ms. Clark going outside to meet the child and bring the child inside for care. Consultation provided during today’s visit: One of the restrooms for children in the hallway had a sign on the door stating it was out of order. This restroom did not have hot water at the sink when the water was turned on and ran for approximately one minute. The kitchen was equipped with hot water. The sinks in the four operational classrooms and an additional children’s restroom in the hallway, did not have warm water until the faucets were run for at least 2 minutes. Environmental Health was contacted during the visit, and we requested a visit be made to check the water temperatures. A thermometer to test the water temperatures was not available. Sanitation Rule 15A NCAC 18A .2803(e) documents the first step in handwashing procedures is to use liquid soap and tempered water. Sanitation Rule 15A NCAC 18A .2815(e) states that water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Cots where children were resting were observed with no linens. Sanitation Rule 15A NCAC 18A .2821 outlines the sanitation rules regarding beds, cots, mats and linens. Sanitation Rule 15A NCAC 18A 2821(c) states beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Sanitation Rule 15A NCAC 18A 2821(f) includes that linens shall be large enough to cover the bed, cot, or mat's sleeping surface. One child in the infant/toddler classroom was observed asleep with the child’s head covered completely with a blanket. Ms. Clark provided information that the child was over 12 months of age, and the child was later observed when awake to be walking and climbing. It is best practice that staff monitor all children while sleeping and remove any covering over the children’s faces and heads. Ms. Clark has completed an Application for a Two to Five Star Rated License and did not request an Environment Rating Scale Assessment at this time. The current compliance history for the facility prior to today’s visit was 78%. The possible points in each component of the rated license were reviewed as follows: Program Standards- 2 Points The facility will meet enhanced ratios per Child Care Rule 10A NCAC 09 .2818(b). Education- Pending Administrator: Program Coordinator: Lead Teachers (3 @ 50%= 1.5= 2)- 3 Points Teachers (2@50%=1)- 1 Points Group Leader (1)- Not Qualified On March 13, 2025, I emailed Ms. Clark and asked that she upload her BSAC certificate. Ms. Clark stated that she thought she had completed BSAC. During today’s visit, she stated she had completed school age coursework and did not think she needed BSAC training. Education points for Administrator, Program Coordinator, and Group Leader will be reviewed again. Ms. Clark documented on the Initial Application For a Two Through Five Star Rated License, in Part III Quality Point that she thought the program meets the option for “Enhance child-staff ratio requirements” in order to earn a Quality Point. This Quality Point Option is “ Has staff/child ratios decreased by at least one child per age group from the seven-point level as required in rule .2818(c). Based upon the number of children present today, the number of children enrolled, and the number of staff members employed at this facility, the staff/child ratios required by Child Care Rule 10A NCAC 09 .2818(c) are not being met and cannot be met at this time, as described below: -There are five staff members and one administrator. -Two staff members are required if nine or ten enrolled children ages 0-12 months are present; However, the maximum group size of 8 would be exceeded. -Two staff members are required if all enrolled children in the classroom for children ages 2 years old are present. -Two staff members are required if all children ages three to four years old are combined into one classroom, if all 18 of the children are present, and even if ten children are present. -One additional staff member is required for the school age children, if all 18 children ages three and four years old are present, because their maximum group size of 18 cannot be exceeded, by adding school age children to the group. The current number of staff and the staffing pattern does not account for staff who may be absent or allow for breaks for staff throughout the day. The total number of points earned for the star rated license could not be calculated today. I determined during the visit, after reviewing some of the violations with Ms. Clark, it was not appropriate to continue the Visit Summary review with Ms. Clark and she was providing care for infants and toddlers. I explained that I would contact her by telephone at a time she requested to finish reviewing the information and email the visit summary. Please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding 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 .0901 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 22 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 282 Time In: 10:08 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative, by Tammy Childress, Lead Child Care Consultant. Ms. Clark was not present upon arrival but later arrived. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently four classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. All indoor and outdoor areas, program records, documents required to be posted, capacity, permit restrictions, staff and a percentage of children’s files were monitored during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Posted staff/child ratios applicable to the two, three, four-year-old and school age children were not completed with the youngest age of the child present, and the applicable staff to child ratios and group sizes. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted for school age children. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan posted for school age children, the infant activity plans were dated February 10-14 and the three and four-year-old children's posted activity was not dated and the caregiver stated that she was not following the posted plan for feelings but rather was working on shapes with the children. GS 110-91(12); .0508(a) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. A 12 month old child was observed sitting in a highchair eating a chocolate muffin which the caregiver stated was brought in from home by the parent as a snack for the child. 10A NCAC 09 .0901(c) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Today's posted menu in the lobby, classrooms, and kitchen listed cheese pizza, french fries, 100% apple juice and milk for lunch. The one-year-old children were served Beefaroni, french fries and pears. The two-year-old children were served cheese pizza, french fries, pears and milk. The three and four-year-old children were served cheese pizza, french fries, applesauce and milk. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One infant bottle was not dated, one infant bottle was not labeled or dated, and one infant bottle was dated "2/12." 15A NCAC 18A .2804(d) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There was no hand soap at the diaper changing sink in the infant classroom. 15A NCAC 18A .2818(b) & (d) 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. Safe sleep checks were last documented for four children ages 0 to 12 months on February 5, 2025, February 6, 2025 and February 11,2025. Two additional infants did not have any completed safe sleep charts, including one present today that was observed sleeping. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy by one enrolled infant's parents was not on file. 10A NCAC 09 .0606(c) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One enrolled infant did not have a medical exam on file within 30 days of enrollment. GS 110-91(1);.0302(d)(2); .0304(g) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by March 4, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: The violations below were documented after monitoring of the classrooms where children ages infants to four-years-old were present. were grouped together and are regarding items that should be posted. Staff/ Child Ratio Forms were not completed in the classrooms for children ages three and four-years-old, two-years-old and school age. Activity Plans in the infant classroom were dated February 10-14, 2025, not dated in the three and four year old children’s classroom, and not present in the school age classroom. There was no daily schedule posted for school age children. During the last temporary time period visit we reviewed that every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. The technical assistance provided during the first temporary time period visit and again today is- When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violations below were observed specifically in the infant classroom. Safe sleep checks and documenting visual checks it part of your safe sleep policy, reducing the risks of ITS-SIDS and is the method you must use for ensuring infants are safely sleeping. Safe sleep checks were not available for review for six children ages 0-12 months enrolled in the classroom for today and previous days while in care. Two infants last documented safe sleep checks were dated February 6, 2025, at 11:30am and 12:55pm respectively. One infant’s last documented safe sleep check was dated February 5, 2025 at 10:29am. One infant’s last documented safe sleep check was dated February 11, 2025 at 1:55pm and this child was observed sleeping in a crib during the visit. Two infants did not have any completed safe sleep check forms. Of the four infants ages 0-12 months all were marked as being present on February 14, 2025. There were no records for 2/17/2025. The administrator should review this form and the requirement for it to be completed each time an infant 0-12 months is sleeping. Three infant bottles were not labeled and or dated. One bottle had no date, one bottle was not dated or labeled, and one bottle was dated 2/12. A 12-month old child was observed sitting in a high chair eating what the caregiver agreed was a “chocolate muffin.”. This snack item was not listed on the menu or specifically on the child’s feeding plan. The caregiver stated the item was sent from home by the parent as a snack. We discussed that this item did not meet nutritional requirements as a snack for a 12 month old child. Nutritional requirements should be reviewed for children ages 0-1 year old with staff and snacks not meeting the requirements should not be accepted or brought in from home without a nutritional opt out form completed. If this form is completed parents are responsible for providing all meals, snacks and beverages every day. There was no hand soap at the diaper changing sink. This was corrected during the visit. Item# 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. Item# 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Item#533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. Item# 606 Running water, soap and individual sanitary towels, or other approved hand drying devices, were not supplied at each lavatory. The menu posted for lunch today was cheese pizza, French fries, 100% Apple Juice and Milk. The three and four-year-old children were served cheese pizza, French fries, applesauce and milk. The two-year-old children were served cheese pizza, French fries, pears and milk. The one-year-old children were served Beefaroni, French fries and pears. We discussed during the last visit that the menu must reflect any substitutions. Item# 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Item# 1043 Staff files must be organized and contain all documents listed on the staff file checklist that are applicable. Item# 893 and Item# 1320 regarding documents required to be in the infant children's files, acknowledgement of Safe Sleep Policy and medical exam within 30 days of enrollment. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. Your compliance history prior to today’s visit was seventy-three (73)percent. During today’s visit we again discussed the two-component rated license process. During the first temporary time period visit, Ms. Clark was provided an application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment to be completed and submitted to Ms. Childress no later than February 1, 2025. Ms. Childress also provided resources including the North Carolina Rated License Assessment Project website and the telephone number and website address for the Rockingham Partnership for Children. The forms have not been received. Submit the form(s) no later than February 21, 2025. During the first temporary time period visit, we reviewed that all staff members should have a WORKS Account, and the accounts should be updated with their correct educational information. We reviewed that he information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. The DCDEE website link for instructions for the DCDEE WORKS system was provided. One staff member who is a lead teacher does not have a WORKS Account. Staff Education points will be affected when staff do not have a WORKS Account, an is evaluation completed by DCDEE, and do not have a DCDEE WORKS Qualification Letter. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet During the first temporary time period visit we reviewed the Staff and Training Worksheet, and you were asked keep this worksheet current and submit to Ms. Childress once completed by email. A Staff and Training Worksheet has not been submitted to Ms. Childress. Operational, Administrative and Personnel Policies As discussed during the Pre-Licensing, and the first temporary time period visit you must immediately submit Administrative Policies these policies to Ms. Childress, by no later than February 20, 2025 by email. The last deadline given to Ms. Clark was December 10, 2024, and the policies have not been received. A visit summary of today’s visit was reviewed with and a copy provided to Ms. Clark during the visit. Ms. Clark was given the opportunity to ask questions during and at the conclusion of the visit. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 22 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 282 Time In: 10:08 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative, by Tammy Childress, Lead Child Care Consultant. Ms. Clark was not present upon arrival but later arrived. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently four classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. All indoor and outdoor areas, program records, documents required to be posted, capacity, permit restrictions, staff and a percentage of children’s files were monitored during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Posted staff/child ratios applicable to the two, three, four-year-old and school age children were not completed with the youngest age of the child present, and the applicable staff to child ratios and group sizes. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted for school age children. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan posted for school age children, the infant activity plans were dated February 10-14 and the three and four-year-old children's posted activity was not dated and the caregiver stated that she was not following the posted plan for feelings but rather was working on shapes with the children. GS 110-91(12); .0508(a) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. A 12 month old child was observed sitting in a highchair eating a chocolate muffin which the caregiver stated was brought in from home by the parent as a snack for the child. 10A NCAC 09 .0901(c) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Today's posted menu in the lobby, classrooms, and kitchen listed cheese pizza, french fries, 100% apple juice and milk for lunch. The one-year-old children were served Beefaroni, french fries and pears. The two-year-old children were served cheese pizza, french fries, pears and milk. The three and four-year-old children were served cheese pizza, french fries, applesauce and milk. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One infant bottle was not dated, one infant bottle was not labeled or dated, and one infant bottle was dated "2/12." 15A NCAC 18A .2804(d) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There was no hand soap at the diaper changing sink in the infant classroom. 15A NCAC 18A .2818(b) & (d) 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. Safe sleep checks were last documented for four children ages 0 to 12 months on February 5, 2025, February 6, 2025 and February 11,2025. Two additional infants did not have any completed safe sleep charts, including one present today that was observed sleeping. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy by one enrolled infant's parents was not on file. 10A NCAC 09 .0606(c) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One enrolled infant did not have a medical exam on file within 30 days of enrollment. GS 110-91(1);.0302(d)(2); .0304(g) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by March 4, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: The violations below were documented after monitoring of the classrooms where children ages infants to four-years-old were present. were grouped together and are regarding items that should be posted. Staff/ Child Ratio Forms were not completed in the classrooms for children ages three and four-years-old, two-years-old and school age. Activity Plans in the infant classroom were dated February 10-14, 2025, not dated in the three and four year old children’s classroom, and not present in the school age classroom. There was no daily schedule posted for school age children. During the last temporary time period visit we reviewed that every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. The technical assistance provided during the first temporary time period visit and again today is- When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violations below were observed specifically in the infant classroom. Safe sleep checks and documenting visual checks it part of your safe sleep policy, reducing the risks of ITS-SIDS and is the method you must use for ensuring infants are safely sleeping. Safe sleep checks were not available for review for six children ages 0-12 months enrolled in the classroom for today and previous days while in care. Two infants last documented safe sleep checks were dated February 6, 2025, at 11:30am and 12:55pm respectively. One infant’s last documented safe sleep check was dated February 5, 2025 at 10:29am. One infant’s last documented safe sleep check was dated February 11, 2025 at 1:55pm and this child was observed sleeping in a crib during the visit. Two infants did not have any completed safe sleep check forms. Of the four infants ages 0-12 months all were marked as being present on February 14, 2025. There were no records for 2/17/2025. The administrator should review this form and the requirement for it to be completed each time an infant 0-12 months is sleeping. Three infant bottles were not labeled and or dated. One bottle had no date, one bottle was not dated or labeled, and one bottle was dated 2/12. A 12-month old child was observed sitting in a high chair eating what the caregiver agreed was a “chocolate muffin.”