Doodle BUG Daycare

10A NCAC 09 .0703 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 13 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. Stacey Vetten, Administrator, was present during today’s visit. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Stacey Vetten, during this visit and a signed copy was sent to you. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. Children were observed today during nap and snack, which consisted of cheese and crackers. There were thirteen (13) children present and six (6) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: No new staff members have been hired since my last visit on December 18 , 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with three (3) children ages zero-to-one year of age, one (1) staff member with three (3) children ages one-to-two years of age and one (1) staff with seven (7) children ages three-to-five years of age. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: The training was completed on 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: You submitted your updated policy and procedures to by email on January 27, 2026. During today’s visit we reviewed and discussed the updated policies and procedures and made changes as needed. Today I gave verbal and written approval of the submitted policies and procedures to be reviewed with staff. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed and submitted to me by February 13, 2026. The following violation was written. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no current menu posted. The menu posted today was for the month of January. 10A NCAC 09 .0901(b) Technical assistance provided: Item #526 current menus must be posted where they are easily visible to parents and kitchen staff. Posting menus in NC child care centers is vital to ensure compliance with NC Department of Health and Human Services (NCDHHS) regulations, maintain USDA Child and Adult Care Food Program (CACFP) standards, and keep parents informed about daily nutrition. It ensures that meals are balanced, allergy-aware, and accurately reflect what is served, aiding in obesity prevention and healthy habit formation. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by February 20, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Based on the information received and items monitored today you have almost completed the Corrective Action Plan attached to the Written Warning issued on November 07, 2025. Once you submit the required information in stipulation 4 and your letter of compliance to me a closure letter will be sent to you noting that you have completed all the necessary steps to close this Administrative Action. It is important that you continue with the procedures and policies you have put in place during these last few months. These procedures and policies need to be reviewed with all teachers at least once a year and reviewed with new teachers upon employment as part of their orientation. Please know that I am here for you all as a resource to address any questions or concerns that you may have related to licensing. I appreciate your hard work and dedication to the families and children in your care. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 13 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. Stacey Vetten, Administrator, was present during today’s visit. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Stacey Vetten, during this visit and a signed copy was sent to you. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. Children were observed today during nap and snack, which consisted of cheese and crackers. There were thirteen (13) children present and six (6) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: No new staff members have been hired since my last visit on December 18 , 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with three (3) children ages zero-to-one year of age, one (1) staff member with three (3) children ages one-to-two years of age and one (1) staff with seven (7) children ages three-to-five years of age. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: The training was completed on 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: You submitted your updated policy and procedures to by email on January 27, 2026. During today’s visit we reviewed and discussed the updated policies and procedures and made changes as needed. Today I gave verbal and written approval of the submitted policies and procedures to be reviewed with staff. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed and submitted to me by February 13, 2026. The following violation was written. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no current menu posted. The menu posted today was for the month of January. 10A NCAC 09 .0901(b) Technical assistance provided: Item #526 current menus must be posted where they are easily visible to parents and kitchen staff. Posting menus in NC child care centers is vital to ensure compliance with NC Department of Health and Human Services (NCDHHS) regulations, maintain USDA Child and Adult Care Food Program (CACFP) standards, and keep parents informed about daily nutrition. It ensures that meals are balanced, allergy-aware, and accurately reflect what is served, aiding in obesity prevention and healthy habit formation. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by February 20, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Based on the information received and items monitored today you have almost completed the Corrective Action Plan attached to the Written Warning issued on November 07, 2025. Once you submit the required information in stipulation 4 and your letter of compliance to me a closure letter will be sent to you noting that you have completed all the necessary steps to close this Administrative Action. It is important that you continue with the procedures and policies you have put in place during these last few months. These procedures and policies need to be reviewed with all teachers at least once a year and reviewed with new teachers upon employment as part of their orientation. Please know that I am here for you all as a resource to address any questions or concerns that you may have related to licensing. I appreciate your hard work and dedication to the families and children in your care. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 13 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. Stacey Vetten, Administrator, was present during today’s visit. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Stacey Vetten, during this visit and a signed copy was sent to you. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. Children were observed today during nap and snack, which consisted of cheese and crackers. There were thirteen (13) children present and six (6) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: No new staff members have been hired since my last visit on December 18 , 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with three (3) children ages zero-to-one year of age, one (1) staff member with three (3) children ages one-to-two years of age and one (1) staff with seven (7) children ages three-to-five years of age. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: The training was completed on 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: You submitted your updated policy and procedures to by email on January 27, 2026. During today’s visit we reviewed and discussed the updated policies and procedures and made changes as needed. Today I gave verbal and written approval of the submitted policies and procedures to be reviewed with staff. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed and submitted to me by February 13, 2026. The following violation was written. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no current menu posted. The menu posted today was for the month of January. 10A NCAC 09 .0901(b) Technical assistance provided: Item #526 current menus must be posted where they are easily visible to parents and kitchen staff. Posting menus in NC child care centers is vital to ensure compliance with NC Department of Health and Human Services (NCDHHS) regulations, maintain USDA Child and Adult Care Food Program (CACFP) standards, and keep parents informed about daily nutrition. It ensures that meals are balanced, allergy-aware, and accurately reflect what is served, aiding in obesity prevention and healthy habit formation. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by February 20, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Based on the information received and items monitored today you have almost completed the Corrective Action Plan attached to the Written Warning issued on November 07, 2025. Once you submit the required information in stipulation 4 and your letter of compliance to me a closure letter will be sent to you noting that you have completed all the necessary steps to close this Administrative Action. It is important that you continue with the procedures and policies you have put in place during these last few months. These procedures and policies need to be reviewed with all teachers at least once a year and reviewed with new teachers upon employment as part of their orientation. Please know that I am here for you all as a resource to address any questions or concerns that you may have related to licensing. I appreciate your hard work and dedication to the families and children in your care. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1801 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 13 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. Stacey Vetten, Administrator, was present during today’s visit. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Stacey Vetten, during this visit and a signed copy was sent to you. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. Children were observed today during nap and snack, which consisted of cheese and crackers. There were thirteen (13) children present and six (6) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: No new staff members have been hired since my last visit on December 18 , 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with three (3) children ages zero-to-one year of age, one (1) staff member with three (3) children ages one-to-two years of age and one (1) staff with seven (7) children ages three-to-five years of age. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: The training was completed on 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: You submitted your updated policy and procedures to by email on January 27, 2026. During today’s visit we reviewed and discussed the updated policies and procedures and made changes as needed. Today I gave verbal and written approval of the submitted policies and procedures to be reviewed with staff. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed and submitted to me by February 13, 2026. The following violation was written. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no current menu posted. The menu posted today was for the month of January. 10A NCAC 09 .0901(b) Technical assistance provided: Item #526 current menus must be posted where they are easily visible to parents and kitchen staff. Posting menus in NC child care centers is vital to ensure compliance with NC Department of Health and Human Services (NCDHHS) regulations, maintain USDA Child and Adult Care Food Program (CACFP) standards, and keep parents informed about daily nutrition. It ensures that meals are balanced, allergy-aware, and accurately reflect what is served, aiding in obesity prevention and healthy habit formation. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by February 20, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Based on the information received and items monitored today you have almost completed the Corrective Action Plan attached to the Written Warning issued on November 07, 2025. Once you submit the required information in stipulation 4 and your letter of compliance to me a closure letter will be sent to you noting that you have completed all the necessary steps to close this Administrative Action. It is important that you continue with the procedures and policies you have put in place during these last few months. These procedures and policies need to be reviewed with all teachers at least once a year and reviewed with new teachers upon employment as part of their orientation. Please know that I am here for you all as a resource to address any questions or concerns that you may have related to licensing. I appreciate your hard work and dedication to the families and children in your care. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2703 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 13 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. Stacey Vetten, Administrator, was present during today’s visit. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Stacey Vetten, during this visit and a signed copy was sent to you. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. Children were observed today during nap and snack, which consisted of cheese and crackers. There were thirteen (13) children present and six (6) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: No new staff members have been hired since my last visit on December 18 , 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with three (3) children ages zero-to-one year of age, one (1) staff member with three (3) children ages one-to-two years of age and one (1) staff with seven (7) children ages three-to-five years of age. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: The training was completed on 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: You submitted your updated policy and procedures to by email on January 27, 2026. During today’s visit we reviewed and discussed the updated policies and procedures and made changes as needed. Today I gave verbal and written approval of the submitted policies and procedures to be reviewed with staff. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed and submitted to me by February 13, 2026. The following violation was written. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no current menu posted. The menu posted today was for the month of January. 10A NCAC 09 .0901(b) Technical assistance provided: Item #526 current menus must be posted where they are easily visible to parents and kitchen staff. Posting menus in NC child care centers is vital to ensure compliance with NC Department of Health and Human Services (NCDHHS) regulations, maintain USDA Child and Adult Care Food Program (CACFP) standards, and keep parents informed about daily nutrition. It ensures that meals are balanced, allergy-aware, and accurately reflect what is served, aiding in obesity prevention and healthy habit formation. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by February 20, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Based on the information received and items monitored today you have almost completed the Corrective Action Plan attached to the Written Warning issued on November 07, 2025. Once you submit the required information in stipulation 4 and your letter of compliance to me a closure letter will be sent to you noting that you have completed all the necessary steps to close this Administrative Action. It is important that you continue with the procedures and policies you have put in place during these last few months. These procedures and policies need to be reviewed with all teachers at least once a year and reviewed with new teachers upon employment as part of their orientation. Please know that I am here for you all as a resource to address any questions or concerns that you may have related to licensing. I appreciate your hard work and dedication to the families and children in your care. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 13 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. Stacey Vetten, Administrator, was present during today’s visit. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Stacey Vetten, during this visit and a signed copy was sent to you. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. Children were observed today during nap and snack, which consisted of cheese and crackers. There were thirteen (13) children present and six (6) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: No new staff members have been hired since my last visit on December 18 , 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with three (3) children ages zero-to-one year of age, one (1) staff member with three (3) children ages one-to-two years of age and one (1) staff with seven (7) children ages three-to-five years of age. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: The training was completed on 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: You submitted your updated policy and procedures to by email on January 27, 2026. During today’s visit we reviewed and discussed the updated policies and procedures and made changes as needed. Today I gave verbal and written approval of the submitted policies and procedures to be reviewed with staff. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed and submitted to me by February 13, 2026. The following violation was written. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There was no current menu posted. The menu posted today was for the month of January. 10A NCAC 09 .0901(b) Technical assistance provided: Item #526 current menus must be posted where they are easily visible to parents and kitchen staff. Posting menus in NC child care centers is vital to ensure compliance with NC Department of Health and Human Services (NCDHHS) regulations, maintain USDA Child and Adult Care Food Program (CACFP) standards, and keep parents informed about daily nutrition. It ensures that meals are balanced, allergy-aware, and accurately reflect what is served, aiding in obesity prevention and healthy habit formation. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by February 20, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Based on the information received and items monitored today you have almost completed the Corrective Action Plan attached to the Written Warning issued on November 07, 2025. Once you submit the required information in stipulation 4 and your letter of compliance to me a closure letter will be sent to you noting that you have completed all the necessary steps to close this Administrative Action. It is important that you continue with the procedures and policies you have put in place during these last few months. These procedures and policies need to be reviewed with all teachers at least once a year and reviewed with new teachers upon employment as part of their orientation. Please know that I am here for you all as a resource to address any questions or concerns that you may have related to licensing. I appreciate your hard work and dedication to the families and children in your care. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0703 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/15/2025 Number Present: 18 Completed Date: 12/15/2025 Age: From 0 To 4 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. This facility did not appeal the Administrative Action and started moving forward with the requirements that could be addressed listed in the corrective action plan stipulations immediately. Stacey Vetten, Administrator, was not present. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant. This visit summary was signed by a lead teacher to confirm that I was on site today. I emailed the visit summary to Ms. Vetten to review, sign and send back to me. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. This must remain posted until February 07, 2026. Children were observed today during inside free play, story time and lunch, which consisted of chicken nuggets, green beans and peaches. There were eighteen (18) children present and four (4) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: Today during my visit, a violation regarding supervision was written. Please refer to the violation written below for what was observed and why the violation was written. No new staff members have been hired since my last visit on November 13, 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with four (4) children ages zero-to-one year of age, one (1) staff member with five (5) children ages one-to-two years of age and one (1) staff with nine (9) children ages three-to-four years of age. One (1) staff member was preparing lunch and floating in the classrooms as needed. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: you reached out to Ms. Houck on 11/26/25 and the training is scheduled for 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed within two weeks of the completion of the mandatory training listed above. The bulleted topics areas listed in this stipulation must be addressed in the written policy and procedures you submit to me. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation will be completed once you have complete stipulations 2 and 3 and I have approved your policy and procedures submitted for stipulation 3. The following violation was written: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During my visit today I observed the staff member in the classroom for children ages zero-through-one year of age not adequately supervising two (2) one-year-old children while they were eating lunch in highchairs. I observed the staff member standing a good distance away from the children with her back turned towards them looking out about the classroom. She then walked away from the area and was across the classroom picking up two other children that did not appear to be upset. She then walked back towards the eating area holding two (2) infants. .1801(a)(1-5) Technical Assistance Provided: Item #303 Supervision during meals in North Carolina childcare is crucial for preventing choking and injuries, especially since young children lack coordination and risk awareness; staff must be positioned to see and hear kids, remain close, and ensure proper seating (seated while eating) to quickly intervene with allergies, assist with self-feeding, teach social skills, and maintain hygiene, meeting strict state licensing rules for safety and development. Key Reasons for Supervision in NC Child Care Meal Times: • Choking Prevention: The biggest risk, as children often move while eating, making it vital to keep them seated and within arm's reach to spot silent choking signs immediately. Achieving Compliance: Another visit will be made soon to ensure that staff are adequately supervising all children while they are eating. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Closure: Ms. Vetten I would like to speak face to face with you on-site about the Written Warning and Corrective Action Plan. If you could please share with me your work schedule to include hours you will be on site I would greatly appreciate it. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/15/2025 Number Present: 18 Completed Date: 12/15/2025 Age: From 0 To 4 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. This facility did not appeal the Administrative Action and started moving forward with the requirements that could be addressed listed in the corrective action plan stipulations immediately. Stacey Vetten, Administrator, was not present. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant. This visit summary was signed by a lead teacher to confirm that I was on site today. I emailed the visit summary to Ms. Vetten to review, sign and send back to me. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. This must remain posted until February 07, 2026. Children were observed today during inside free play, story time and lunch, which consisted of chicken nuggets, green beans and peaches. There were eighteen (18) children present and four (4) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: Today during my visit, a violation regarding supervision was written. Please refer to the violation written below for what was observed and why the violation was written. No new staff members have been hired since my last visit on November 13, 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with four (4) children ages zero-to-one year of age, one (1) staff member with five (5) children ages one-to-two years of age and one (1) staff with nine (9) children ages three-to-four years of age. One (1) staff member was preparing lunch and floating in the classrooms as needed. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: you reached out to Ms. Houck on 11/26/25 and the training is scheduled for 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed within two weeks of the completion of the mandatory training listed above. The bulleted topics areas listed in this stipulation must be addressed in the written policy and procedures you submit to me. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation will be completed once you have complete stipulations 2 and 3 and I have approved your policy and procedures submitted for stipulation 3. The following violation was written: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During my visit today I observed the staff member in the classroom for children ages zero-through-one year of age not adequately supervising two (2) one-year-old children while they were eating lunch in highchairs. I observed the staff member standing a good distance away from the children with her back turned towards them looking out about the classroom. She then walked away from the area and was across the classroom picking up two other children that did not appear to be upset. She then walked back towards the eating area holding two (2) infants. .1801(a)(1-5) Technical Assistance Provided: Item #303 Supervision during meals in North Carolina childcare is crucial for preventing choking and injuries, especially since young children lack coordination and risk awareness; staff must be positioned to see and hear kids, remain close, and ensure proper seating (seated while eating) to quickly intervene with allergies, assist with self-feeding, teach social skills, and maintain hygiene, meeting strict state licensing rules for safety and development. Key Reasons for Supervision in NC Child Care Meal Times: • Choking Prevention: The biggest risk, as children often move while eating, making it vital to keep them seated and within arm's reach to spot silent choking signs immediately. Achieving Compliance: Another visit will be made soon to ensure that staff are adequately supervising all children while they are eating. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Closure: Ms. Vetten I would like to speak face to face with you on-site about the Written Warning and Corrective Action Plan. If you could please share with me your work schedule to include hours you will be on site I would greatly appreciate it. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1801 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/15/2025 Number Present: 18 Completed Date: 12/15/2025 Age: From 0 To 4 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. This facility did not appeal the Administrative Action and started moving forward with the requirements that could be addressed listed in the corrective action plan stipulations immediately. Stacey Vetten, Administrator, was not present. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant. This visit summary was signed by a lead teacher to confirm that I was on site today. I emailed the visit summary to Ms. Vetten to review, sign and send back to me. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. This must remain posted until February 07, 2026. Children were observed today during inside free play, story time and lunch, which consisted of chicken nuggets, green beans and peaches. There were eighteen (18) children present and four (4) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: Today during my visit, a violation regarding supervision was written. Please refer to the violation written below for what was observed and why the violation was written. No new staff members have been hired since my last visit on November 13, 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with four (4) children ages zero-to-one year of age, one (1) staff member with five (5) children ages one-to-two years of age and one (1) staff with nine (9) children ages three-to-four years of age. One (1) staff member was preparing lunch and floating in the classrooms as needed. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: you reached out to Ms. Houck on 11/26/25 and the training is scheduled for 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed within two weeks of the completion of the mandatory training listed above. The bulleted topics areas listed in this stipulation must be addressed in the written policy and procedures you submit to me. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation will be completed once you have complete stipulations 2 and 3 and I have approved your policy and procedures submitted for stipulation 3. The following violation was written: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During my visit today I observed the staff member in the classroom for children ages zero-through-one year of age not adequately supervising two (2) one-year-old children while they were eating lunch in highchairs. I observed the staff member standing a good distance away from the children with her back turned towards them looking out about the classroom. She then walked away from the area and was across the classroom picking up two other children that did not appear to be upset. She then walked back towards the eating area holding two (2) infants. .1801(a)(1-5) Technical Assistance Provided: Item #303 Supervision during meals in North Carolina childcare is crucial for preventing choking and injuries, especially since young children lack coordination and risk awareness; staff must be positioned to see and hear kids, remain close, and ensure proper seating (seated while eating) to quickly intervene with allergies, assist with self-feeding, teach social skills, and maintain hygiene, meeting strict state licensing rules for safety and development. Key Reasons for Supervision in NC Child Care Meal Times: • Choking Prevention: The biggest risk, as children often move while eating, making it vital to keep them seated and within arm's reach to spot silent choking signs immediately. Achieving Compliance: Another visit will be made soon to ensure that staff are adequately supervising all children while they are eating. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Closure: Ms. Vetten I would like to speak face to face with you on-site about the Written Warning and Corrective Action Plan. If you could please share with me your work schedule to include hours you will be on site I would greatly appreciate it. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2703 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/15/2025 Number Present: 18 Completed Date: 12/15/2025 Age: From 0 To 4 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. This facility did not appeal the Administrative Action and started moving forward with the requirements that could be addressed listed in the corrective action plan stipulations immediately. Stacey Vetten, Administrator, was not present. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant. This visit summary was signed by a lead teacher to confirm that I was on site today. I emailed the visit summary to Ms. Vetten to review, sign and send back to me. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. This must remain posted until February 07, 2026. Children were observed today during inside free play, story time and lunch, which consisted of chicken nuggets, green beans and peaches. There were eighteen (18) children present and four (4) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: Today during my visit, a violation regarding supervision was written. Please refer to the violation written below for what was observed and why the violation was written. No new staff members have been hired since my last visit on November 13, 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with four (4) children ages zero-to-one year of age, one (1) staff member with five (5) children ages one-to-two years of age and one (1) staff with nine (9) children ages three-to-four years of age. One (1) staff member was preparing lunch and floating in the classrooms as needed. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: you reached out to Ms. Houck on 11/26/25 and the training is scheduled for 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed within two weeks of the completion of the mandatory training listed above. The bulleted topics areas listed in this stipulation must be addressed in the written policy and procedures you submit to me. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation will be completed once you have complete stipulations 2 and 3 and I have approved your policy and procedures submitted for stipulation 3. The following violation was written: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During my visit today I observed the staff member in the classroom for children ages zero-through-one year of age not adequately supervising two (2) one-year-old children while they were eating lunch in highchairs. I observed the staff member standing a good distance away from the children with her back turned towards them looking out about the classroom. She then walked away from the area and was across the classroom picking up two other children that did not appear to be upset. She then walked back towards the eating area holding two (2) infants. .1801(a)(1-5) Technical Assistance Provided: Item #303 Supervision during meals in North Carolina childcare is crucial for preventing choking and injuries, especially since young children lack coordination and risk awareness; staff must be positioned to see and hear kids, remain close, and ensure proper seating (seated while eating) to quickly intervene with allergies, assist with self-feeding, teach social skills, and maintain hygiene, meeting strict state licensing rules for safety and development. Key Reasons for Supervision in NC Child Care Meal Times: • Choking Prevention: The biggest risk, as children often move while eating, making it vital to keep them seated and within arm's reach to spot silent choking signs immediately. Achieving Compliance: Another visit will be made soon to ensure that staff are adequately supervising all children while they are eating. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Closure: Ms. Vetten I would like to speak face to face with you on-site about the Written Warning and Corrective Action Plan. If you could please share with me your work schedule to include hours you will be on site I would greatly appreciate it. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 12/15/2025 Number Present: 18 Completed Date: 12/15/2025 Age: From 0 To 4 Total Minutes: 105 Time In: 11:15 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to review and monitor compliance regarding the Administrative Action: Written Warning and the Corrective Action Plan issued on November 07, 2025 until February 07. 2026. This facility did not appeal the Administrative Action and started moving forward with the requirements that could be addressed listed in the corrective action plan stipulations immediately. Stacey Vetten, Administrator, was not present. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant. This visit summary was signed by a lead teacher to confirm that I was on site today. I emailed the visit summary to Ms. Vetten to review, sign and send back to me. The Administrative Action Written Warning with the Corrective Action Plan and cover letter was posted near the main entrance and was visible to parents/guardians and visitors. This must remain posted until February 07, 2026. Children were observed today during inside free play, story time and lunch, which consisted of chicken nuggets, green beans and peaches. There were eighteen (18) children present and four (4) staff members. The Corrective Action Plan listed in your Written Warning: 1. The child care operator shall maintain compliance at all times with all applicable child care requirements, including but not limited to, the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) regarding staff/child ratio • North Carolina General Statute 110-91(8), North Carolina General 110-106 (c) and Child Care Rule 10A NCAC 09 .0703 (a) regarding staff qualifications • North Carolina General Statute 110-90.2 (b)(d) and Child Care Rule 10A NCAC 09 .2703 (e) regarding criminal records checks • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) regarding supervision. Note: Today during my visit, a violation regarding supervision was written. Please refer to the violation written below for what was observed and why the violation was written. No new staff members have been hired since my last visit on November 13, 2025 based on what was reported by the staff members. All staff present have a qualification letter on site and a criminal record check. Staff child ratio today was one (1) staff with four (4) children ages zero-to-one year of age, one (1) staff member with five (5) children ages one-to-two years of age and one (1) staff with nine (9) children ages three-to-four years of age. One (1) staff member was preparing lunch and floating in the classrooms as needed. 2. Within one (1) week after this Notice is received, Stacy Vetten, administrator, shall contact Monica Houck, Lead Child Care Consultant, telephone number 828-243-2154, email monica.houck @dhhs.nc.gov, to arrange for a review of all child care requirements applicable to this action. All staff members, including full-time, part-time, substitute, and auxiliary staff, with responsibilities for caring for children shall attend this mandatory training. Special emphasis shall be placed violations documented in this Notice. No children shall be present or in care during this training. Note: you reached out to Ms. Houck on 11/26/25 and the training is scheduled for 1/08/26. 3. Within two (2) weeks after the required rules review is completed, Ms. Vetten shall develop the facility’s staff/child ratio policy and supervision procedures to incorporate strategies learned in the training. The policy and procedures should describe, in detail, the steps the facility will take to ensure compliance with staff/child ratio. The policy and procedures shall include, but not be limited to the following: • North Carolina General Statute 110-91(7) and Child Care Rule 10A NCAC 09 .0713(a-e) • Child Care Rule 10A NCAC 09 .1801 (a)(1-5) • Procedures for when a new staff member assumes responsibility of the children or when a child or children is/are moved to another group • Procedures that ensure children are appropriately grouped and adequately supervised throughout the day • When more than one group of children is combined • When children are in the outdoor learning environment • Maintaining sufficient number of staff members and substitute providers • Frequent review of the procedures with staff members, and incorporation in the orientation of new staff members • Procedures for ensuring qualification letter is in file prior to employment The written policy and procedures shall be submitted to Sarah Upton, Child Care Consultant, 143 Bobcat Trail, Clyde, NC 28721, telephone number (828) 782-0937, email sarah.upton@dhhs.nc.gov, for review. Ms. Upton shall notify Ms. Vetten, orally and in writing, as to whether the written policy and procedures meet the requirements of this stipulation or if modifications are needed. Once notification of stipulation being met is received, the policy and procedures shall be immediately implemented and incorporated into operating procedures. A copy of the policy and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation must be completed within two weeks of the completion of the mandatory training listed above. The bulleted topics areas listed in this stipulation must be addressed in the written policy and procedures you submit to me. 4. Within one (1) week after notification from