. This snack item was not listed on the menu or specifically on the child’s feeding plan. The caregiver stated the item was sent from home by the parent as a snack. We discussed that this item did not meet nutritional requirements as a snack for a 12 month old child. Nutritional requirements should be reviewed for children ages 0-1 year old with staff and snacks not meeting the requirements should not be accepted or brought in from home without a nutritional opt out form completed. If this form is completed parents are responsible for providing all meals, snacks and beverages every day. There was no hand soap at the diaper changing sink. This was corrected during the visit. Item# 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. Item# 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Item#533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. Item# 606 Running water, soap and individual sanitary towels, or other approved hand drying devices, were not supplied at each lavatory. The menu posted for lunch today was cheese pizza, French fries, 100% Apple Juice and Milk. The three and four-year-old children were served cheese pizza, French fries, applesauce and milk. The two-year-old children were served cheese pizza, French fries, pears and milk. The one-year-old children were served Beefaroni, French fries and pears. We discussed during the last visit that the menu must reflect any substitutions. Item# 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Item# 1043 Staff files must be organized and contain all documents listed on the staff file checklist that are applicable. Item# 893 and Item# 1320 regarding documents required to be in the infant children's files, acknowledgement of Safe Sleep Policy and medical exam within 30 days of enrollment. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. Your compliance history prior to today’s visit was seventy-three (73)percent. During today’s visit we again discussed the two-component rated license process. During the first temporary time period visit, Ms. Clark was provided an application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment to be completed and submitted to Ms. Childress no later than February 1, 2025. Ms. Childress also provided resources including the North Carolina Rated License Assessment Project website and the telephone number and website address for the Rockingham Partnership for Children. The forms have not been received. Submit the form(s) no later than February 21, 2025. During the first temporary time period visit, we reviewed that all staff members should have a WORKS Account, and the accounts should be updated with their correct educational information. We reviewed that he information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. The DCDEE website link for instructions for the DCDEE WORKS system was provided. One staff member who is a lead teacher does not have a WORKS Account. Staff Education points will be affected when staff do not have a WORKS Account, an is evaluation completed by DCDEE, and do not have a DCDEE WORKS Qualification Letter. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet During the first temporary time period visit we reviewed the Staff and Training Worksheet, and you were asked keep this worksheet current and submit to Ms. Childress once completed by email. A Staff and Training Worksheet has not been submitted to Ms. Childress. Operational, Administrative and Personnel Policies As discussed during the Pre-Licensing, and the first temporary time period visit you must immediately submit Administrative Policies these policies to Ms. Childress, by no later than February 20, 2025 by email. The last deadline given to Ms. Clark was December 10, 2024, and the policies have not been received. A visit summary of today’s visit was reviewed with and a copy provided to Ms. Clark during the visit. Ms. Clark was given the opportunity to ask questions during and at the conclusion of the visit. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 22 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 282 Time In: 10:08 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative, by Tammy Childress, Lead Child Care Consultant. Ms. Clark was not present upon arrival but later arrived. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently four classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. All indoor and outdoor areas, program records, documents required to be posted, capacity, permit restrictions, staff and a percentage of children’s files were monitored during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Posted staff/child ratios applicable to the two, three, four-year-old and school age children were not completed with the youngest age of the child present, and the applicable staff to child ratios and group sizes. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted for school age children. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan posted for school age children, the infant activity plans were dated February 10-14 and the three and four-year-old children's posted activity was not dated and the caregiver stated that she was not following the posted plan for feelings but rather was working on shapes with the children. GS 110-91(12); .0508(a) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. A 12 month old child was observed sitting in a highchair eating a chocolate muffin which the caregiver stated was brought in from home by the parent as a snack for the child. 10A NCAC 09 .0901(c) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Today's posted menu in the lobby, classrooms, and kitchen listed cheese pizza, french fries, 100% apple juice and milk for lunch. The one-year-old children were served Beefaroni, french fries and pears. The two-year-old children were served cheese pizza, french fries, pears and milk. The three and four-year-old children were served cheese pizza, french fries, applesauce and milk. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One infant bottle was not dated, one infant bottle was not labeled or dated, and one infant bottle was dated "2/12." 15A NCAC 18A .2804(d) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There was no hand soap at the diaper changing sink in the infant classroom. 15A NCAC 18A .2818(b) & (d) 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. Safe sleep checks were last documented for four children ages 0 to 12 months on February 5, 2025, February 6, 2025 and February 11,2025. Two additional infants did not have any completed safe sleep charts, including one present today that was observed sleeping. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy by one enrolled infant's parents was not on file. 10A NCAC 09 .0606(c) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One enrolled infant did not have a medical exam on file within 30 days of enrollment. GS 110-91(1);.0302(d)(2); .0304(g) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by March 4, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: The violations below were documented after monitoring of the classrooms where children ages infants to four-years-old were present. were grouped together and are regarding items that should be posted. Staff/ Child Ratio Forms were not completed in the classrooms for children ages three and four-years-old, two-years-old and school age. Activity Plans in the infant classroom were dated February 10-14, 2025, not dated in the three and four year old children’s classroom, and not present in the school age classroom. There was no daily schedule posted for school age children. During the last temporary time period visit we reviewed that every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. The technical assistance provided during the first temporary time period visit and again today is- When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violations below were observed specifically in the infant classroom. Safe sleep checks and documenting visual checks it part of your safe sleep policy, reducing the risks of ITS-SIDS and is the method you must use for ensuring infants are safely sleeping. Safe sleep checks were not available for review for six children ages 0-12 months enrolled in the classroom for today and previous days while in care. Two infants last documented safe sleep checks were dated February 6, 2025, at 11:30am and 12:55pm respectively. One infant’s last documented safe sleep check was dated February 5, 2025 at 10:29am. One infant’s last documented safe sleep check was dated February 11, 2025 at 1:55pm and this child was observed sleeping in a crib during the visit. Two infants did not have any completed safe sleep check forms. Of the four infants ages 0-12 months all were marked as being present on February 14, 2025. There were no records for 2/17/2025. The administrator should review this form and the requirement for it to be completed each time an infant 0-12 months is sleeping. Three infant bottles were not labeled and or dated. One bottle had no date, one bottle was not dated or labeled, and one bottle was dated 2/12. A 12-month old child was observed sitting in a high chair eating what the caregiver agreed was a “chocolate muffin.”. This snack item was not listed on the menu or specifically on the child’s feeding plan. The caregiver stated the item was sent from home by the parent as a snack. We discussed that this item did not meet nutritional requirements as a snack for a 12 month old child. Nutritional requirements should be reviewed for children ages 0-1 year old with staff and snacks not meeting the requirements should not be accepted or brought in from home without a nutritional opt out form completed. If this form is completed parents are responsible for providing all meals, snacks and beverages every day. There was no hand soap at the diaper changing sink. This was corrected during the visit. Item# 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. Item# 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Item#533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. Item# 606 Running water, soap and individual sanitary towels, or other approved hand drying devices, were not supplied at each lavatory. The menu posted for lunch today was cheese pizza, French fries, 100% Apple Juice and Milk. The three and four-year-old children were served cheese pizza, French fries, applesauce and milk. The two-year-old children were served cheese pizza, French fries, pears and milk. The one-year-old children were served Beefaroni, French fries and pears. We discussed during the last visit that the menu must reflect any substitutions. Item# 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Item# 1043 Staff files must be organized and contain all documents listed on the staff file checklist that are applicable. Item# 893 and Item# 1320 regarding documents required to be in the infant children's files, acknowledgement of Safe Sleep Policy and medical exam within 30 days of enrollment. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. Your compliance history prior to today’s visit was seventy-three (73)percent. During today’s visit we again discussed the two-component rated license process. During the first temporary time period visit, Ms. Clark was provided an application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment to be completed and submitted to Ms. Childress no later than February 1, 2025. Ms. Childress also provided resources including the North Carolina Rated License Assessment Project website and the telephone number and website address for the Rockingham Partnership for Children. The forms have not been received. Submit the form(s) no later than February 21, 2025. During the first temporary time period visit, we reviewed that all staff members should have a WORKS Account, and the accounts should be updated with their correct educational information. We reviewed that he information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. The DCDEE website link for instructions for the DCDEE WORKS system was provided. One staff member who is a lead teacher does not have a WORKS Account. Staff Education points will be affected when staff do not have a WORKS Account, an is evaluation completed by DCDEE, and do not have a DCDEE WORKS Qualification Letter. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet During the first temporary time period visit we reviewed the Staff and Training Worksheet, and you were asked keep this worksheet current and submit to Ms. Childress once completed by email. A Staff and Training Worksheet has not been submitted to Ms. Childress. Operational, Administrative and Personnel Policies As discussed during the Pre-Licensing, and the first temporary time period visit you must immediately submit Administrative Policies these policies to Ms. Childress, by no later than February 20, 2025 by email. The last deadline given to Ms. Clark was December 10, 2024, and the policies have not been received. A visit summary of today’s visit was reviewed with and a copy provided to Ms. Clark during the visit. Ms. Clark was given the opportunity to ask questions during and at the conclusion of the visit. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 22 Completed Date: 2/18/2025 Age: From 0 To 4 Total Minutes: 282 Time In: 10:08 AM Time Out: 02:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the second temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative, by Tammy Childress, Lead Child Care Consultant. Ms. Clark was not present upon arrival but later arrived. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently four classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. All indoor and outdoor areas, program records, documents required to be posted, capacity, permit restrictions, staff and a percentage of children’s files were monitored during today’s visit. The following violations were cited during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Posted staff/child ratios applicable to the two, three, four-year-old and school age children were not completed with the youngest age of the child present, and the applicable staff to child ratios and group sizes. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted for school age children. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. There was no activity plan posted for school age children, the infant activity plans were dated February 10-14 and the three and four-year-old children's posted activity was not dated and the caregiver stated that she was not following the posted plan for feelings but rather was working on shapes with the children. GS 110-91(12); .0508(a) 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. A 12 month old child was observed sitting in a highchair eating a chocolate muffin which the caregiver stated was brought in from home by the parent as a snack for the child. 10A NCAC 09 .0901(c) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Today's posted menu in the lobby, classrooms, and kitchen listed cheese pizza, french fries, 100% apple juice and milk for lunch. The one-year-old children were served Beefaroni, french fries and pears. The two-year-old children were served cheese pizza, french fries, pears and milk. The three and four-year-old children were served cheese pizza, french fries, applesauce and milk. 10A NCAC 09 .0901(b) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. One infant bottle was not dated, one infant bottle was not labeled or dated, and one infant bottle was dated "2/12." 15A NCAC 18A .2804(d) 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There was no hand soap at the diaper changing sink in the infant classroom. 15A NCAC 18A .2818(b) & (d) 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. Safe sleep checks were last documented for four children ages 0 to 12 months on February 5, 2025, February 6, 2025 and February 11,2025. Two additional infants did not have any completed safe sleep charts, including one present today that was observed sleeping. .0606(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Documentation of receipt of the safe sleep policy by one enrolled infant's parents was not on file. 10A NCAC 09 .0606(c) 1043 All staff records, except financial records, were not made available for review. Staff files were not available for review. G.S. 110-91( 9) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. One enrolled infant did not have a medical exam on file within 30 days of enrollment. GS 110-91(1);.0302(d)(2); .0304(g) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by March 4, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance Regarding the Violations Documented: The violations below were documented after monitoring of the classrooms where children ages infants to four-years-old were present. were grouped together and are regarding items that should be posted. Staff/ Child Ratio Forms were not completed in the classrooms for children ages three and four-years-old, two-years-old and school age. Activity Plans in the infant classroom were dated February 10-14, 2025, not dated in the three and four year old children’s classroom, and not present in the school age classroom. There was no daily schedule posted for school age children. During the last temporary time period visit we reviewed that every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. The technical assistance provided during the first temporary time period visit and again today is- When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violations below were observed specifically in the infant classroom. Safe sleep checks and documenting visual checks it part of your safe sleep policy, reducing the risks of ITS-SIDS and is the method you must use for ensuring infants are safely sleeping. Safe sleep checks were not available for review for six children ages 0-12 months enrolled in the classroom for today and previous days while in care. Two infants last documented safe sleep checks were dated February 6, 2025, at 11:30am and 12:55pm respectively. One infant’s last documented safe sleep check was dated February 5, 2025 at 10:29am. One infant’s last documented safe sleep check was dated February 11, 2025 at 1:55pm and this child was observed sleeping in a crib during the visit. Two infants did not have any completed safe sleep check forms. Of the four infants ages 0-12 months all were marked as being present on February 14, 2025. There were no records for 2/17/2025. The administrator should review this form and the requirement for it to be completed each time an infant 0-12 months is sleeping. Three infant bottles were not labeled and or dated. One bottle had no date, one bottle was not dated or labeled, and one bottle was dated 2/12. A 12-month old child was observed sitting in a high chair eating what the caregiver agreed was a “chocolate muffin.”. This snack item was not listed on the menu or specifically on the child’s feeding plan. The caregiver stated the item was sent from home by the parent as a snack. We discussed that this item did not meet nutritional requirements as a snack for a 12 month old child. Nutritional requirements should be reviewed for children ages 0-1 year old with staff and snacks not meeting the requirements should not be accepted or brought in from home without a nutritional opt out form completed. If this form is completed parents are responsible for providing all meals, snacks and beverages every day. There was no hand soap at the diaper changing sink. This was corrected during the visit. Item# 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. Item# 503 Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. Item#533 Human milk, formula, and other bottled beverages, including sippy cups, sent from child's home were not fully prepared, dated and labeled for the appropriate child. Item# 606 Running water, soap and individual sanitary towels, or other approved hand drying devices, were not supplied at each lavatory. The menu posted for lunch today was cheese pizza, French fries, 100% Apple Juice and Milk. The three and four-year-old children were served cheese pizza, French fries, applesauce and milk. The two-year-old children were served cheese pizza, French fries, pears and milk. The one-year-old children were served Beefaroni, French fries and pears. We discussed during the last visit that the menu must reflect any substitutions. Item# 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Item# 1043 Staff files must be organized and contain all documents listed on the staff file checklist that are applicable. Item# 893 and Item# 1320 regarding documents required to be in the infant children's files, acknowledgement of Safe Sleep Policy and medical exam within 30 days of enrollment. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. Your compliance history prior to today’s visit was seventy-three (73)percent. During today’s visit we again discussed the two-component rated license process. During the first temporary time period visit, Ms. Clark was provided an application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment to be completed and submitted to Ms. Childress no later than February 1, 2025. Ms. Childress also provided resources including the North Carolina Rated License Assessment Project website and the telephone number and website address for the Rockingham Partnership for Children. The forms have not been received. Submit the form(s) no later than February 21, 2025. During the first temporary time period visit, we reviewed that all staff members should have a WORKS Account, and the accounts should be updated with their correct educational information. We reviewed that he information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. The DCDEE website link for instructions for the DCDEE WORKS system was provided. One staff member who is a lead teacher does not have a WORKS Account. Staff Education points will be affected when staff do not have a WORKS Account, an is evaluation completed by DCDEE, and do not have a DCDEE WORKS Qualification Letter. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet During the first temporary time period visit we reviewed the Staff and Training Worksheet, and you were asked keep this worksheet current and submit to Ms. Childress once completed by email. A Staff and Training Worksheet has not been submitted to Ms. Childress. Operational, Administrative and Personnel Policies As discussed during the Pre-Licensing, and the first temporary time period visit you must immediately submit Administrative Policies these policies to Ms. Childress, by no later than February 20, 2025 by email. The last deadline given to Ms. Clark was December 10, 2024, and the policies have not been received. A visit summary of today’s visit was reviewed with and a copy provided to Ms. Clark during the visit. Ms. Clark was given the opportunity to ask questions during and at the conclusion of the visit. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: 0125-259L Visit Date: 1/30/2025 Number Present: 14 Completed Date: 1/30/2025 Age: From 0 To 7 Total Minutes: 135 Time In: 01:30 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements related to an unsafe environment and supervision of children. The visit was conducted with Josephine Clark, Administrator, by Tammy Childress, Lead Child Care Consultant. The NC Secretary of State website shows the owner, Doves At Play Childcare LLC, as current on all required documents and active on the NC Business Registry. The facility is currently operating with a Temporary License issued on October 18, 2024, with a capacity of 125, and restrictions of daytime care, 2nd shift, 3rd shift, and children under 2 ½ years old in rooms with direct exits only. There are currently no children enrolled on second and third shifts. Ms. Childress conducted a walkthrough of the facility. There were three classrooms in operation today and the following items were monitored today: •Staff/Child Ratio •Supervision •Adequate/Approved Space •License Posted and Restrictions Met During today’s visit, the allegations in the complaint were discussed with Ms. Clark and three additional staff members individually. The information received alleges that on January 14, 2025, around 5:50p.m. , a staff member, was asleep on a mat in the floor while providing care to 3-4 infants, and that there was a child around 10-11 years-old in the same classroom. Other information received alleges that on January 8, 2025, around 5:30p.m., two staff members, were observed to be having sex in a staff member’s vehicle while it was parked at the dumpster in the facility parking lot and that the smell of marijuana was present. Other information received alleges that during the month of December, around Christmas of 2024, the director, identified in the allegation as Shyheim Watkins, brought alcohol into the facility during operating hours, mixed the alcohol with fruit juices and stored it in the facility kitchen refrigerator in juice containers. It is alleged that all staff members present during today’s visit, with the exception of Josephine Clark, consumed the alcohol and juice mixture during operating hours. Ms. Clark stated that she feels that allegations are being made by various sources including possibly a staff member’s significant other, parents, and previous staff members. She stated that she did have one staff member randomly drug tested and the results, which were provided to me, were negative. She has no concerns that any of the allegations are true, and she does not feel that she needs to take any further action at this time. One staff member stated that the allegations were being made by her child’s other parent, against whom she has a protective order against. Two staff members and Ms. Clark stated this individual (the other parent) is banned from the premises and that law enforcement was previously called to remove the individual from the parking lot. The three additional staff members were interviewed, and each staff member denied the allegations that any staff members were together in a vehicle at the dumpster at any time nor engaged in sexual activity. They denied substance, specifically marijuana use, and alcohol use and denied that alcohol has been on the premises. The infant lead teacher denied being asleep while providing care to infants at any time and stated that she was looking down at her phone. Another staff member stated that a parent had expressed a concern regarding the infant teacher sleeping, but not until the child was no longer in care. We discussed the facility’s personnel policies, approved by Ms. Childress on December 11, 2024, and that the policies included sections for “Drugs and Tobacco/Substance and Abuse,” and “Smoking, Alcohol and Drug Free Environment” during the visits conducted on January 17, 2025, due to allegations regarding marijuana use by staff members. Ms. Childress and Ms. Clark walked to and around the dumpster in the parking lot which is located away from the building and where there are no cameras. Ms. Clark and Mr. Watkins stated again today that the cameras at the facility provide a live feed only, with no recorded footage. The information received today will be reviewed with my supervisor and you will be notified in writing of the case decision. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. I observed two-year-old children eating dinosaur shaped chicken nuggets, a slice of cheese, a squeezable yogurt and 2% milk (as noted by the caregiver) during today's visit. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the lobby at the front door as well as in the classrooms and in the kitchen was incorrectly dated from January 1, 2025 through Friday, January 29, 2025, and did not have foods and snacks to be served today, January 30, 2025, or tomorrow , January 30, 2025. 10A NCAC 09 .0901(b) 9995 A violation was found for which there is no item number. A storage room door was unlocked, that also leads to the kitchen door that was unlocked and standing open, a violation of Sanitation Rule 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by February 13, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance provided during today’s visit included: We discussed that as noted in Child Care Rule 10A NCAC 09 .0901(b) menus must be current and posted in the kitchen as well as where they can be seen by parents. Menus observed today in the classrooms as well as in the front lobby showed a January 2025 menu dated from January 1, 2025 through Friday, January 29, 2025. Today is Thursday, January 30, 2025. An updated menu was in the director’s office but was not posted for reference. While conducting a walkthrough of the facility, I observed the two-year-old children eating a lunch of chicken nuggets, a slice of cheese, yogurt and milk. These food items alone do not meet the nutritional requirements for meals for children as required in Child Care Rule 10A NCAC 09 .0901(a) regarding meal pattern requirements. Ms. Clark corrected and posted a current menu during the visit. During the walkthrough of the facility, I entered a storage room door which was unlocked, that also leads to the kitchen door that was unlocked and standing open. This same violation was documented on November 26, 2024, and we reviewed Sanitation Rule 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. Ms. Clark stated that the kitchen door does lock and she will ensure it is locked going forward. We discussed that if the “storage room” did not contain any hazardous products that this door did not have to be locked, but the kitchen door must be locked at all times. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Clark. If you have questions or need assistance, you may contact Ms. Childress at tammy.childress@dhhs.nc.gov, or by telephone at (336)317-6436. If you have concerns regarding today’s visit, please contact the licensing supervisor, Pamela Hauser, by email at pamela.hauser@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 .0901 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: 0125-259L Visit Date: 1/30/2025 Number Present: 14 Completed Date: 1/30/2025 Age: From 0 To 7 Total Minutes: 135 Time In: 01:30 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements related to an unsafe environment and supervision of children. The visit was conducted with Josephine Clark, Administrator, by Tammy Childress, Lead Child Care Consultant. The NC Secretary of State website shows the owner, Doves At Play Childcare LLC, as current on all required documents and active on the NC Business Registry. The facility is currently operating with a Temporary License issued on October 18, 2024, with a capacity of 125, and restrictions of daytime care, 2nd shift, 3rd shift, and children under 2 ½ years old in rooms with direct exits only. There are currently no children enrolled on second and third shifts. Ms. Childress conducted a walkthrough of the facility. There were three classrooms in operation today and the following items were monitored today: •Staff/Child Ratio •Supervision •Adequate/Approved Space •License Posted and Restrictions Met During today’s visit, the allegations in the complaint were discussed with Ms. Clark and three additional staff members individually. The information received alleges that on January 14, 2025, around 5:50p.m. , a staff member, was asleep on a mat in the floor while providing care to 3-4 infants, and that there was a child around 10-11 years-old in the same classroom. Other information received alleges that on January 8, 2025, around 5:30p.m., two staff members, were observed to be having sex in a staff member’s vehicle while it was parked at the dumpster in the facility parking lot and that the smell of marijuana was present. Other information received alleges that during the month of December, around Christmas of 2024, the director, identified in the allegation as Shyheim Watkins, brought alcohol into the facility during operating hours, mixed the alcohol with fruit juices and stored it in the facility kitchen refrigerator in juice containers. It is alleged that all staff members present during today’s visit, with the exception of Josephine Clark, consumed the alcohol and juice mixture during operating hours. Ms. Clark stated that she feels that allegations are being made by various sources including possibly a staff member’s significant other, parents, and previous staff members. She stated that she did have one staff member randomly drug tested and the results, which were provided to me, were negative. She has no concerns that any of the allegations are true, and she does not feel that she needs to take any further action at this time. One staff member stated that the allegations were being made by her child’s other parent, against whom she has a protective order against. Two staff members and Ms. Clark stated this individual (the other parent) is banned from the premises and that law enforcement was previously called to remove the individual from the parking lot. The three additional staff members were interviewed, and each staff member denied the allegations that any staff members were together in a vehicle at the dumpster at any time nor engaged in sexual activity. They denied substance, specifically marijuana use, and alcohol use and denied that alcohol has been on the premises. The infant lead teacher denied being asleep while providing care to infants at any time and stated that she was looking down at her phone. Another staff member stated that a parent had expressed a concern regarding the infant teacher sleeping, but not until the child was no longer in care. We discussed the facility’s personnel policies, approved by Ms. Childress on December 11, 2024, and that the policies included sections for “Drugs and Tobacco/Substance and Abuse,” and “Smoking, Alcohol and Drug Free Environment” during the visits conducted on January 17, 2025, due to allegations regarding marijuana use by staff members. Ms. Childress and Ms. Clark walked to and around the dumpster in the parking lot which is located away from the building and where there are no cameras. Ms. Clark and Mr. Watkins stated again today that the cameras at the facility provide a live feed only, with no recorded footage. The information received today will be reviewed with my supervisor and you will be notified in writing of the case decision. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. I observed two-year-old children eating dinosaur shaped chicken nuggets, a slice of cheese, a squeezable yogurt and 2% milk (as noted by the caregiver) during today's visit. 10A NCAC 09 .0901(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted in the lobby at the front door as well as in the classrooms and in the kitchen was incorrectly dated from January 1, 2025 through Friday, January 29, 2025, and did not have foods and snacks to be served today, January 30, 2025, or tomorrow , January 30, 2025. 10A NCAC 09 .0901(b) 9995 A violation was found for which there is no item number. A storage room door was unlocked, that also leads to the kitchen door that was unlocked and standing open, a violation of Sanitation Rule 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by February 13, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Name of your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected 7.Signature of the person submitting the documentation Technical Assistance provided during today’s visit included: We discussed that as noted in Child Care Rule 10A NCAC 09 .0901(b) menus must be current and posted in the kitchen as well as where they can be seen by parents. Menus observed today in the classrooms as well as in the front lobby showed a January 2025 menu dated from January 1, 2025 through Friday, January 29, 2025. Today is Thursday, January 30, 2025. An updated menu was in the director’s office but was not posted for reference. While conducting a walkthrough of the facility, I observed the two-year-old children eating a lunch of chicken nuggets, a slice of cheese, yogurt and milk. These food items alone do not meet the nutritional requirements for meals for children as required in Child Care Rule 10A NCAC 09 .0901(a) regarding meal pattern requirements. Ms. Clark corrected and posted a current menu during the visit. During the walkthrough of the facility, I entered a storage room door which was unlocked, that also leads to the kitchen door that was unlocked and standing open. This same violation was documented on November 26, 2024, and we reviewed Sanitation Rule 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. Ms. Clark stated that the kitchen door does lock and she will ensure it is locked going forward. We discussed that if the “storage room” did not contain any hazardous products that this door did not have to be locked, but the kitchen door must be locked at all times. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Clark. If you have questions or need assistance, you may contact Ms. Childress at tammy.childress@dhhs.nc.gov, or by telephone at (336)317-6436. If you have concerns regarding today’s visit, please contact the licensing supervisor, Pamela Hauser, by email at pamela.hauser@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 .0514 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: 0125-101L Visit Date: 1/17/2025 Number Present: 15 Completed Date: 1/17/2025 Age: From 0 To 4 Total Minutes: 75 Time In: 11:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements related to an unsafe environment. The visit was conducted with Josephine Clark, Administrator and Owner Representative, by Tammy Childress, Lead Child Care Consultant. The NC Secretary of State website shows the owner, Doves At Play Childcare LLC, as current on all required documents and active on the NC Business Registry. The facility is currently operating with a Temporary License issued on October 18, 2024, with a capacity of 125, and restrictions of daytime care, 2nd shift, 3rd shift, and children under 2 ½ years old in rooms with direct exits only. Ms. Childress conducted a walkthrough of the facility while Ms. Clark was in route to the facility and other staff members were in classrooms. There were two classrooms in operation during the visit and the following items were monitored: •Staff/Child Ratio •Supervision •Adequate/Approved Space •License Posted and Restrictions Met During today’s visit, the allegations in the complaint were discussed with Ms. Clark and three additional staff members. There are currently four staff members employed at the facility, including Josephine Clark, Administrator/Owner Representative. The information received allege that two unknown staff members may have been smoking marijuana and in possession of alcohol in a vehicle in the facility parking lot during operating hours. Ms. Clark stated that stated that she was unaware of this concern and had not seen this occur. Ms. Clark stated that Shyheim Watkins, a staff member, was a supervisor over the staff but that she is the facility administrator. Mr. Watkins stated that no parent has expressed concerns to him regarding marijuana or alcohol use by staff. He also stated that there are strange vehicles riding through the facility parking lot, but he has not noticed unidentified vehicles parking at the facility entrance with individuals engaged in drug or alcohol use. Two additional staff members were interviewed and each staff member denied the allegations of substance use on the premises and did not offer any information as to the identity of who the two staff members alleged to have been involved in the substance possession and use could be. We discussed the facility’s personnel policies, approved by Ms. Childress on December 11, 2024, and that the policies included sections for “Drugs and Tobacco/Substance and Abuse,” “Smoking, Alcohol and Drug Free Environment,” and “Grounds For Immediate Dismissal.” On pages 19-20 of the policy the following statement is made: “Doves at Play Childcare have the right to random drug test employees. Doves at Play will assume the cost of drug testing. Only the Director/ Co-Director may authorize for an employee to be drug tested; “ On pages 36-37, “The possession for sale or use of any controlled substance will be grounds for immediate dismissal from employment. Doves at Play Childcare administrative staff has the right to exercise drug testing as deemed necessary for the safety of young children. Doves at Play Childcare will spontaneously request that employees take a drug or alcohol test. Failure to comply will result in immediate termination.” On pages 50-51, “Failure to comply with Drug Test,” “Illegal Use of Drugs or Alcohol during Work Schedule,” and “Influence of Any Illegal Substance” are standard violations that are considered "INAPPROPRIATE BEHAVIORS" for staff and employees may be terminated from employment without notice. Page 55 of the policies states, and requires an employee signature and date, “I acknowledge that I have been provided with the copy of Doves at Play Childcare Two Employee Handbook, which contains important information on the Centers policies, procedures, and benefits, including the policies on Anti-Harassment Discrimination, Substance Use and Abuse and Confidentiality. I understand that I am responsible for familiarizing myself with the policies in this handbook and agree to comply with all rules applicable to me.” Page 34 of the policies reviews the requirement for “Reporting Child Abuse and Neglect” and references training that will occur within the first two weeks of employment, a chain of command for reporting, and refers staff to the “Summary of the NC Child Care Law and Rules.” Mr. Watkins stated that a parent did express concerns about other children smelling like marijuana, but he did not report this. During today’s visit, all staff files were reviewed for acknowledgement signatures and dates of the personnel policies, and there were no staff files containing this information. All staff signed and dated the policy receipt during the visit. Work schedules including break and lunch schedules for all staff members were verified with the staff members, Mr. Watkins and Ms. Clark. Because there are only four staff members, lunches and breaks are not taken at the same time. In addition, Ms. Childress also requested a work schedule for days and hours on-site for Ms. Clark, since she is also the administrator of another licensed childcare facility. The capacity for this child care facility is 125, which would require Ms. Clark to be on-site for 30 hours a week. In addition, each licensed shift requires an administrator. There are currently no children enrolled for second and third shift care. Ms. Clark stated she had hired an administrator for her other licensed facility, and she will notify the assigned Child Care Consultant and that she understands the requirement to be on-site at this facility 30 hours per week and we reviewed this requirement in Child Care Rule 10A NCAC 09 .0714(a). Ms. Clark stated that her schedule has not been the same each day and on-site hours vary, but has been 30 hours. Ms. Clark stated that as a result of the allegations, she plans to request a drug test for one specific staff member. Based upon the information received during interviews, observations made during this visit, documents reviewed during the visit, and Ms. Clark’s plans to have a staff member complete drug testing, this investigation will remain open at this time. Ms. Clark will notify Ms. Childress immediately upon receipt of any positive drug test results, of any information obtained related to the allegation, and of any personnel actions taken. The following violations were documented during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. One child age four-years-old was in care with nine children who were two-years-old. 10A NCAC 09 .0713(a)(6) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four employee personnel files did not contain a signed and dated statement regarding receipt of personnel and operational policies. 10A NCAC 09 .0514(g) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by January 31, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected 7. Signature of the person submitting the documentation Technical Assistance provided during today’s visit included: •A discussion on the importance of and the child care requirement to review a job description, and the operational and personnel policies with all staff at the time of employment as found in Child Care Rule 10A NCAC 09 .0514 (e)and (g). You developed policies in order to ensure a safe and nurturing environment for children in your care and to ensure that all staff members are aware of expectations, requirements, and personnel actions that may be taken for failure to comply with the policies. Creation of your policies secure the success of your business and failing to review the policies with staff can jeopardize the health and safety of children. Reviewing and maintaining documentation of your review of the policies with staff is required by rule and this review must also include a review of mandatory reporting of suspected child abuse and neglect to the local department of social services. Every staff member is a mandated reporter of suspected child abuse and neglect. If you have had concerns or suspect that a child/children enrolled in your care smell strongly of marijuana as stated by two of your staff, this concern must be reported. Requiring a chain of command to report abuse and neglect, does not dismiss each individual’s responsibility to report the concern themselves to the department of social services. •Staff/child ratios and grouping of children must be maintained at all times. During today’s visit, a four-year-old child was in the classroom with two-year-old children. A violation regarding the grouping of children was previously cited and this rule was reviewed. Today, Mr. Watkins stated that the four-year-old child was in his care until Ms. Childress arrived, and other agency representatives arrived (DSS, Food Program) while Ms. Clark was not on-site. You must at all times ensure that sufficient staff are on-site in order to maintain compliance with ratios. Consultation provided during today’s visit: •An administrator must be on-site the required numbers of hours as found in Child Care Rule 10A NCAC 09 .0714 (a) for the purposes of monitoring the program and overseeing administrative duties. Administrative duties include the management and oversight of staff and being present and available to parents and visitors, including inspectors and DCDEE representatives. If you are not on-site, you are not completing duties as outlined in child care rules and you are not aware of staff compliance with your policies. It is the responsibility of the administrator and all staff to ensure a safe environment for children, including maintaining a smoke free environment. The premises of the child care facility is considered the building and the parking lot and both must be a safe environment and child apply. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Clark. If you have questions or need assistance, you may contact Ms. Childress at tammy.childress@dhhs.nc.gov, or by telephone at (336)317-6436. If you have concerns regarding today’s visit, please contact the licensing supervisor, Pamela Hauser, by email at pamela.hauser@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 .0713 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: 0125-101L Visit Date: 1/17/2025 Number Present: 15 Completed Date: 1/17/2025 Age: From 0 To 4 Total Minutes: 75 Time In: 11:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements related to an unsafe environment. The visit was conducted with Josephine Clark, Administrator and Owner Representative, by Tammy Childress, Lead Child Care Consultant. The NC Secretary of State website shows the owner, Doves At Play Childcare LLC, as current on all required documents and active on the NC Business Registry. The facility is currently operating with a Temporary License issued on October 18, 2024, with a capacity of 125, and restrictions of daytime care, 2nd shift, 3rd shift, and children under 2 ½ years old in rooms with direct exits only. Ms. Childress conducted a walkthrough of the facility while Ms. Clark was in route to the facility and other staff members were in classrooms. There were two classrooms in operation during the visit and the following items were monitored: •Staff/Child Ratio •Supervision •Adequate/Approved Space •License Posted and Restrictions Met During today’s visit, the allegations in the complaint were discussed with Ms. Clark and three additional staff members. There are currently four staff members employed at the facility, including Josephine Clark, Administrator/Owner Representative. The information received allege that two unknown staff members may have been smoking marijuana and in possession of alcohol in a vehicle in the facility parking lot during operating hours. Ms. Clark stated that stated that she was unaware of this concern and had not seen this occur. Ms. Clark stated that Shyheim Watkins, a staff member, was a supervisor over the staff but that she is the facility administrator. Mr. Watkins stated that no parent has expressed concerns to him regarding marijuana or alcohol use by staff. He also stated that there are strange vehicles riding through the facility parking lot, but he has not noticed unidentified vehicles parking at the facility entrance with individuals engaged in drug or alcohol use. Two additional staff members were interviewed and each staff member denied the allegations of substance use on the premises and did not offer any information as to the identity of who the two staff members alleged to have been involved in the substance possession and use could be. We discussed the facility’s personnel policies, approved by Ms. Childress on December 11, 2024, and that the policies included sections for “Drugs and Tobacco/Substance and Abuse,” “Smoking, Alcohol and Drug Free Environment,” and “Grounds For Immediate Dismissal.” On pages 19-20 of the policy the following statement is made: “Doves at Play Childcare have the right to random drug test employees. Doves at Play will assume the cost of drug testing. Only the Director/ Co-Director may authorize for an employee to be drug tested; “ On pages 36-37, “The possession for sale or use of any controlled substance will be grounds for immediate dismissal from employment. Doves at Play Childcare administrative staff has the right to exercise drug testing as deemed necessary for the safety of young children. Doves at Play Childcare will spontaneously request that employees take a drug or alcohol test. Failure to comply will result in immediate termination.” On pages 50-51, “Failure to comply with Drug Test,” “Illegal Use of Drugs or Alcohol during Work Schedule,” and “Influence of Any Illegal Substance” are standard violations that are considered "INAPPROPRIATE BEHAVIORS" for staff and employees may be terminated from employment without notice. Page 55 of the policies states, and requires an employee signature and date, “I acknowledge that I have been provided with the copy of Doves at Play Childcare Two Employee Handbook, which contains important information on the Centers policies, procedures, and benefits, including the policies on Anti-Harassment Discrimination, Substance Use and Abuse and Confidentiality. I understand that I am responsible for familiarizing myself with the policies in this handbook and agree to comply with all rules applicable to me.” Page 34 of the policies reviews the requirement for “Reporting Child Abuse and Neglect” and references training that will occur within the first two weeks of employment, a chain of command for reporting, and refers staff to the “Summary of the NC Child Care Law and Rules.” Mr. Watkins stated that a parent did express concerns about other children smelling like marijuana, but he did not report this. During today’s visit, all staff files were reviewed for acknowledgement signatures and dates of the personnel policies, and there were no staff files containing this information. All staff signed and dated the policy receipt during the visit. Work schedules including break and lunch schedules for all staff members were verified with the staff members, Mr. Watkins and Ms. Clark. Because there are only four staff members, lunches and breaks are not taken at the same time. In addition, Ms. Childress also requested a work schedule for days and hours on-site for Ms. Clark, since she is also the administrator of another licensed childcare facility. The capacity for this child care facility is 125, which would require Ms. Clark to be on-site for 30 hours a week. In addition, each licensed shift requires an administrator. There are currently no children enrolled for second and third shift care. Ms. Clark stated she had hired an administrator for her other licensed facility, and she will notify the assigned Child Care Consultant and that she understands the requirement to be on-site at this facility 30 hours per week and we reviewed this requirement in Child Care Rule 10A NCAC 09 .0714(a). Ms. Clark stated that her schedule has not been the same each day and on-site hours vary, but has been 30 hours. Ms. Clark stated that as a result of the allegations, she plans to request a drug test for one specific staff member. Based upon the information received during interviews, observations made during this visit, documents reviewed during the visit, and Ms. Clark’s plans to have a staff member complete drug testing, this investigation will remain open at this time. Ms. Clark will notify Ms. Childress immediately upon receipt of any positive drug test results, of any information obtained related to the allegation, and of any personnel actions taken. The following violations were documented during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. One child age four-years-old was in care with nine children who were two-years-old. 10A NCAC 09 .0713(a)(6) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four employee personnel files did not contain a signed and dated statement regarding receipt of personnel and operational policies. 10A NCAC 09 .0514(g) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by January 31, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected 7. Signature of the person submitting the documentation Technical Assistance provided during today’s visit included: •A discussion on the importance of and the child care requirement to review a job description, and the operational and personnel policies with all staff at the time of employment as found in Child Care Rule 10A NCAC 09 .0514 (e)and (g). You developed policies in order to ensure a safe and nurturing environment for children in your care and to ensure that all staff members are aware of expectations, requirements, and personnel actions that may be taken for failure to comply with the policies. Creation of your policies secure the success of your business and failing to review the policies with staff can jeopardize the health and safety of children. Reviewing and maintaining documentation of your review of the policies with staff is required by rule and this review must also include a review of mandatory reporting of suspected child abuse and neglect to the local department of social services. Every staff member is a mandated reporter of suspected child abuse and neglect. If you have had concerns or suspect that a child/children enrolled in your care smell strongly of marijuana as stated by two of your staff, this concern must be reported. Requiring a chain of command to report abuse and neglect, does not dismiss each individual’s responsibility to report the concern themselves to the department of social services. •Staff/child ratios and grouping of children must be maintained at all times. During today’s visit, a four-year-old child was in the classroom with two-year-old children. A violation regarding the grouping of children was previously cited and this rule was reviewed. Today, Mr. Watkins stated that the four-year-old child was in his care until Ms. Childress arrived, and other agency representatives arrived (DSS, Food Program) while Ms. Clark was not on-site. You must at all times ensure that sufficient staff are on-site in order to maintain compliance with ratios. Consultation provided during today’s visit: •An administrator must be on-site the required numbers of hours as found in Child Care Rule 10A NCAC 09 .0714 (a) for the purposes of monitoring the program and overseeing administrative duties. Administrative duties include the management and oversight of staff and being present and available to parents and visitors, including inspectors and DCDEE representatives. If you are not on-site, you are not completing duties as outlined in child care rules and you are not aware of staff compliance with your policies. It is the responsibility of the administrator and all staff to ensure a safe environment for children, including maintaining a smoke free environment. The premises of the child care facility is considered the building and the parking lot and both must be a safe environment and child apply. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Clark. If you have questions or need assistance, you may contact Ms. Childress at tammy.childress@dhhs.nc.gov, or by telephone at (336)317-6436. If you have concerns regarding today’s visit, please contact the licensing supervisor, Pamela Hauser, by email at pamela.hauser@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 .0714 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: 0125-101L Visit Date: 1/17/2025 Number Present: 15 Completed Date: 1/17/2025 Age: From 0 To 4 Total Minutes: 75 Time In: 11:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements related to an unsafe environment. The visit was conducted with Josephine Clark, Administrator and Owner Representative, by Tammy Childress, Lead Child Care Consultant. The NC Secretary of State website shows the owner, Doves At Play Childcare LLC, as current on all required documents and active on the NC Business Registry. The facility is currently operating with a Temporary License issued on October 18, 2024, with a capacity of 125, and restrictions of daytime care, 2nd shift, 3rd shift, and children under 2 ½ years old in rooms with direct exits only. Ms. Childress conducted a walkthrough of the facility while Ms. Clark was in route to the facility and other staff members were in classrooms. There were two classrooms in operation during the visit and the following items were monitored: •Staff/Child Ratio •Supervision •Adequate/Approved Space •License Posted and Restrictions Met During today’s visit, the allegations in the complaint were discussed with Ms. Clark and three additional staff members. There are currently four staff members employed at the facility, including Josephine Clark, Administrator/Owner Representative. The information received allege that two unknown staff members may have been smoking marijuana and in possession of alcohol in a vehicle in the facility parking lot during operating hours. Ms. Clark stated that stated that she was unaware of this concern and had not seen this occur. Ms. Clark stated that Shyheim Watkins, a staff member, was a supervisor over the staff but that she is the facility administrator. Mr. Watkins stated that no parent has expressed concerns to him regarding marijuana or alcohol use by staff. He also stated that there are strange vehicles riding through the facility parking lot, but he has not noticed unidentified vehicles parking at the facility entrance with individuals engaged in drug or alcohol use. Two additional staff members were interviewed and each staff member denied the allegations of substance use on the premises and did not offer any information as to the identity of who the two staff members alleged to have been involved in the substance possession and use could be. We discussed the facility’s personnel policies, approved by Ms. Childress on December 11, 2024, and that the policies included sections for “Drugs and Tobacco/Substance and Abuse,” “Smoking, Alcohol and Drug Free Environment,” and “Grounds For Immediate Dismissal.” On pages 19-20 of the policy the following statement is made: “Doves at Play Childcare have the right to random drug test employees. Doves at Play will assume the cost of drug testing. Only the Director/ Co-Director may authorize for an employee to be drug tested; “ On pages 36-37, “The possession for sale or use of any controlled substance will be grounds for immediate dismissal from employment. Doves at Play Childcare administrative staff has the right to exercise drug testing as deemed necessary for the safety of young children. Doves at Play Childcare will spontaneously request that employees take a drug or alcohol test. Failure to comply will result in immediate termination.” On pages 50-51, “Failure to comply with Drug Test,” “Illegal Use of Drugs or Alcohol during Work Schedule,” and “Influence of Any Illegal Substance” are standard violations that are considered "INAPPROPRIATE BEHAVIORS" for staff and employees may be terminated from employment without notice. Page 55 of the policies states, and requires an employee signature and date, “I acknowledge that I have been provided with the copy of Doves at Play Childcare Two Employee Handbook, which contains important information on the Centers policies, procedures, and benefits, including the policies on Anti-Harassment Discrimination, Substance Use and Abuse and Confidentiality. I understand that I am responsible for familiarizing myself with the policies in this handbook and agree to comply with all rules applicable to me.” Page 34 of the policies reviews the requirement for “Reporting Child Abuse and Neglect” and references training that will occur within the first two weeks of employment, a chain of command for reporting, and refers staff to the “Summary of the NC Child Care Law and Rules.” Mr. Watkins stated that a parent did express concerns about other children smelling like marijuana, but he did not report this. During today’s visit, all staff files were reviewed for acknowledgement signatures and dates of the personnel policies, and there were no staff files containing this information. All staff signed and dated the policy receipt during the visit. Work schedules including break and lunch schedules for all staff members were verified with the staff members, Mr. Watkins and Ms. Clark. Because there are only four staff members, lunches and breaks are not taken at the same time. In addition, Ms. Childress also requested a work schedule for days and hours on-site for Ms. Clark, since she is also the administrator of another licensed childcare facility. The capacity for this child care facility is 125, which would require Ms. Clark to be on-site for 30 hours a week. In addition, each licensed shift requires an administrator. There are currently no children enrolled for second and third shift care. Ms. Clark stated she had hired an administrator for her other licensed facility, and she will notify the assigned Child Care Consultant and that she understands the requirement to be on-site at this facility 30 hours per week and we reviewed this requirement in Child Care Rule 10A NCAC 09 .0714(a). Ms. Clark stated that her schedule has not been the same each day and on-site hours vary, but has been 30 hours. Ms. Clark stated that as a result of the allegations, she plans to request a drug test for one specific staff member. Based upon the information received during interviews, observations made during this visit, documents reviewed during the visit, and Ms. Clark’s plans to have a staff member complete drug testing, this investigation will remain open at this time. Ms. Clark will notify Ms. Childress immediately upon receipt of any positive drug test results, of any information obtained related to the allegation, and of any personnel actions taken. The following violations were documented during today’s visit: Violation Number Comment Rule 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. One child age four-years-old was in care with nine children who were two-years-old. 10A NCAC 09 .0713(a)(6) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Four employee personnel files did not contain a signed and dated statement regarding receipt of personnel and operational policies. 10A NCAC 09 .0514(g) All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by January 31, 2025. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1. Name of your facility and ID# 2. Date of the Visit 3. Date of the Documentation you are submitting 4. Each Item Number of the Violations Cited 5. Date of when each item number was corrected 6. How the item was corrected 7. Signature of the person submitting the documentation Technical Assistance provided during today’s visit included: •A discussion on the importance of and the child care requirement to review a job description, and the operational and personnel policies with all staff at the time of employment as found in Child Care Rule 10A NCAC 09 .0514 (e)and (g). You developed policies in order to ensure a safe and nurturing environment for children in your care and to ensure that all staff members are aware of expectations, requirements, and personnel actions that may be taken for failure to comply with the policies. Creation of your policies secure the success of your business and failing to review the policies with staff can jeopardize the health and safety of children. Reviewing and maintaining documentation of your review of the policies with staff is required by rule and this review must also include a review of mandatory reporting of suspected child abuse and neglect to the local department of social services. Every staff member is a mandated reporter of suspected child abuse and neglect. If you have had concerns or suspect that a child/children enrolled in your care smell strongly of marijuana as stated by two of your staff, this concern must be reported. Requiring a chain of command to report abuse and neglect, does not dismiss each individual’s responsibility to report the concern themselves to the department of social services. •Staff/child ratios and grouping of children must be maintained at all times. During today’s visit, a four-year-old child was in the classroom with two-year-old children. A violation regarding the grouping of children was previously cited and this rule was reviewed. Today, Mr. Watkins stated that the four-year-old child was in his care until Ms. Childress arrived, and other agency representatives arrived (DSS, Food Program) while Ms. Clark was not on-site. You must at all times ensure that sufficient staff are on-site in order to maintain compliance with ratios. Consultation provided during today’s visit: •An administrator must be on-site the required numbers of hours as found in Child Care Rule 10A NCAC 09 .0714 (a) for the purposes of monitoring the program and overseeing administrative duties. Administrative duties include the management and oversight of staff and being present and available to parents and visitors, including inspectors and DCDEE representatives. If you are not on-site, you are not completing duties as outlined in child care rules and you are not aware of staff compliance with your policies. It is the responsibility of the administrator and all staff to ensure a safe environment for children, including maintaining a smoke free environment. The premises of the child care facility is considered the building and the parking lot and both must be a safe environment and child apply. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with Ms. Clark. If you have questions or need assistance, you may contact Ms. Childress at tammy.childress@dhhs.nc.gov, or by telephone at (336)317-6436. If you have concerns regarding today’s visit, please contact the licensing supervisor, Pamela Hauser, by email at pamela.hauser@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 .0515 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 12 Completed Date: 11/26/2024 Age: From 0 To 4 Total Minutes: 160 Time In: 11:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative and her son Shyheim Watkins, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently three classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. Two classrooms were monitored during today’s visit representing infants, toddlers, and preschool aged children in care. School aged children were not present during the visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. Two outdoor playgrounds which are surfaced with wood mulch and grass were monitored. There are no stationary pieces of equipment or equipment with fall zones requiring protective surfacing. The playgrounds are enclosed by metal fencing which exceeds four feet in height. The facility does not provide transportation. All meals and snacks are prepared at the facility in the kitchen. During today’s visit, children present were observed to be engaged in personal care routines, outdoor play and lunch. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Verification of and signed receipt for the NC Child Care Law was not file for three children. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Ten children ages one-year-old, two-years-old, three-years-old and four-years-old were grouped together for care during the operating day during the visit. 10A NCAC 09 .0713(a)(6) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios were not posted in classrooms for toddler and preschool children. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. A daily schedule schedule was not posted in Space 6. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for toddler or preschool children during the visit. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Allergies and special diet substitutions for two children were not posted in the kitchen or in the children's classroom where the children eat meals and snacks and consume beverages. .0901(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Verification of and signed receipt of the safe sleep policy was not in file for one child. 10A NCAC 09 .0606(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on November 14, 2024 had a medical report on file dated May, 2023. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on October 21, 2024 and a staff member hired on October 22, 2024 did not receive six hours of orientation within the first two weeks of employment. .1101(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Verification of receipt of and review of parent participation plan was not on file for one child and/or the plan was not posted in the center. 10A NCAC 09 .0515(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Signed verification of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not on file for three children. .0608(b)(1-6) 9995 A violation was found for which there is no item number. A door leading to the kitchen door and the kitchen door were unlocked. The kitchen where hot water must be kept at a minimum temperature that is a burn hazard to children was not inaccessible to children, a violation of Sanitation Rule 15A NCAC 18A .2815(e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by December 10, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Nameo your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected and how you will prevent the violation from reoccurring 7.Signature of the person submitting the documentation A sample compliance letter was emailed to Ms. Clark and Mr. Watkins with this Visit Summary as an example of how to complete compliance documentation and to use if they wish. Technical Assistance Regarding the Violations Documented: The violations below were documented after a review of children’s and staff files. We discussed that using the Staff and Children’s File Checklists found on the DCDEE website under Provider Documents and Forms would assist them in confirming that all required documents were provided to and received back from parents and staff and on file. In addition, the checklists would assist them in completing tasks required by the operator such as staff orientation. Ms. Clark and Mr. Watkins stated that they had the checklists from the website for the files, but that parents did not always return the documents and that for some files they thought that they already had the forms in the files. Mr. Watkins said some forms such as the signed safe sleep policies were in the infant classroom for the children but not on file. We again discussed that if the document was on the file checklist, the document should be in the file and that they could also now use the Children’s Records Form and the Staff and Training Worksheet that Ms. Childress used today to monitor the files as another way to ensure all documents were on file and all tasks were completed. Item # 0114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Item # 0893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Item # 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Item # 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Item # 1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. Item # 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The violations below were documented after monitoring of the classroom where children ages one-year-old to four-years-old were grouped together and are regarding items that should be posted. Ms. Clark and Ms. Watkins stated that these children were not previously, and were not supposed to be grouped today, but that they were in two separate spaces and each space had its own schedule, activity plan and ratios posted. I observed in one of the spaces where some of the children were in care prior to today, there was staff/child ratios form and a daily schedule on a cork board for 2-3 year old children. Every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violation below is in regard to staff/child ratios and the grouping of children. We discussed this rule during the visit. Mr. Watkins stated that the two caregivers were not supposed to be grouped together and were supposed to be in separate classrooms- one teacher with the 1-2 year olds and one teacher with the 3-4 year olds and he was not sure why they had combined. Upon arrival the two groups were on the playground together. The staff members stated that they were grouped together in one classroom today with 10 children and provided information that there was 1 child who was one-year-old, 4 children who were two-years-old, 4 children who were three-years-old, and 1 child who was four-years-old present. It is recommended that you review Child Care Rule 10A NCAC 09 .0713 and specifically Child Care Rule 10A NCAC 09 .0713(a)(6) with staff and also that administrative staff make periodic classroom check-ins to ensure that staff remain in compliance with staff/child ratios. You may require staff to check with administrative staff prior to combining any group of children in care. Item # 0318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. The violation below was documented because the door leading into a storage space that leads to the kitchen door was unlocked and the kitchen door was open. This door leading to the storage area had a sign on it stating the door should remain locked at all times. The door was unlocked and when Ms. Childress opened the door, the kitchen door was also unlocked and standing open. I discussed with Ms. Clark and Mr. Watkins that as the sign stated on the door, it must be locked, and I asked why it wasn’t. Ms. Clark stated that Mr. Watkins had just been in the kitchen and left it open accidentally. The water in the kitchen is required to be maintained at a minimum of 120 degrees Fahrenheit, which is a burn hazard for children. Any area with water temperatures exceeding the allowable 80 and 110 degrees Fahrenheit for children must be kept inaccessible to children. Item # 9995 A door leading to the kitchen door and the kitchen door were unlocked. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. Consultation was provided regarding the following: A posted Emergency Medical Care Plan should have the actual names of individuals designated to perform certain responsibilities, rather than listing titles only such as “director” and “teacher.” Arrival and Departure Procedures or Safe Procedures for Pick Up and Delivery must be posted and when using the sample form from the DCDEE website write in your specific requirements as we discussed regarding timeframes for drop off and pick up, where children should be taken upon arrival, who should be notified when children arrive/depart, and that adults must come inside the building for arrival and departure each time. Staff must be reminded that all personal belongings should be kept in locked storage and personal foods should not be kept in the classroom accessible to children, as children could have allergies to certain foods or certain foods brought in by staff may not meet the nutritional requirements for children. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. During today’s visit we discussed the two-component rated license process to assist Ms. Clark in deciding if she wishes to request a Rated License Assessment and an Environment Rating Scale Assessment in order to obtain a 2-5 star rated license. Begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklets and visit the North Carolina Rated License Assessment Project website at www.ncrlap.org. The NCRLAP website offers training and additional notes on topics such as activity areas, indoor and outdoor materials, daily schedules, sanitation, and interactions. You should also contact your local resource and referral agencies, listed below, for additional resources and technical assistance: Rockingham Partnership for Children (336) 342-9676 https://rockinghamkids.org/contact An application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment form were reviewed with and provided to Ms. Clark during the visit. Please submit by email the Rated License application and/or the Request for the Environment Rating Scale Assessment to Ms. Childress no later than February 1, 2025. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet You must complete the Staff and Training Worksheet provided to and reviewed with you during the visit and include all staff members. Keep this worksheet current and submit to Ms. Childress once completed by email. Operational, Administrative and Personnel Policies As discussed during the visit you must immediately submit these policies to Ms. Childress, but no later than December 10, 2024 by email. A hand written visit summary was prepared and a copy provided to Ms. Clark during the visit because Ms. Childress was unable to obtain a Regulatory connection. Ms. Childress documented in the written visit summnary that a computer generated summary would be completed sent by email to Ms. Clark. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 12 Completed Date: 11/26/2024 Age: From 0 To 4 Total Minutes: 160 Time In: 11:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative and her son Shyheim Watkins, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently three classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. Two classrooms were monitored during today’s visit representing infants, toddlers, and preschool aged children in care. School aged children were not present during the visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. Two outdoor playgrounds which are surfaced with wood mulch and grass were monitored. There are no stationary pieces of equipment or equipment with fall zones requiring protective surfacing. The playgrounds are enclosed by metal fencing which exceeds four feet in height. The facility does not provide transportation. All meals and snacks are prepared at the facility in the kitchen. During today’s visit, children present were observed to be engaged in personal care routines, outdoor play and lunch. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Verification of and signed receipt for the NC Child Care Law was not file for three children. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Ten children ages one-year-old, two-years-old, three-years-old and four-years-old were grouped together for care during the operating day during the visit. 10A NCAC 09 .0713(a)(6) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios were not posted in classrooms for toddler and preschool children. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. A daily schedule schedule was not posted in Space 6. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for toddler or preschool children during the visit. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Allergies and special diet substitutions for two children were not posted in the kitchen or in the children's classroom where the children eat meals and snacks and consume beverages. .0901(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Verification of and signed receipt of the safe sleep policy was not in file for one child. 10A NCAC 09 .0606(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on November 14, 2024 had a medical report on file dated May, 2023. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on October 21, 2024 and a staff member hired on October 22, 2024 did not receive six hours of orientation within the first two weeks of employment. .1101(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Verification of receipt of and review of parent participation plan was not on file for one child and/or the plan was not posted in the center. 10A NCAC 09 .0515(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Signed verification of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not on file for three children. .0608(b)(1-6) 9995 A violation was found for which there is no item number. A door leading to the kitchen door and the kitchen door were unlocked. The kitchen where hot water must be kept at a minimum temperature that is a burn hazard to children was not inaccessible to children, a violation of Sanitation Rule 15A NCAC 18A .2815(e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by December 10, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Nameo your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected and how you will prevent the violation from reoccurring 7.Signature of the person submitting the documentation A sample compliance letter was emailed to Ms. Clark and Mr. Watkins with this Visit Summary as an example of how to complete compliance documentation and to use if they wish. Technical Assistance Regarding the Violations Documented: The violations below were documented after a review of children’s and staff files. We discussed that using the Staff and Children’s File Checklists found on the DCDEE website under Provider Documents and Forms would assist them in confirming that all required documents were provided to and received back from parents and staff and on file. In addition, the checklists would assist them in completing tasks required by the operator such as staff orientation. Ms. Clark and Mr. Watkins stated that they had the checklists from the website for the files, but that parents did not always return the documents and that for some files they thought that they already had the forms in the files. Mr. Watkins said some forms such as the signed safe sleep policies were in the infant classroom for the children but not on file. We again discussed that if the document was on the file checklist, the document should be in the file and that they could also now use the Children’s Records Form and the Staff and Training Worksheet that Ms. Childress used today to monitor the files as another way to ensure all documents were on file and all tasks were completed. Item # 0114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Item # 0893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Item # 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Item # 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Item # 1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. Item # 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The violations below were documented after monitoring of the classroom where children ages one-year-old to four-years-old were grouped together and are regarding items that should be posted. Ms. Clark and Ms. Watkins stated that these children were not previously, and were not supposed to be grouped today, but that they were in two separate spaces and each space had its own schedule, activity plan and ratios posted. I observed in one of the spaces where some of the children were in care prior to today, there was staff/child ratios form and a daily schedule on a cork board for 2-3 year old children. Every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violation below is in regard to staff/child ratios and the grouping of children. We discussed this rule during the visit. Mr. Watkins stated that the two caregivers were not supposed to be grouped together and were supposed to be in separate classrooms- one teacher with the 1-2 year olds and one teacher with the 3-4 year olds and he was not sure why they had combined. Upon arrival the two groups were on the playground together. The staff members stated that they were grouped together in one classroom today with 10 children and provided information that there was 1 child who was one-year-old, 4 children who were two-years-old, 4 children who were three-years-old, and 1 child who was four-years-old present. It is recommended that you review Child Care Rule 10A NCAC 09 .0713 and specifically Child Care Rule 10A NCAC 09 .0713(a)(6) with staff and also that administrative staff make periodic classroom check-ins to ensure that staff remain in compliance with staff/child ratios. You may require staff to check with administrative staff prior to combining any group of children in care. Item # 0318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. The violation below was documented because the door leading into a storage space that leads to the kitchen door was unlocked and the kitchen door was open. This door leading to the storage area had a sign on it stating the door should remain locked at all times. The door was unlocked and when Ms. Childress opened the door, the kitchen door was also unlocked and standing open. I discussed with Ms. Clark and Mr. Watkins that as the sign stated on the door, it must be locked, and I asked why it wasn’t. Ms. Clark stated that Mr. Watkins had just been in the kitchen and left it open accidentally. The water in the kitchen is required to be maintained at a minimum of 120 degrees Fahrenheit, which is a burn hazard for children. Any area with water temperatures exceeding the allowable 80 and 110 degrees Fahrenheit for children must be kept inaccessible to children. Item # 9995 A door leading to the kitchen door and the kitchen door were unlocked. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. Consultation was provided regarding the following: A posted Emergency Medical Care Plan should have the actual names of individuals designated to perform certain responsibilities, rather than listing titles only such as “director” and “teacher.” Arrival and Departure Procedures or Safe Procedures for Pick Up and Delivery must be posted and when using the sample form from the DCDEE website write in your specific requirements as we discussed regarding timeframes for drop off and pick up, where children should be taken upon arrival, who should be notified when children arrive/depart, and that adults must come inside the building for arrival and departure each time. Staff must be reminded that all personal belongings should be kept in locked storage and personal foods should not be kept in the classroom accessible to children, as children could have allergies to certain foods or certain foods brought in by staff may not meet the nutritional requirements for children. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. During today’s visit we discussed the two-component rated license process to assist Ms. Clark in deciding if she wishes to request a Rated License Assessment and an Environment Rating Scale Assessment in order to obtain a 2-5 star rated license. Begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklets and visit the North Carolina Rated License Assessment Project website at www.ncrlap.org. The NCRLAP website offers training and additional notes on topics such as activity areas, indoor and outdoor materials, daily schedules, sanitation, and interactions. You should also contact your local resource and referral agencies, listed below, for additional resources and technical assistance: Rockingham Partnership for Children (336) 342-9676 https://rockinghamkids.org/contact An application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment form were reviewed with and provided to Ms. Clark during the visit. Please submit by email the Rated License application and/or the Request for the Environment Rating Scale Assessment to Ms. Childress no later than February 1, 2025. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet You must complete the Staff and Training Worksheet provided to and reviewed with you during the visit and include all staff members. Keep this worksheet current and submit to Ms. Childress once completed by email. Operational, Administrative and Personnel Policies As discussed during the visit you must immediately submit these policies to Ms. Childress, but no later than December 10, 2024 by email. A hand written visit summary was prepared and a copy provided to Ms. Clark during the visit because Ms. Childress was unable to obtain a Regulatory connection. Ms. Childress documented in the written visit summnary that a computer generated summary would be completed sent by email to Ms. Clark. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 12 Completed Date: 11/26/2024 Age: From 0 To 4 Total Minutes: 160 Time In: 11:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative and her son Shyheim Watkins, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently three classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. Two classrooms were monitored during today’s visit representing infants, toddlers, and preschool aged children in care. School aged children were not present during the visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. Two outdoor playgrounds which are surfaced with wood mulch and grass were monitored. There are no stationary pieces of equipment or equipment with fall zones requiring protective surfacing. The playgrounds are enclosed by metal fencing which exceeds four feet in height. The facility does not provide transportation. All meals and snacks are prepared at the facility in the kitchen. During today’s visit, children present were observed to be engaged in personal care routines, outdoor play and lunch. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Verification of and signed receipt for the NC Child Care Law was not file for three children. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Ten children ages one-year-old, two-years-old, three-years-old and four-years-old were grouped together for care during the operating day during the visit. 10A NCAC 09 .0713(a)(6) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios were not posted in classrooms for toddler and preschool children. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. A daily schedule schedule was not posted in Space 6. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for toddler or preschool children during the visit. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Allergies and special diet substitutions for two children were not posted in the kitchen or in the children's classroom where the children eat meals and snacks and consume beverages. .0901(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Verification of and signed receipt of the safe sleep policy was not in file for one child. 10A NCAC 09 .0606(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on November 14, 2024 had a medical report on file dated May, 2023. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on October 21, 2024 and a staff member hired on October 22, 2024 did not receive six hours of orientation within the first two weeks of employment. .1101(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Verification of receipt of and review of parent participation plan was not on file for one child and/or the plan was not posted in the center. 10A NCAC 09 .0515(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Signed verification of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not on file for three children. .0608(b)(1-6) 9995 A violation was found for which there is no item number. A door leading to the kitchen door and the kitchen door were unlocked. The kitchen where hot water must be kept at a minimum temperature that is a burn hazard to children was not inaccessible to children, a violation of Sanitation Rule 15A NCAC 18A .2815(e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by December 10, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Nameo your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected and how you will prevent the violation from reoccurring 7.Signature of the person submitting the documentation A sample compliance letter was emailed to Ms. Clark and Mr. Watkins with this Visit Summary as an example of how to complete compliance documentation and to use if they wish. Technical Assistance Regarding the Violations Documented: The violations below were documented after a review of children’s and staff files. We discussed that using the Staff and Children’s File Checklists found on the DCDEE website under Provider Documents and Forms would assist them in confirming that all required documents were provided to and received back from parents and staff and on file. In addition, the checklists would assist them in completing tasks required by the operator such as staff orientation. Ms. Clark and Mr. Watkins stated that they had the checklists from the website for the files, but that parents did not always return the documents and that for some files they thought that they already had the forms in the files. Mr. Watkins said some forms such as the signed safe sleep policies were in the infant classroom for the children but not on file. We again discussed that if the document was on the file checklist, the document should be in the file and that they could also now use the Children’s Records Form and the Staff and Training Worksheet that Ms. Childress used today to monitor the files as another way to ensure all documents were on file and all tasks were completed. Item # 0114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Item # 0893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Item # 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Item # 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Item # 1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. Item # 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The violations below were documented after monitoring of the classroom where children ages one-year-old to four-years-old were grouped together and are regarding items that should be posted. Ms. Clark and Ms. Watkins stated that these children were not previously, and were not supposed to be grouped today, but that they were in two separate spaces and each space had its own schedule, activity plan and ratios posted. I observed in one of the spaces where some of the children were in care prior to today, there was staff/child ratios form and a daily schedule on a cork board for 2-3 year old children. Every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violation below is in regard to staff/child ratios and the grouping of children. We discussed this rule during the visit. Mr. Watkins stated that the two caregivers were not supposed to be grouped together and were supposed to be in separate classrooms- one teacher with the 1-2 year olds and one teacher with the 3-4 year olds and he was not sure why they had combined. Upon arrival the two groups were on the playground together. The staff members stated that they were grouped together in one classroom today with 10 children and provided information that there was 1 child who was one-year-old, 4 children who were two-years-old, 4 children who were three-years-old, and 1 child who was four-years-old present. It is recommended that you review Child Care Rule 10A NCAC 09 .0713 and specifically Child Care Rule 10A NCAC 09 .0713(a)(6) with staff and also that administrative staff make periodic classroom check-ins to ensure that staff remain in compliance with staff/child ratios. You may require staff to check with administrative staff prior to combining any group of children in care. Item # 0318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. The violation below was documented because the door leading into a storage space that leads to the kitchen door was unlocked and the kitchen door was open. This door leading to the storage area had a sign on it stating the door should remain locked at all times. The door was unlocked and when Ms. Childress opened the door, the kitchen door was also unlocked and standing open. I discussed with Ms. Clark and Mr. Watkins that as the sign stated on the door, it must be locked, and I asked why it wasn’t. Ms. Clark stated that Mr. Watkins had just been in the kitchen and left it open accidentally. The water in the kitchen is required to be maintained at a minimum of 120 degrees Fahrenheit, which is a burn hazard for children. Any area with water temperatures exceeding the allowable 80 and 110 degrees Fahrenheit for children must be kept inaccessible to children. Item # 9995 A door leading to the kitchen door and the kitchen door were unlocked. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. Consultation was provided regarding the following: A posted Emergency Medical Care Plan should have the actual names of individuals designated to perform certain responsibilities, rather than listing titles only such as “director” and “teacher.” Arrival and Departure Procedures or Safe Procedures for Pick Up and Delivery must be posted and when using the sample form from the DCDEE website write in your specific requirements as we discussed regarding timeframes for drop off and pick up, where children should be taken upon arrival, who should be notified when children arrive/depart, and that adults must come inside the building for arrival and departure each time. Staff must be reminded that all personal belongings should be kept in locked storage and personal foods should not be kept in the classroom accessible to children, as children could have allergies to certain foods or certain foods brought in by staff may not meet the nutritional requirements for children. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. During today’s visit we discussed the two-component rated license process to assist Ms. Clark in deciding if she wishes to request a Rated License Assessment and an Environment Rating Scale Assessment in order to obtain a 2-5 star rated license. Begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklets and visit the North Carolina Rated License Assessment Project website at www.ncrlap.org. The NCRLAP website offers training and additional notes on topics such as activity areas, indoor and outdoor materials, daily schedules, sanitation, and interactions. You should also contact your local resource and referral agencies, listed below, for additional resources and technical assistance: Rockingham Partnership for Children (336) 342-9676 https://rockinghamkids.org/contact An application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment form were reviewed with and provided to Ms. Clark during the visit. Please submit by email the Rated License application and/or the Request for the Environment Rating Scale Assessment to Ms. Childress no later than February 1, 2025. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet You must complete the Staff and Training Worksheet provided to and reviewed with you during the visit and include all staff members. Keep this worksheet current and submit to Ms. Childress once completed by email. Operational, Administrative and Personnel Policies As discussed during the visit you must immediately submit these policies to Ms. Childress, but no later than December 10, 2024 by email. A hand written visit summary was prepared and a copy provided to Ms. Clark during the visit because Ms. Childress was unable to obtain a Regulatory connection. Ms. Childress documented in the written visit summnary that a computer generated summary would be completed sent by email to Ms. Clark. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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 .0713 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 12 Completed Date: 11/26/2024 Age: From 0 To 4 Total Minutes: 160 Time In: 11:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative and her son Shyheim Watkins, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently three classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. Two classrooms were monitored during today’s visit representing infants, toddlers, and preschool aged children in care. School aged children were not present during the visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. Two outdoor playgrounds which are surfaced with wood mulch and grass were monitored. There are no stationary pieces of equipment or equipment with fall zones requiring protective surfacing. The playgrounds are enclosed by metal fencing which exceeds four feet in height. The facility does not provide transportation. All meals and snacks are prepared at the facility in the kitchen. During today’s visit, children present were observed to be engaged in personal care routines, outdoor play and lunch. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Verification of and signed receipt for the NC Child Care Law was not file for three children. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Ten children ages one-year-old, two-years-old, three-years-old and four-years-old were grouped together for care during the operating day during the visit. 10A NCAC 09 .0713(a)(6) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios were not posted in classrooms for toddler and preschool children. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. A daily schedule schedule was not posted in Space 6. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for toddler or preschool children during the visit. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Allergies and special diet substitutions for two children were not posted in the kitchen or in the children's classroom where the children eat meals and snacks and consume beverages. .0901(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Verification of and signed receipt of the safe sleep policy was not in file for one child. 10A NCAC 09 .0606(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on November 14, 2024 had a medical report on file dated May, 2023. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on October 21, 2024 and a staff member hired on October 22, 2024 did not receive six hours of orientation within the first two weeks of employment. .1101(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Verification of receipt of and review of parent participation plan was not on file for one child and/or the plan was not posted in the center. 10A NCAC 09 .0515(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Signed verification of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not on file for three children. .0608(b)(1-6) 9995 A violation was found for which there is no item number. A door leading to the kitchen door and the kitchen door were unlocked. The kitchen where hot water must be kept at a minimum temperature that is a burn hazard to children was not inaccessible to children, a violation of Sanitation Rule 15A NCAC 18A .2815(e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by December 10, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Nameo your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected and how you will prevent the violation from reoccurring 7.Signature of the person submitting the documentation A sample compliance letter was emailed to Ms. Clark and Mr. Watkins with this Visit Summary as an example of how to complete compliance documentation and to use if they wish. Technical Assistance Regarding the Violations Documented: The violations below were documented after a review of children’s and staff files. We discussed that using the Staff and Children’s File Checklists found on the DCDEE website under Provider Documents and Forms would assist them in confirming that all required documents were provided to and received back from parents and staff and on file. In addition, the checklists would assist them in completing tasks required by the operator such as staff orientation. Ms. Clark and Mr. Watkins stated that they had the checklists from the website for the files, but that parents did not always return the documents and that for some files they thought that they already had the forms in the files. Mr. Watkins said some forms such as the signed safe sleep policies were in the infant classroom for the children but not on file. We again discussed that if the document was on the file checklist, the document should be in the file and that they could also now use the Children’s Records Form and the Staff and Training Worksheet that Ms. Childress used today to monitor the files as another way to ensure all documents were on file and all tasks were completed. Item # 0114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Item # 0893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Item # 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Item # 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Item # 1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. Item # 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The violations below were documented after monitoring of the classroom where children ages one-year-old to four-years-old were grouped together and are regarding items that should be posted. Ms. Clark and Ms. Watkins stated that these children were not previously, and were not supposed to be grouped today, but that they were in two separate spaces and each space had its own schedule, activity plan and ratios posted. I observed in one of the spaces where some of the children were in care prior to today, there was staff/child ratios form and a daily schedule on a cork board for 2-3 year old children. Every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violation below is in regard to staff/child ratios and the grouping of children. We discussed this rule during the visit. Mr. Watkins stated that the two caregivers were not supposed to be grouped together and were supposed to be in separate classrooms- one teacher with the 1-2 year olds and one teacher with the 3-4 year olds and he was not sure why they had combined. Upon arrival the two groups were on the playground together. The staff members stated that they were grouped together in one classroom today with 10 children and provided information that there was 1 child who was one-year-old, 4 children who were two-years-old, 4 children who were three-years-old, and 1 child who was four-years-old present. It is recommended that you review Child Care Rule 10A NCAC 09 .0713 and specifically Child Care Rule 10A NCAC 09 .0713(a)(6) with staff and also that administrative staff make periodic classroom check-ins to ensure that staff remain in compliance with staff/child ratios. You may require staff to check with administrative staff prior to combining any group of children in care. Item # 0318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. The violation below was documented because the door leading into a storage space that leads to the kitchen door was unlocked and the kitchen door was open. This door leading to the storage area had a sign on it stating the door should remain locked at all times. The door was unlocked and when Ms. Childress opened the door, the kitchen door was also unlocked and standing open. I discussed with Ms. Clark and Mr. Watkins that as the sign stated on the door, it must be locked, and I asked why it wasn’t. Ms. Clark stated that Mr. Watkins had just been in the kitchen and left it open accidentally. The water in the kitchen is required to be maintained at a minimum of 120 degrees Fahrenheit, which is a burn hazard for children. Any area with water temperatures exceeding the allowable 80 and 110 degrees Fahrenheit for children must be kept inaccessible to children. Item # 9995 A door leading to the kitchen door and the kitchen door were unlocked. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. Consultation was provided regarding the following: A posted Emergency Medical Care Plan should have the actual names of individuals designated to perform certain responsibilities, rather than listing titles only such as “director” and “teacher.” Arrival and Departure Procedures or Safe Procedures for Pick Up and Delivery must be posted and when using the sample form from the DCDEE website write in your specific requirements as we discussed regarding timeframes for drop off and pick up, where children should be taken upon arrival, who should be notified when children arrive/depart, and that adults must come inside the building for arrival and departure each time. Staff must be reminded that all personal belongings should be kept in locked storage and personal foods should not be kept in the classroom accessible to children, as children could have allergies to certain foods or certain foods brought in by staff may not meet the nutritional requirements for children. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. During today’s visit we discussed the two-component rated license process to assist Ms. Clark in deciding if she wishes to request a Rated License Assessment and an Environment Rating Scale Assessment in order to obtain a 2-5 star rated license. Begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklets and visit the North Carolina Rated License Assessment Project website at www.ncrlap.org. The NCRLAP website offers training and additional notes on topics such as activity areas, indoor and outdoor materials, daily schedules, sanitation, and interactions. You should also contact your local resource and referral agencies, listed below, for additional resources and technical assistance: Rockingham Partnership for Children (336) 342-9676 https://rockinghamkids.org/contact An application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment form were reviewed with and provided to Ms. Clark during the visit. Please submit by email the Rated License application and/or the Request for the Environment Rating Scale Assessment to Ms. Childress no later than February 1, 2025. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet You must complete the Staff and Training Worksheet provided to and reviewed with you during the visit and include all staff members. Keep this worksheet current and submit to Ms. Childress once completed by email. Operational, Administrative and Personnel Policies As discussed during the visit you must immediately submit these policies to Ms. Childress, but no later than December 10, 2024 by email. A hand written visit summary was prepared and a copy provided to Ms. Clark during the visit because Ms. Childress was unable to obtain a Regulatory connection. Ms. Childress documented in the written visit summnary that a computer generated summary would be completed sent by email to Ms. Clark. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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 110-102 · Violation

Name of Operation: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 12 Completed Date: 11/26/2024 Age: From 0 To 4 Total Minutes: 160 Time In: 11:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative and her son Shyheim Watkins, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently three classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. Two classrooms were monitored during today’s visit representing infants, toddlers, and preschool aged children in care. School aged children were not present during the visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. Two outdoor playgrounds which are surfaced with wood mulch and grass were monitored. There are no stationary pieces of equipment or equipment with fall zones requiring protective surfacing. The playgrounds are enclosed by metal fencing which exceeds four feet in height. The facility does not provide transportation. All meals and snacks are prepared at the facility in the kitchen. During today’s visit, children present were observed to be engaged in personal care routines, outdoor play and lunch. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Verification of and signed receipt for the NC Child Care Law was not file for three children. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Ten children ages one-year-old, two-years-old, three-years-old and four-years-old were grouped together for care during the operating day during the visit. 10A NCAC 09 .0713(a)(6) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios were not posted in classrooms for toddler and preschool children. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. A daily schedule schedule was not posted in Space 6. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for toddler or preschool children during the visit. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Allergies and special diet substitutions for two children were not posted in the kitchen or in the children's classroom where the children eat meals and snacks and consume beverages. .0901(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Verification of and signed receipt of the safe sleep policy was not in file for one child. 10A NCAC 09 .0606(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on November 14, 2024 had a medical report on file dated May, 2023. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on October 21, 2024 and a staff member hired on October 22, 2024 did not receive six hours of orientation within the first two weeks of employment. .1101(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Verification of receipt of and review of parent participation plan was not on file for one child and/or the plan was not posted in the center. 10A NCAC 09 .0515(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Signed verification of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not on file for three children. .0608(b)(1-6) 9995 A violation was found for which there is no item number. A door leading to the kitchen door and the kitchen door were unlocked. The kitchen where hot water must be kept at a minimum temperature that is a burn hazard to children was not inaccessible to children, a violation of Sanitation Rule 15A NCAC 18A .2815(e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by December 10, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Nameo your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected and how you will prevent the violation from reoccurring 7.Signature of the person submitting the documentation A sample compliance letter was emailed to Ms. Clark and Mr. Watkins with this Visit Summary as an example of how to complete compliance documentation and to use if they wish. Technical Assistance Regarding the Violations Documented: The violations below were documented after a review of children’s and staff files. We discussed that using the Staff and Children’s File Checklists found on the DCDEE website under Provider Documents and Forms would assist them in confirming that all required documents were provided to and received back from parents and staff and on file. In addition, the checklists would assist them in completing tasks required by the operator such as staff orientation. Ms. Clark and Mr. Watkins stated that they had the checklists from the website for the files, but that parents did not always return the documents and that for some files they thought that they already had the forms in the files. Mr. Watkins said some forms such as the signed safe sleep policies were in the infant classroom for the children but not on file. We again discussed that if the document was on the file checklist, the document should be in the file and that they could also now use the Children’s Records Form and the Staff and Training Worksheet that Ms. Childress used today to monitor the files as another way to ensure all documents were on file and all tasks were completed. Item # 0114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Item # 0893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Item # 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Item # 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Item # 1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. Item # 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The violations below were documented after monitoring of the classroom where children ages one-year-old to four-years-old were grouped together and are regarding items that should be posted. Ms. Clark and Ms. Watkins stated that these children were not previously, and were not supposed to be grouped today, but that they were in two separate spaces and each space had its own schedule, activity plan and ratios posted. I observed in one of the spaces where some of the children were in care prior to today, there was staff/child ratios form and a daily schedule on a cork board for 2-3 year old children. Every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violation below is in regard to staff/child ratios and the grouping of children. We discussed this rule during the visit. Mr. Watkins stated that the two caregivers were not supposed to be grouped together and were supposed to be in separate classrooms- one teacher with the 1-2 year olds and one teacher with the 3-4 year olds and he was not sure why they had combined. Upon arrival the two groups were on the playground together. The staff members stated that they were grouped together in one classroom today with 10 children and provided information that there was 1 child who was one-year-old, 4 children who were two-years-old, 4 children who were three-years-old, and 1 child who was four-years-old present. It is recommended that you review Child Care Rule 10A NCAC 09 .0713 and specifically Child Care Rule 10A NCAC 09 .0713(a)(6) with staff and also that administrative staff make periodic classroom check-ins to ensure that staff remain in compliance with staff/child ratios. You may require staff to check with administrative staff prior to combining any group of children in care. Item # 0318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. The violation below was documented because the door leading into a storage space that leads to the kitchen door was unlocked and the kitchen door was open. This door leading to the storage area had a sign on it stating the door should remain locked at all times. The door was unlocked and when Ms. Childress opened the door, the kitchen door was also unlocked and standing open. I discussed with Ms. Clark and Mr. Watkins that as the sign stated on the door, it must be locked, and I asked why it wasn’t. Ms. Clark stated that Mr. Watkins had just been in the kitchen and left it open accidentally. The water in the kitchen is required to be maintained at a minimum of 120 degrees Fahrenheit, which is a burn hazard for children. Any area with water temperatures exceeding the allowable 80 and 110 degrees Fahrenheit for children must be kept inaccessible to children. Item # 9995 A door leading to the kitchen door and the kitchen door were unlocked. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. Consultation was provided regarding the following: A posted Emergency Medical Care Plan should have the actual names of individuals designated to perform certain responsibilities, rather than listing titles only such as “director” and “teacher.” Arrival and Departure Procedures or Safe Procedures for Pick Up and Delivery must be posted and when using the sample form from the DCDEE website write in your specific requirements as we discussed regarding timeframes for drop off and pick up, where children should be taken upon arrival, who should be notified when children arrive/depart, and that adults must come inside the building for arrival and departure each time. Staff must be reminded that all personal belongings should be kept in locked storage and personal foods should not be kept in the classroom accessible to children, as children could have allergies to certain foods or certain foods brought in by staff may not meet the nutritional requirements for children. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. During today’s visit we discussed the two-component rated license process to assist Ms. Clark in deciding if she wishes to request a Rated License Assessment and an Environment Rating Scale Assessment in order to obtain a 2-5 star rated license. Begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklets and visit the North Carolina Rated License Assessment Project website at www.ncrlap.org. The NCRLAP website offers training and additional notes on topics such as activity areas, indoor and outdoor materials, daily schedules, sanitation, and interactions. You should also contact your local resource and referral agencies, listed below, for additional resources and technical assistance: Rockingham Partnership for Children (336) 342-9676 https://rockinghamkids.org/contact An application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment form were reviewed with and provided to Ms. Clark during the visit. Please submit by email the Rated License application and/or the Request for the Environment Rating Scale Assessment to Ms. Childress no later than February 1, 2025. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet You must complete the Staff and Training Worksheet provided to and reviewed with you during the visit and include all staff members. Keep this worksheet current and submit to Ms. Childress once completed by email. Operational, Administrative and Personnel Policies As discussed during the visit you must immediately submit these policies to Ms. Childress, but no later than December 10, 2024 by email. A hand written visit summary was prepared and a copy provided to Ms. Clark during the visit because Ms. Childress was unable to obtain a Regulatory connection. Ms. Childress documented in the written visit summnary that a computer generated summary would be completed sent by email to Ms. Clark. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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: Doves At Play Childcare LLC Two Facility ID: 79000334 Consultant: TAMMY CHILDRESS Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 12 Completed Date: 11/26/2024 Age: From 0 To 4 Total Minutes: 160 Time In: 11:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with all applicable child care requirements during the first temporary time visit. The visit was conducted with Josephine Clark, Administrator and Owner Representative and her son Shyheim Watkins, by Tammy Childress, Lead Child Care Consultant. Currently this center operates with a Temporary License, issued on October 18, 2024, to operate first, second and third shifts. The facility is licensed to provide care for children ages zero to twelve-years-old and is approved to operate six classrooms within the building. Restrictions are daytime and overnight and children under 2 ½ years old in rooms with direct exits only. The Secretary of State website was reviewed, and the owner, Doves At Play Childcare LLC, is current on all required documents and active on the NC Business Registry. If any changes to the corporation need to be made or you decide to sale your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. There are currently three classrooms in operation with children ages zero to school age in care on first shift. There are no children enrolled on second or third shifts. Two classrooms were monitored during today’s visit representing infants, toddlers, and preschool aged children in care. School aged children were not present during the visit. All program records, documents required to be posted, and a sampling of staff and children’s files were monitored. Two outdoor playgrounds which are surfaced with wood mulch and grass were monitored. There are no stationary pieces of equipment or equipment with fall zones requiring protective surfacing. The playgrounds are enclosed by metal fencing which exceeds four feet in height. The facility does not provide transportation. All meals and snacks are prepared at the facility in the kitchen. During today’s visit, children present were observed to be engaged in personal care routines, outdoor play and lunch. The following violations were cited during today’s visit: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Verification of and signed receipt for the NC Child Care Law was not file for three children. GS 110-102 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. Ten children ages one-year-old, two-years-old, three-years-old and four-years-old were grouped together for care during the operating day during the visit. 10A NCAC 09 .0713(a)(6) 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios were not posted in classrooms for toddler and preschool children. .0713(a)(10), (c) & (f)(3); .2818(e) 415 A current schedule was not posted for each group of children for reference. A daily schedule schedule was not posted in Space 6. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for toddler or preschool children during the visit. GS 110-91(12); .0508(a) 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Allergies and special diet substitutions for two children were not posted in the kitchen or in the children's classroom where the children eat meals and snacks and consume beverages. .0901(g) 893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Verification of and signed receipt of the safe sleep policy was not in file for one child. 10A NCAC 09 .0606(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on November 14, 2024 had a medical report on file dated May, 2023. 10A NCAC 09 .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. A staff member hired on October 21, 2024 and a staff member hired on October 22, 2024 did not receive six hours of orientation within the first two weeks of employment. .1101(a) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Verification of receipt of and review of parent participation plan was not on file for one child and/or the plan was not posted in the center. 10A NCAC 09 .0515(a) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Signed verification of receipt of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not on file for three children. .0608(b)(1-6) 9995 A violation was found for which there is no item number. A door leading to the kitchen door and the kitchen door were unlocked. The kitchen where hot water must be kept at a minimum temperature that is a burn hazard to children was not inaccessible to children, a violation of Sanitation Rule 15A NCAC 18A .2815(e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. All violations must be corrected immediately. You must submit documentation on how each violation was corrected to Ms. Childress by December 10, 2024. The documentation should be submitted by email to Ms. Childress at tammy.childress@dhhs.nc.gov. Include in the documentation the following: 1.Nameo your facility and ID# 2.Date of the Visit 3.Date of the Documentation you are submitting 4.Each Item Number of the Violations Cited 5.Date of when each item number was corrected 6.How the item was corrected and how you will prevent the violation from reoccurring 7.Signature of the person submitting the documentation A sample compliance letter was emailed to Ms. Clark and Mr. Watkins with this Visit Summary as an example of how to complete compliance documentation and to use if they wish. Technical Assistance Regarding the Violations Documented: The violations below were documented after a review of children’s and staff files. We discussed that using the Staff and Children’s File Checklists found on the DCDEE website under Provider Documents and Forms would assist them in confirming that all required documents were provided to and received back from parents and staff and on file. In addition, the checklists would assist them in completing tasks required by the operator such as staff orientation. Ms. Clark and Mr. Watkins stated that they had the checklists from the website for the files, but that parents did not always return the documents and that for some files they thought that they already had the forms in the files. Mr. Watkins said some forms such as the signed safe sleep policies were in the infant classroom for the children but not on file. We again discussed that if the document was on the file checklist, the document should be in the file and that they could also now use the Children’s Records Form and the Staff and Training Worksheet that Ms. Childress used today to monitor the files as another way to ensure all documents were on file and all tasks were completed. Item # 0114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Item # 0893 A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. Item # 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. Item # 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Item # 1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. Item # 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The violations below were documented after monitoring of the classroom where children ages one-year-old to four-years-old were grouped together and are regarding items that should be posted. Ms. Clark and Ms. Watkins stated that these children were not previously, and were not supposed to be grouped today, but that they were in two separate spaces and each space had its own schedule, activity plan and ratios posted. I observed in one of the spaces where some of the children were in care prior to today, there was staff/child ratios form and a daily schedule on a cork board for 2-3 year old children. Every classroom in use must have the applicable staff/child ratios form posted, a current daily schedule posted, and activity plans as required per each age group posted every day. When children are age appropriately combined for the operating day (not just the first and last hour of operation) the staff/child ratio sheet posted, activity plan and daily schedule should be applicable to that group of children. As staff and the administrator open the facility and the classrooms for the operating day, staff should ensure that all required posted items are in place and are applicable. If the age of children in care in the group changes for the day, the staff/child ratio form and activity plan should change and the daily schedule if necessary. You may find it helpful to create an “Opening Checklist” for staff to ensure that all required posted items are in place in the classroom and safety checks are in place (such as outlets covered, staff personal belongings in locked storage, medications locked/no new medications received without the required authorization forms, broken toys and equipment removed from the classroom, allergies and special diets posted, etc.). If you would like assistance in creating this type of checklist, please reach out to Ms. Childress. Item # 0508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Item # 0319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Item # 0415 A current schedule was not posted for each group of children for reference. Item # 0428 A current activity plan was not posted for each group of children for reference. The violation below is in regard to staff/child ratios and the grouping of children. We discussed this rule during the visit. Mr. Watkins stated that the two caregivers were not supposed to be grouped together and were supposed to be in separate classrooms- one teacher with the 1-2 year olds and one teacher with the 3-4 year olds and he was not sure why they had combined. Upon arrival the two groups were on the playground together. The staff members stated that they were grouped together in one classroom today with 10 children and provided information that there was 1 child who was one-year-old, 4 children who were two-years-old, 4 children who were three-years-old, and 1 child who was four-years-old present. It is recommended that you review Child Care Rule 10A NCAC 09 .0713 and specifically Child Care Rule 10A NCAC 09 .0713(a)(6) with staff and also that administrative staff make periodic classroom check-ins to ensure that staff remain in compliance with staff/child ratios. You may require staff to check with administrative staff prior to combining any group of children in care. Item # 0318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. The violation below was documented because the door leading into a storage space that leads to the kitchen door was unlocked and the kitchen door was open. This door leading to the storage area had a sign on it stating the door should remain locked at all times. The door was unlocked and when Ms. Childress opened the door, the kitchen door was also unlocked and standing open. I discussed with Ms. Clark and Mr. Watkins that as the sign stated on the door, it must be locked, and I asked why it wasn’t. Ms. Clark stated that Mr. Watkins had just been in the kitchen and left it open accidentally. The water in the kitchen is required to be maintained at a minimum of 120 degrees Fahrenheit, which is a burn hazard for children. Any area with water temperatures exceeding the allowable 80 and 110 degrees Fahrenheit for children must be kept inaccessible to children. Item # 9995 A door leading to the kitchen door and the kitchen door were unlocked. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. Consultation was provided regarding the following: A posted Emergency Medical Care Plan should have the actual names of individuals designated to perform certain responsibilities, rather than listing titles only such as “director” and “teacher.” Arrival and Departure Procedures or Safe Procedures for Pick Up and Delivery must be posted and when using the sample form from the DCDEE website write in your specific requirements as we discussed regarding timeframes for drop off and pick up, where children should be taken upon arrival, who should be notified when children arrive/depart, and that adults must come inside the building for arrival and departure each time. Staff must be reminded that all personal belongings should be kept in locked storage and personal foods should not be kept in the classroom accessible to children, as children could have allergies to certain foods or certain foods brought in by staff may not meet the nutritional requirements for children. Your compliance history affects the star rating. It is imperative that staff maintain compliance with child care rules and requirements at all times. Violations of child care requirements affect the facility’s compliance history. You must maintain a minimum compliance history of seventy-five (75) percent. During today’s visit we discussed the two-component rated license process to assist Ms. Clark in deciding if she wishes to request a Rated License Assessment and an Environment Rating Scale Assessment in order to obtain a 2-5 star rated license. Begin reviewing the Early Childhood Environment Rating Scale (revised edition) booklets and visit the North Carolina Rated License Assessment Project website at www.ncrlap.org. The NCRLAP website offers training and additional notes on topics such as activity areas, indoor and outdoor materials, daily schedules, sanitation, and interactions. You should also contact your local resource and referral agencies, listed below, for additional resources and technical assistance: Rockingham Partnership for Children (336) 342-9676 https://rockinghamkids.org/contact An application for a Rated License Assessment and a Request for an Environment Rating Scale Assessment form were reviewed with and provided to Ms. Clark during the visit. Please submit by email the Rated License application and/or the Request for the Environment Rating Scale Assessment to Ms. Childress no later than February 1, 2025. Please ensure that all staff members have a WORKS Account and are updated with their correct educational information. The information on each staff member’s WORKS Qualification Letter and what is shown in the DCDEE WORKS system is what will be used to determine the points in education for your license. Instructions for the DCDEE WORKS system is located in the DCDEE website at https://ncchildcare.ncdhhs.gov. Register with Department of Justice You must register with the Department of Justice to receive e-mail or phone call notification if a sex offender moves into your area. To register, call 1-877-627-2826 or you may register on line at: http://sexoffender.ncdoj.gov/. To reference the law concerning Sex offender and Public Protection Registration Programs you may go to: http://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_14/Article_27A.html. Contact the local Sheriff's Department if a sex offender email or phone notification is received from the NC Sex Offender Registry. Emergency Preparedness and Response Plan Emergency Preparedness and Response Training in childcare must be completed within one year of licensure and once the training has been completed you must complete an EPR Plan on a template at the following website https://rmp.nc.gov/portal/portal.aspx within four (4) months. A copy of the EPR plan must be printed and on file at the facility for review. After you complete the Emergency Preparedness and Response in Child Care training, you must conduct either a shelter-in-place or a lockdown drill every three months. Use the Emergency Drill Log to document these additional drills as well as the fire drills. The form is located under the Provider Documents tab on the DCDEE website at www.ncchildcare.ncdhhs.gov. The EPR Plan will be reviewed with all staff upon hire during orientation, whenever changes to the plan occur, and at least yearly. The date of the review of the plan with staff should be documented on the Staff and Training Worksheets. In addition, the administrator must review the plan annually in the portal and make updates if required. Once reviewed, print off the first page of the plan which will reflect the date of the review. Staff and Training Worksheet You must complete the Staff and Training Worksheet provided to and reviewed with you during the visit and include all staff members. Keep this worksheet current and submit to Ms. Childress once completed by email. Operational, Administrative and Personnel Policies As discussed during the visit you must immediately submit these policies to Ms. Childress, but no later than December 10, 2024 by email. A hand written visit summary was prepared and a copy provided to Ms. Clark during the visit because Ms. Childress was unable to obtain a Regulatory connection. Ms. Childress documented in the written visit summnary that a computer generated summary would be completed sent by email to Ms. Clark. If you have any further questions about today’s visit, please contact Ms. Childress at tammy.childress@dhhs.nc.gov or by telephone at (336)317-6436. You may also contact the Licensing Supervisor, Pamela Hauser, at pamela.hauser@dhhs.nc.gov if you have concerns regarding today’s visit or any violations documented. 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