the Division that the stipulation has been met for the policy and procedure related to staff/child ratio, supervision, staff qualifications and criminal record checks. Ms. Vetten shall conduct a staff meeting with all staff members to discuss the policy and procedures. Documentation of the staff meeting shall include an attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. All documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Note: this stipulation will be completed once you have complete stipulations 2 and 3 and I have approved your policy and procedures submitted for stipulation 3. The following violation was written: Violation Number Comment Rule 303 Children were not adequately supervised at all times. During my visit today I observed the staff member in the classroom for children ages zero-through-one year of age not adequately supervising two (2) one-year-old children while they were eating lunch in highchairs. I observed the staff member standing a good distance away from the children with her back turned towards them looking out about the classroom. She then walked away from the area and was across the classroom picking up two other children that did not appear to be upset. She then walked back towards the eating area holding two (2) infants. .1801(a)(1-5) Technical Assistance Provided: Item #303 Supervision during meals in North Carolina childcare is crucial for preventing choking and injuries, especially since young children lack coordination and risk awareness; staff must be positioned to see and hear kids, remain close, and ensure proper seating (seated while eating) to quickly intervene with allergies, assist with self-feeding, teach social skills, and maintain hygiene, meeting strict state licensing rules for safety and development. Key Reasons for Supervision in NC Child Care Meal Times: • Choking Prevention: The biggest risk, as children often move while eating, making it vital to keep them seated and within arm's reach to spot silent choking signs immediately. Achieving Compliance: Another visit will be made soon to ensure that staff are adequately supervising all children while they are eating. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Closure: Ms. Vetten I would like to speak face to face with you on-site about the Written Warning and Corrective Action Plan. If you could please share with me your work schedule to include hours you will be on site I would greatly appreciate it. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 19 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 265 Time In: 10:50 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Lilly Lancaster, Lead Teacher. Stacey Vetten, Operator/Administrator, had to leave at 11:45 am and gave verbal permission for Ms. Lancaster to sign the visit summary. A signed copy of the visit summary was left on-site. Lilly Lancaster, Lead Teacher, was the person in charge. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (83%) percent as of 11/12/2025. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/13/2025 prior to my arrival. The last lockdown drill was practiced on 11/13/2025 prior to my arrival. The last fire inspection was approved on 2/20/2025 for daytime care only. The last sanitation inspection was conducted on 5/22/2025 with nine (9) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/20/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, pineapples, and milk. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the review of the facility's EMC plan was conducted on 10/01/2024. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff members health questionnaire was last completed/updated on 06/28/2024. Three (3) staff members health questionnaire was last completed/updated on 10/01/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's emergency information was last completed/updated on 06/28/2024. Three (3) staff member's emergency information was last completed/updated on 10/01/2024. .0701(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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's First Aid training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's First Aid expired in February 2025 but was not renewed until October 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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's CPR training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's CPR expired in February 2025 but was not renewed until October 2025. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. After review of the Staff and Training Worksheet completed by the Administrator and two (2) existing staff member's files it was noted that the Administrator's and the floater's ITS-SIDS training expired in March 2025. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the Administrator and three (3) existing staff member's files that have been employed for a year or more an annual staff evaluation and staff development plan was not available for review for 2025. The last staff evaluation and staff development plan was dated for October 2024 for these three (3) staff members. 10A NCAC 09 .0514(f) 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. After review of a new employee's file it was noted that a signed statement that they had received a job description was not available for review. 10A NCAC 09 .0514(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the last review of the facility's EPR plan was conducted on 10/01/2024. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Based on the information available in two (2) existing staff member's file and what was noted on the Staff and Training Worksheet completed by the Administrator, the two (2) staff members hired in July 2024 had not completed the required health and safety training within one year of employment. .1102(a) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1048 and Item #1049 First aid and CPR expire in North Carolina child care because skills and knowledge decline over time, requiring regular renewal to ensure providers are prepared for emergencies. North Carolina law mandates that child care staff maintain current certification, which is renewed every three years for most certifications, with the specific training content needing to be appropriate for the ages of the children in care. The expiration ensures the highest standard of care by verifying that providers can correctly and competently perform life-saving procedures when needed. Item #1065 ITS-SIDS training in North Carolina is required every three years for childcare providers to ensure they stay current on best practices for reducing the risk of SIDS and creating safe sleep environments for infants. This periodic renewal ensures providers are up to date on the latest research and state laws concerning infant safe sleep and the prevention of sleep-related infant deaths. It may be helpful to create a system for each employee to help track the expiration date of training like this one. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 27, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I would like to schedule a time with you Ms. Vetten to review the QRIS modernization system with you in detail in the near future. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 19 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 265 Time In: 10:50 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Lilly Lancaster, Lead Teacher. Stacey Vetten, Operator/Administrator, had to leave at 11:45 am and gave verbal permission for Ms. Lancaster to sign the visit summary. A signed copy of the visit summary was left on-site. Lilly Lancaster, Lead Teacher, was the person in charge. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (83%) percent as of 11/12/2025. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/13/2025 prior to my arrival. The last lockdown drill was practiced on 11/13/2025 prior to my arrival. The last fire inspection was approved on 2/20/2025 for daytime care only. The last sanitation inspection was conducted on 5/22/2025 with nine (9) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/20/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, pineapples, and milk. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the review of the facility's EMC plan was conducted on 10/01/2024. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff members health questionnaire was last completed/updated on 06/28/2024. Three (3) staff members health questionnaire was last completed/updated on 10/01/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's emergency information was last completed/updated on 06/28/2024. Three (3) staff member's emergency information was last completed/updated on 10/01/2024. .0701(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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's First Aid training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's First Aid expired in February 2025 but was not renewed until October 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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's CPR training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's CPR expired in February 2025 but was not renewed until October 2025. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. After review of the Staff and Training Worksheet completed by the Administrator and two (2) existing staff member's files it was noted that the Administrator's and the floater's ITS-SIDS training expired in March 2025. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the Administrator and three (3) existing staff member's files that have been employed for a year or more an annual staff evaluation and staff development plan was not available for review for 2025. The last staff evaluation and staff development plan was dated for October 2024 for these three (3) staff members. 10A NCAC 09 .0514(f) 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. After review of a new employee's file it was noted that a signed statement that they had received a job description was not available for review. 10A NCAC 09 .0514(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the last review of the facility's EPR plan was conducted on 10/01/2024. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Based on the information available in two (2) existing staff member's file and what was noted on the Staff and Training Worksheet completed by the Administrator, the two (2) staff members hired in July 2024 had not completed the required health and safety training within one year of employment. .1102(a) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1048 and Item #1049 First aid and CPR expire in North Carolina child care because skills and knowledge decline over time, requiring regular renewal to ensure providers are prepared for emergencies. North Carolina law mandates that child care staff maintain current certification, which is renewed every three years for most certifications, with the specific training content needing to be appropriate for the ages of the children in care. The expiration ensures the highest standard of care by verifying that providers can correctly and competently perform life-saving procedures when needed. Item #1065 ITS-SIDS training in North Carolina is required every three years for childcare providers to ensure they stay current on best practices for reducing the risk of SIDS and creating safe sleep environments for infants. This periodic renewal ensures providers are up to date on the latest research and state laws concerning infant safe sleep and the prevention of sleep-related infant deaths. It may be helpful to create a system for each employee to help track the expiration date of training like this one. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 27, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I would like to schedule a time with you Ms. Vetten to review the QRIS modernization system with you in detail in the near future. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 19 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 265 Time In: 10:50 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Lilly Lancaster, Lead Teacher. Stacey Vetten, Operator/Administrator, had to leave at 11:45 am and gave verbal permission for Ms. Lancaster to sign the visit summary. A signed copy of the visit summary was left on-site. Lilly Lancaster, Lead Teacher, was the person in charge. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (83%) percent as of 11/12/2025. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/13/2025 prior to my arrival. The last lockdown drill was practiced on 11/13/2025 prior to my arrival. The last fire inspection was approved on 2/20/2025 for daytime care only. The last sanitation inspection was conducted on 5/22/2025 with nine (9) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/20/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, pineapples, and milk. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the review of the facility's EMC plan was conducted on 10/01/2024. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff members health questionnaire was last completed/updated on 06/28/2024. Three (3) staff members health questionnaire was last completed/updated on 10/01/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's emergency information was last completed/updated on 06/28/2024. Three (3) staff member's emergency information was last completed/updated on 10/01/2024. .0701(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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's First Aid training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's First Aid expired in February 2025 but was not renewed until October 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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's CPR training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's CPR expired in February 2025 but was not renewed until October 2025. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. After review of the Staff and Training Worksheet completed by the Administrator and two (2) existing staff member's files it was noted that the Administrator's and the floater's ITS-SIDS training expired in March 2025. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the Administrator and three (3) existing staff member's files that have been employed for a year or more an annual staff evaluation and staff development plan was not available for review for 2025. The last staff evaluation and staff development plan was dated for October 2024 for these three (3) staff members. 10A NCAC 09 .0514(f) 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. After review of a new employee's file it was noted that a signed statement that they had received a job description was not available for review. 10A NCAC 09 .0514(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the last review of the facility's EPR plan was conducted on 10/01/2024. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Based on the information available in two (2) existing staff member's file and what was noted on the Staff and Training Worksheet completed by the Administrator, the two (2) staff members hired in July 2024 had not completed the required health and safety training within one year of employment. .1102(a) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1048 and Item #1049 First aid and CPR expire in North Carolina child care because skills and knowledge decline over time, requiring regular renewal to ensure providers are prepared for emergencies. North Carolina law mandates that child care staff maintain current certification, which is renewed every three years for most certifications, with the specific training content needing to be appropriate for the ages of the children in care. The expiration ensures the highest standard of care by verifying that providers can correctly and competently perform life-saving procedures when needed. Item #1065 ITS-SIDS training in North Carolina is required every three years for childcare providers to ensure they stay current on best practices for reducing the risk of SIDS and creating safe sleep environments for infants. This periodic renewal ensures providers are up to date on the latest research and state laws concerning infant safe sleep and the prevention of sleep-related infant deaths. It may be helpful to create a system for each employee to help track the expiration date of training like this one. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 27, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I would like to schedule a time with you Ms. Vetten to review the QRIS modernization system with you in detail in the near future. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 19 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 265 Time In: 10:50 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Lilly Lancaster, Lead Teacher. Stacey Vetten, Operator/Administrator, had to leave at 11:45 am and gave verbal permission for Ms. Lancaster to sign the visit summary. A signed copy of the visit summary was left on-site. Lilly Lancaster, Lead Teacher, was the person in charge. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (83%) percent as of 11/12/2025. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/13/2025 prior to my arrival. The last lockdown drill was practiced on 11/13/2025 prior to my arrival. The last fire inspection was approved on 2/20/2025 for daytime care only. The last sanitation inspection was conducted on 5/22/2025 with nine (9) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/20/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, pineapples, and milk. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the review of the facility's EMC plan was conducted on 10/01/2024. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff members health questionnaire was last completed/updated on 06/28/2024. Three (3) staff members health questionnaire was last completed/updated on 10/01/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's emergency information was last completed/updated on 06/28/2024. Three (3) staff member's emergency information was last completed/updated on 10/01/2024. .0701(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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's First Aid training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's First Aid expired in February 2025 but was not renewed until October 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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's CPR training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's CPR expired in February 2025 but was not renewed until October 2025. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. After review of the Staff and Training Worksheet completed by the Administrator and two (2) existing staff member's files it was noted that the Administrator's and the floater's ITS-SIDS training expired in March 2025. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the Administrator and three (3) existing staff member's files that have been employed for a year or more an annual staff evaluation and staff development plan was not available for review for 2025. The last staff evaluation and staff development plan was dated for October 2024 for these three (3) staff members. 10A NCAC 09 .0514(f) 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. After review of a new employee's file it was noted that a signed statement that they had received a job description was not available for review. 10A NCAC 09 .0514(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the last review of the facility's EPR plan was conducted on 10/01/2024. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Based on the information available in two (2) existing staff member's file and what was noted on the Staff and Training Worksheet completed by the Administrator, the two (2) staff members hired in July 2024 had not completed the required health and safety training within one year of employment. .1102(a) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1048 and Item #1049 First aid and CPR expire in North Carolina child care because skills and knowledge decline over time, requiring regular renewal to ensure providers are prepared for emergencies. North Carolina law mandates that child care staff maintain current certification, which is renewed every three years for most certifications, with the specific training content needing to be appropriate for the ages of the children in care. The expiration ensures the highest standard of care by verifying that providers can correctly and competently perform life-saving procedures when needed. Item #1065 ITS-SIDS training in North Carolina is required every three years for childcare providers to ensure they stay current on best practices for reducing the risk of SIDS and creating safe sleep environments for infants. This periodic renewal ensures providers are up to date on the latest research and state laws concerning infant safe sleep and the prevention of sleep-related infant deaths. It may be helpful to create a system for each employee to help track the expiration date of training like this one. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 27, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I would like to schedule a time with you Ms. Vetten to review the QRIS modernization system with you in detail in the near future. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 19 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 265 Time In: 10:50 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Lilly Lancaster, Lead Teacher. Stacey Vetten, Operator/Administrator, had to leave at 11:45 am and gave verbal permission for Ms. Lancaster to sign the visit summary. A signed copy of the visit summary was left on-site. Lilly Lancaster, Lead Teacher, was the person in charge. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (83%) percent as of 11/12/2025. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/13/2025 prior to my arrival. The last lockdown drill was practiced on 11/13/2025 prior to my arrival. The last fire inspection was approved on 2/20/2025 for daytime care only. The last sanitation inspection was conducted on 5/22/2025 with nine (9) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/20/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, pineapples, and milk. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the review of the facility's EMC plan was conducted on 10/01/2024. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff members health questionnaire was last completed/updated on 06/28/2024. Three (3) staff members health questionnaire was last completed/updated on 10/01/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's emergency information was last completed/updated on 06/28/2024. Three (3) staff member's emergency information was last completed/updated on 10/01/2024. .0701(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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's First Aid training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's First Aid expired in February 2025 but was not renewed until October 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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's CPR training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's CPR expired in February 2025 but was not renewed until October 2025. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. After review of the Staff and Training Worksheet completed by the Administrator and two (2) existing staff member's files it was noted that the Administrator's and the floater's ITS-SIDS training expired in March 2025. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the Administrator and three (3) existing staff member's files that have been employed for a year or more an annual staff evaluation and staff development plan was not available for review for 2025. The last staff evaluation and staff development plan was dated for October 2024 for these three (3) staff members. 10A NCAC 09 .0514(f) 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. After review of a new employee's file it was noted that a signed statement that they had received a job description was not available for review. 10A NCAC 09 .0514(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the last review of the facility's EPR plan was conducted on 10/01/2024. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Based on the information available in two (2) existing staff member's file and what was noted on the Staff and Training Worksheet completed by the Administrator, the two (2) staff members hired in July 2024 had not completed the required health and safety training within one year of employment. .1102(a) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1048 and Item #1049 First aid and CPR expire in North Carolina child care because skills and knowledge decline over time, requiring regular renewal to ensure providers are prepared for emergencies. North Carolina law mandates that child care staff maintain current certification, which is renewed every three years for most certifications, with the specific training content needing to be appropriate for the ages of the children in care. The expiration ensures the highest standard of care by verifying that providers can correctly and competently perform life-saving procedures when needed. Item #1065 ITS-SIDS training in North Carolina is required every three years for childcare providers to ensure they stay current on best practices for reducing the risk of SIDS and creating safe sleep environments for infants. This periodic renewal ensures providers are up to date on the latest research and state laws concerning infant safe sleep and the prevention of sleep-related infant deaths. It may be helpful to create a system for each employee to help track the expiration date of training like this one. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 27, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I would like to schedule a time with you Ms. Vetten to review the QRIS modernization system with you in detail in the near future. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 19 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 265 Time In: 10:50 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Lilly Lancaster, Lead Teacher. Stacey Vetten, Operator/Administrator, had to leave at 11:45 am and gave verbal permission for Ms. Lancaster to sign the visit summary. A signed copy of the visit summary was left on-site. Lilly Lancaster, Lead Teacher, was the person in charge. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (83%) percent as of 11/12/2025. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/13/2025 prior to my arrival. The last lockdown drill was practiced on 11/13/2025 prior to my arrival. The last fire inspection was approved on 2/20/2025 for daytime care only. The last sanitation inspection was conducted on 5/22/2025 with nine (9) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/20/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, pineapples, and milk. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the review of the facility's EMC plan was conducted on 10/01/2024. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff members health questionnaire was last completed/updated on 06/28/2024. Three (3) staff members health questionnaire was last completed/updated on 10/01/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's emergency information was last completed/updated on 06/28/2024. Three (3) staff member's emergency information was last completed/updated on 10/01/2024. .0701(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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's First Aid training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's First Aid expired in February 2025 but was not renewed until October 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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's CPR training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's CPR expired in February 2025 but was not renewed until October 2025. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. After review of the Staff and Training Worksheet completed by the Administrator and two (2) existing staff member's files it was noted that the Administrator's and the floater's ITS-SIDS training expired in March 2025. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the Administrator and three (3) existing staff member's files that have been employed for a year or more an annual staff evaluation and staff development plan was not available for review for 2025. The last staff evaluation and staff development plan was dated for October 2024 for these three (3) staff members. 10A NCAC 09 .0514(f) 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. After review of a new employee's file it was noted that a signed statement that they had received a job description was not available for review. 10A NCAC 09 .0514(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the last review of the facility's EPR plan was conducted on 10/01/2024. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Based on the information available in two (2) existing staff member's file and what was noted on the Staff and Training Worksheet completed by the Administrator, the two (2) staff members hired in July 2024 had not completed the required health and safety training within one year of employment. .1102(a) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1048 and Item #1049 First aid and CPR expire in North Carolina child care because skills and knowledge decline over time, requiring regular renewal to ensure providers are prepared for emergencies. North Carolina law mandates that child care staff maintain current certification, which is renewed every three years for most certifications, with the specific training content needing to be appropriate for the ages of the children in care. The expiration ensures the highest standard of care by verifying that providers can correctly and competently perform life-saving procedures when needed. Item #1065 ITS-SIDS training in North Carolina is required every three years for childcare providers to ensure they stay current on best practices for reducing the risk of SIDS and creating safe sleep environments for infants. This periodic renewal ensures providers are up to date on the latest research and state laws concerning infant safe sleep and the prevention of sleep-related infant deaths. It may be helpful to create a system for each employee to help track the expiration date of training like this one. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 27, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I would like to schedule a time with you Ms. Vetten to review the QRIS modernization system with you in detail in the near future. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 11/13/2025 Number Present: 19 Completed Date: 11/13/2025 Age: From 0 To 4 Total Minutes: 265 Time In: 10:50 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Lilly Lancaster, Lead Teacher. Stacey Vetten, Operator/Administrator, had to leave at 11:45 am and gave verbal permission for Ms. Lancaster to sign the visit summary. A signed copy of the visit summary was left on-site. Lilly Lancaster, Lead Teacher, was the person in charge. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (83%) percent as of 11/12/2025. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/13/2025 prior to my arrival. The last lockdown drill was practiced on 11/13/2025 prior to my arrival. The last fire inspection was approved on 2/20/2025 for daytime care only. The last sanitation inspection was conducted on 5/22/2025 with nine (9) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 05/20/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, pineapples, and milk. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the review of the facility's EMC plan was conducted on 10/01/2024. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff members health questionnaire was last completed/updated on 06/28/2024. Three (3) staff members health questionnaire was last completed/updated on 10/01/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's emergency information was last completed/updated on 06/28/2024. Three (3) staff member's emergency information was last completed/updated on 10/01/2024. .0701(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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's First Aid training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's First Aid expired in February 2025 but was not renewed until October 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. After review of the Staff and Training Worksheet completed by the Administrator and staff member's files it was noted that two (2) staff member's CPR training expired in May 2025 but was not renewed until October 2025. It was also noted that the floater's CPR expired in February 2025 but was not renewed until October 2025. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. After review of the Staff and Training Worksheet completed by the Administrator and two (2) existing staff member's files it was noted that the Administrator's and the floater's ITS-SIDS training expired in March 2025. .1102(f) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. After review of the Staff and Training Worksheet completed by the Administrator and three (3) existing staff member's files that have been employed for a year or more an annual staff evaluation and staff development plan was not available for review for 2025. The last staff evaluation and staff development plan was dated for October 2024 for these three (3) staff members. 10A NCAC 09 .0514(f) 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. After review of a new employee's file it was noted that a signed statement that they had received a job description was not available for review. 10A NCAC 09 .0514(g) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. After review of the Staff and Training Worksheet completed by the Administrator and five (5) existing staff member's files it was noted that the last review of the facility's EPR plan was conducted on 10/01/2024. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Based on the information available in two (2) existing staff member's file and what was noted on the Staff and Training Worksheet completed by the Administrator, the two (2) staff members hired in July 2024 had not completed the required health and safety training within one year of employment. .1102(a) Technical assistance was provided as follows: Item #0862 and Item # 1824 The annual review of emergency information for staff in North Carolina childcare is required to ensure they are prepared to protect children and themselves in an emergency by keeping the plan updated, current, and ensuring all staff are aware of their roles and responsibilities. This review process is mandated by state regulations and is a crucial component of maintaining a physically safe environment. It ensures staff know what to do during both natural and man-made disasters and medical emergencies. It is important the your Emergency Medical Care Plan and your Emergency Preparedness Plan are reviewed with staff as changes occur and/or at least annually. I would suggest setting aside a month each year so that you review this information. For example, every January you review the EMC plan and the EPR and have staff sign an acknowledgment for that this information was reviewed with them. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1034 Health questionnaires are required for childcare staff in North Carolina to ensure the health and safety of children by identifying potential health issues with employees. This helps confirm that staff are physically and emotionally fit to care for children and to prevent the spread of illnesses. This information must be updated as needed and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1035 Emergency Information for staff needs to be updated as changes occur and at least annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1048 and Item #1049 First aid and CPR expire in North Carolina child care because skills and knowledge decline over time, requiring regular renewal to ensure providers are prepared for emergencies. North Carolina law mandates that child care staff maintain current certification, which is renewed every three years for most certifications, with the specific training content needing to be appropriate for the ages of the children in care. The expiration ensures the highest standard of care by verifying that providers can correctly and competently perform life-saving procedures when needed. Item #1065 ITS-SIDS training in North Carolina is required every three years for childcare providers to ensure they stay current on best practices for reducing the risk of SIDS and creating safe sleep environments for infants. This periodic renewal ensures providers are up to date on the latest research and state laws concerning infant safe sleep and the prevention of sleep-related infant deaths. It may be helpful to create a system for each employee to help track the expiration date of training like this one. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1232 Staff development plans and evaluations are required in North Carolina child care to ensure children's safety, health, and development by requiring qualified staff and providing a framework for continuous quality improvement. These requirements help create a safe and healthy environment, ensure staff are knowledgeable about child development, and promote a culture of ongoing professional growth and skill enhancement. It may be helpful to create a system for each employee to help track when staff development plans and staff evaluations are due. Staff development plans and staff evaluations are required to be completed within one (1) year and annually. The Staff and Training Worksheet can be used as a guide to assist you with dates and when things are due; however, it needs to be updated and reviewed regularly to stay on track. Item #1233 Job descriptions are required in North Carolina child care to ensure child safety and quality care by verifying staff have the necessary qualifications, skills, and training to protect children's physical and developmental needs. Requirements include criminal background checks, training in health and safety like first aid, and ensuring staff understand child development and have appropriate early education credentials. This helps guarantee a safe, healthy environment where children are cared for by qualified professionals. Item #1898 Health and safety trainings are required in North Carolina childcare facilities primarily to protect children by ensuring staff can prevent and respond to emergencies. These requirements, mandated by federal law, include topics like CPR, first aid, child abuse prevention, emergency preparedness, and safe sleep practices. The trainings are also designed to ensure continued access to federal aid for low-income families and to improve the overall quality of child care. The Health and Safety Training Record on the DCDEE website https://ncchildcare.ncdhhs.gov/ under provider documents is a helpful tool to track what topics have been completed and what topic are still needed. It is important that the log be completed as trainings are completed and that training certificates are attached to the log to verify the completion of each topic required. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by November 27, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah.Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton !43 Bobcat Trail Clyde NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I would like to schedule a time with you Ms. Vetten to review the QRIS modernization system with you in detail in the near future. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828-782-0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0606 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 11 Completed Date: 10/2/2025 Age: From 0 To 4 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. Stacey Vetten, Administrator, was not present during my visit today. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Lilly Lancaster, lead teacher. A signed copy of the visit summary was left on-site. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, approved space, and activities and routine caregiving activities. Upon arrival, I announced my presence and the purpose of the visit. All classrooms from infants through four years of age were observed during naps and waking up. Children then had snack which consisted of peanut butter and crackers. Children in the classroom for children ages three-through-four years of age were observed playing with puzzles as they woke from nap. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. As I was entering the office area I noticed that the lesson plan posted on the classroom information board for children ages one-through-two years of age was dated August 25th-29th. GS 110-91(12); .0508(a) 871 Center staff did not comply with the safe sleep policy. During my walkthrough of the classrooms I requested to review the safe sleep charts for the two infants enrolled. Based on the charts reviewed today staff did not document children’s naps for September 30 and October 01 for two children under 12-months of age that were present on those days. 10A NCAC 09 .0606(a) Technical assistance was provided as follows: Item #421 activity plans need to be updated weekly. Activity plans are important for child care centers because they promote children's security and predictability, support their cognitive and social-emotional development by providing structured learning opportunities, and ensure that activities are engaging, age-appropriate, and meet established educational goals. They also provide transparency for families, help with classroom management by creating smooth transitions, and allow educators to intentionally shape the learning environment. Item #871- Based on your safe sleep policy and 10A NCAC 09 .0606 SAFE SLEEP PRACTICES staff are to conduct and document visual checks of sleeping children every 15 minutes. As we discussed today regardless of how long a child sleeps the nap needs be documented on the sleep chart and include the time the children fell asleep and the time they woke up even if they sleep for less than 15 minutes. Safe sleep checks are important because they significantly reduce the risk of sudden, unexpected infant deaths, such as Sudden Infant Death Syndrome (SIDS), accidental suffocation, and strangulation. By consistently implementing safe sleep practices, parents and caregivers can prevent sleep-related hazards and ensure babies have a safe environment for healthy development and restful sleep. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 16, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah. Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 29721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Closure: Due to a staff/child ratio substantiation documented on August 21, 2025, the facility may receive an administrative action to include a corrective action plan. You may refer to Child Care Rule 10A NCAC 09 .2200 regarding ADMINISTRATIVE ACTIONS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2200 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 11 Completed Date: 10/2/2025 Age: From 0 To 4 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. Stacey Vetten, Administrator, was not present during my visit today. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Lilly Lancaster, lead teacher. A signed copy of the visit summary was left on-site. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, approved space, and activities and routine caregiving activities. Upon arrival, I announced my presence and the purpose of the visit. All classrooms from infants through four years of age were observed during naps and waking up. Children then had snack which consisted of peanut butter and crackers. Children in the classroom for children ages three-through-four years of age were observed playing with puzzles as they woke from nap. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. As I was entering the office area I noticed that the lesson plan posted on the classroom information board for children ages one-through-two years of age was dated August 25th-29th. GS 110-91(12); .0508(a) 871 Center staff did not comply with the safe sleep policy. During my walkthrough of the classrooms I requested to review the safe sleep charts for the two infants enrolled. Based on the charts reviewed today staff did not document children’s naps for September 30 and October 01 for two children under 12-months of age that were present on those days. 10A NCAC 09 .0606(a) Technical assistance was provided as follows: Item #421 activity plans need to be updated weekly. Activity plans are important for child care centers because they promote children's security and predictability, support their cognitive and social-emotional development by providing structured learning opportunities, and ensure that activities are engaging, age-appropriate, and meet established educational goals. They also provide transparency for families, help with classroom management by creating smooth transitions, and allow educators to intentionally shape the learning environment. Item #871- Based on your safe sleep policy and 10A NCAC 09 .0606 SAFE SLEEP PRACTICES staff are to conduct and document visual checks of sleeping children every 15 minutes. As we discussed today regardless of how long a child sleeps the nap needs be documented on the sleep chart and include the time the children fell asleep and the time they woke up even if they sleep for less than 15 minutes. Safe sleep checks are important because they significantly reduce the risk of sudden, unexpected infant deaths, such as Sudden Infant Death Syndrome (SIDS), accidental suffocation, and strangulation. By consistently implementing safe sleep practices, parents and caregivers can prevent sleep-related hazards and ensure babies have a safe environment for healthy development and restful sleep. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 16, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah. Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 29721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Closure: Due to a staff/child ratio substantiation documented on August 21, 2025, the facility may receive an administrative action to include a corrective action plan. You may refer to Child Care Rule 10A NCAC 09 .2200 regarding ADMINISTRATIVE ACTIONS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 11 Completed Date: 10/2/2025 Age: From 0 To 4 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. Stacey Vetten, Administrator, was not present during my visit today. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Lilly Lancaster, lead teacher. A signed copy of the visit summary was left on-site. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, approved space, and activities and routine caregiving activities. Upon arrival, I announced my presence and the purpose of the visit. All classrooms from infants through four years of age were observed during naps and waking up. Children then had snack which consisted of peanut butter and crackers. Children in the classroom for children ages three-through-four years of age were observed playing with puzzles as they woke from nap. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. As I was entering the office area I noticed that the lesson plan posted on the classroom information board for children ages one-through-two years of age was dated August 25th-29th. GS 110-91(12); .0508(a) 871 Center staff did not comply with the safe sleep policy. During my walkthrough of the classrooms I requested to review the safe sleep charts for the two infants enrolled. Based on the charts reviewed today staff did not document children’s naps for September 30 and October 01 for two children under 12-months of age that were present on those days. 10A NCAC 09 .0606(a) Technical assistance was provided as follows: Item #421 activity plans need to be updated weekly. Activity plans are important for child care centers because they promote children's security and predictability, support their cognitive and social-emotional development by providing structured learning opportunities, and ensure that activities are engaging, age-appropriate, and meet established educational goals. They also provide transparency for families, help with classroom management by creating smooth transitions, and allow educators to intentionally shape the learning environment. Item #871- Based on your safe sleep policy and 10A NCAC 09 .0606 SAFE SLEEP PRACTICES staff are to conduct and document visual checks of sleeping children every 15 minutes. As we discussed today regardless of how long a child sleeps the nap needs be documented on the sleep chart and include the time the children fell asleep and the time they woke up even if they sleep for less than 15 minutes. Safe sleep checks are important because they significantly reduce the risk of sudden, unexpected infant deaths, such as Sudden Infant Death Syndrome (SIDS), accidental suffocation, and strangulation. By consistently implementing safe sleep practices, parents and caregivers can prevent sleep-related hazards and ensure babies have a safe environment for healthy development and restful sleep. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 16, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah. Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 29721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Closure: Due to a staff/child ratio substantiation documented on August 21, 2025, the facility may receive an administrative action to include a corrective action plan. You may refer to Child Care Rule 10A NCAC 09 .2200 regarding ADMINISTRATIVE ACTIONS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 10/2/2025 Number Present: 11 Completed Date: 10/2/2025 Age: From 0 To 4 Total Minutes: 120 Time In: 01:30 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. Stacey Vetten, Administrator, was not present during my visit today. A computerized generated report of today’s visit was completed and signed by Sarah Upton, Child Care Consultant and Lilly Lancaster, lead teacher. A signed copy of the visit summary was left on-site. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, approved space, and activities and routine caregiving activities. Upon arrival, I announced my presence and the purpose of the visit. All classrooms from infants through four years of age were observed during naps and waking up. Children then had snack which consisted of peanut butter and crackers. Children in the classroom for children ages three-through-four years of age were observed playing with puzzles as they woke from nap. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. As I was entering the office area I noticed that the lesson plan posted on the classroom information board for children ages one-through-two years of age was dated August 25th-29th. GS 110-91(12); .0508(a) 871 Center staff did not comply with the safe sleep policy. During my walkthrough of the classrooms I requested to review the safe sleep charts for the two infants enrolled. Based on the charts reviewed today staff did not document children’s naps for September 30 and October 01 for two children under 12-months of age that were present on those days. 10A NCAC 09 .0606(a) Technical assistance was provided as follows: Item #421 activity plans need to be updated weekly. Activity plans are important for child care centers because they promote children's security and predictability, support their cognitive and social-emotional development by providing structured learning opportunities, and ensure that activities are engaging, age-appropriate, and meet established educational goals. They also provide transparency for families, help with classroom management by creating smooth transitions, and allow educators to intentionally shape the learning environment. Item #871- Based on your safe sleep policy and 10A NCAC 09 .0606 SAFE SLEEP PRACTICES staff are to conduct and document visual checks of sleeping children every 15 minutes. As we discussed today regardless of how long a child sleeps the nap needs be documented on the sleep chart and include the time the children fell asleep and the time they woke up even if they sleep for less than 15 minutes. Safe sleep checks are important because they significantly reduce the risk of sudden, unexpected infant deaths, such as Sudden Infant Death Syndrome (SIDS), accidental suffocation, and strangulation. By consistently implementing safe sleep practices, parents and caregivers can prevent sleep-related hazards and ensure babies have a safe environment for healthy development and restful sleep. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 16, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sarah. Upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail, Clyde NC 29721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Closure: Due to a staff/child ratio substantiation documented on August 21, 2025, the facility may receive an administrative action to include a corrective action plan. You may refer to Child Care Rule 10A NCAC 09 .2200 regarding ADMINISTRATIVE ACTIONS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: 0825-214L Visit Date: 8/21/2025 Number Present: 29 Completed Date: 8/21/2025 Age: From 6 To 9 Total Minutes: 205 Time In: 10:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Morgan Brock, Investigation Consultant, accompanied on today’s visit. The Ashley Moody, Administrative Assistant, assisted us today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 08/20/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 08/19/2025 with additional information added on 08/20/2025 and sent to me originally on 08/19/2025 updated information sent on 08/20/2025. There is a concern of inadequate supervision. During the week of July 14th a nonverbal child was left in the preschool classroom for approximately 15 minutes before he was discovered by another staff member. The staff was walking through the classroom to access the sink and noticed the child playing in a center. The rest of the class had gone outside. The staff member gathered the child and took him outside with his classmates and teachers. During today’s visit I interviewed the lead teacher of the four-to-five-year-old classroom and she reported that she doesn’t recall an incident of a child being left in the classroom or a staff member bring him outside to her. Video footage for the week of July 14th was no longer available for review. Based on the information received today this item was unsubstantiated. During the week of July 14th a staff member observed the owner/administrator coming into the facility with a child and his father during operating hours. They walked through the classroom to the back bathrooms. About 3-5 minutes later the staff member heard the child yelling for his daddy from the bathroom. The staff member step around and looked to the back bathrooms and noticed the owner and the father coming out of the non working bathroom. During today’s visit I spoke with all staff members involved in the staff meeting on that were still employed at the facility. According to staff report the incident did occur but the child had been signed-out and was in care of his father. Based on the information received today this item was unsubstantiated. There are concerns of staff to child ratio and age grouping of children. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for in the infant classroom. Children ranged in age six months to 9 years of age. Based on video footage reviewed today and staff report all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. At 9:23 am children were divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and infants and school age children were cared for in the infant room. Based on the information received today this concern was substantiated There are concerns that volunteers who are 13, and 14 years of age were counted in staff to child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were being cared for by one staff member, the owner/administrator husband, a 13 year-old and a 14 year-old. Today a staff member reported that it was her understanding that the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There are concerns that children were cared for by someone that did not have a qualification letter. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by the owners/administrator’s husband, Nick Vetten, which does not have a qualification letter. Today a staff member reported that it was her understanding that Nick Vetten, there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There is concern that someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by a 17 year-old. Based on video footage reviewed today and staff report at 9:23 am children wee divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. Based on the information received today this concern was substantiated The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During our visit today two (2) staff in the classroom for children ages three-through-four years of were observed sitting in chairs talking to each other while children were playing outside. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On August 14th all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. 10A NCAC 09 .0713(a)(5) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. On August 14th all twenty eight (28) children present were cared for in the infant classroom by two caregivers that were 19 years of age and 17 years of age. GS 110-91(8) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August 14th at 9:23 am toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1027 Volunteers who are 13, 14, or 15 years old were not directly supervised by or worked with a staff person who was at least 21 years old and met staff qualification requirements. Today a staff member reported that it was her understanding that on August 14th the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. .0102(53) 1041 Prior to employment a Criminal Background Check was not completed. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #303 In North Carolina childcare, adequate playground supervision means staff are positioned to see and hear all children, actively moving and interacting with them, and knowing each child's location and activities at all times. Supervision must be age-appropriate, and staff need to be able to anticipate and redirect potentially unsafe behaviors. Key Aspects of Playground Supervision Visibility and Audibility: Staff must be able to see and hear all children, particularly those aged birth to five years. Active Movement: Staff should continuously move around the play area, rather than standing in one place, to maintain a broad view of the children. Engagement: Interacting with children by playing with them or moving with them is a key part of adequate supervision. Awareness of Location and Activity: Staff must always know where each child is and what they are doing. Proactive Intervention: Supervisors need to anticipate potential hazards and redirect children before unsafe situations escalate. Age-Appropriate Care: Supervision strategies must be tailored to the specific age, needs, and capabilities of each child. Why Active Supervision Matters Prevents Injuries: This focused, intentional observation helps prevent injuries by allowing staff to intervene before accidents happen. Promotes Safe Environments: Active supervision creates a safe environment for children to explore and play. Fosters Positive Play: It ensures that play is both safe and positive, allowing for healthy development and learning. Item 316 and Item 1756 In North Carolina, appropriate staff-to-child ratios in childcare settings are crucial for ensuring children's safety, well-being, and development and must be maintained at all times. The only time children of all ages may be cared for together is the first and last operating hour of the day, if the staff/child ratio for the youngest child present is maintained; Item 1024 Staff members who were 16 or 17 years old who were counted in meeting a required staff/child ratio must be supervised by a credentialed staff person who is at least 21 years old. Item 1026 Someone less than 18 years old cannot be left alone with a group of children and count in Item 1027 volunteers ages 13 through 15 years of age should not be responsible for a group or counted in staff/child ratio. Item 1041 and Item 1757 N. Vetten must have a qualification letter before he can care for or assist with a group of children Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 04, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Consultant Name Address: 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: 0825-214L Visit Date: 8/21/2025 Number Present: 29 Completed Date: 8/21/2025 Age: From 6 To 9 Total Minutes: 205 Time In: 10:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Morgan Brock, Investigation Consultant, accompanied on today’s visit. The Ashley Moody, Administrative Assistant, assisted us today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 08/20/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 08/19/2025 with additional information added on 08/20/2025 and sent to me originally on 08/19/2025 updated information sent on 08/20/2025. There is a concern of inadequate supervision. During the week of July 14th a nonverbal child was left in the preschool classroom for approximately 15 minutes before he was discovered by another staff member. The staff was walking through the classroom to access the sink and noticed the child playing in a center. The rest of the class had gone outside. The staff member gathered the child and took him outside with his classmates and teachers. During today’s visit I interviewed the lead teacher of the four-to-five-year-old classroom and she reported that she doesn’t recall an incident of a child being left in the classroom or a staff member bring him outside to her. Video footage for the week of July 14th was no longer available for review. Based on the information received today this item was unsubstantiated. During the week of July 14th a staff member observed the owner/administrator coming into the facility with a child and his father during operating hours. They walked through the classroom to the back bathrooms. About 3-5 minutes later the staff member heard the child yelling for his daddy from the bathroom. The staff member step around and looked to the back bathrooms and noticed the owner and the father coming out of the non working bathroom. During today’s visit I spoke with all staff members involved in the staff meeting on that were still employed at the facility. According to staff report the incident did occur but the child had been signed-out and was in care of his father. Based on the information received today this item was unsubstantiated. There are concerns of staff to child ratio and age grouping of children. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for in the infant classroom. Children ranged in age six months to 9 years of age. Based on video footage reviewed today and staff report all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. At 9:23 am children were divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and infants and school age children were cared for in the infant room. Based on the information received today this concern was substantiated There are concerns that volunteers who are 13, and 14 years of age were counted in staff to child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were being cared for by one staff member, the owner/administrator husband, a 13 year-old and a 14 year-old. Today a staff member reported that it was her understanding that the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There are concerns that children were cared for by someone that did not have a qualification letter. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by the owners/administrator’s husband, Nick Vetten, which does not have a qualification letter. Today a staff member reported that it was her understanding that Nick Vetten, there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There is concern that someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by a 17 year-old. Based on video footage reviewed today and staff report at 9:23 am children wee divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. Based on the information received today this concern was substantiated The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During our visit today two (2) staff in the classroom for children ages three-through-four years of were observed sitting in chairs talking to each other while children were playing outside. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On August 14th all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. 10A NCAC 09 .0713(a)(5) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. On August 14th all twenty eight (28) children present were cared for in the infant classroom by two caregivers that were 19 years of age and 17 years of age. GS 110-91(8) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August 14th at 9:23 am toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1027 Volunteers who are 13, 14, or 15 years old were not directly supervised by or worked with a staff person who was at least 21 years old and met staff qualification requirements. Today a staff member reported that it was her understanding that on August 14th the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. .0102(53) 1041 Prior to employment a Criminal Background Check was not completed. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #303 In North Carolina childcare, adequate playground supervision means staff are positioned to see and hear all children, actively moving and interacting with them, and knowing each child's location and activities at all times. Supervision must be age-appropriate, and staff need to be able to anticipate and redirect potentially unsafe behaviors. Key Aspects of Playground Supervision Visibility and Audibility: Staff must be able to see and hear all children, particularly those aged birth to five years. Active Movement: Staff should continuously move around the play area, rather than standing in one place, to maintain a broad view of the children. Engagement: Interacting with children by playing with them or moving with them is a key part of adequate supervision. Awareness of Location and Activity: Staff must always know where each child is and what they are doing. Proactive Intervention: Supervisors need to anticipate potential hazards and redirect children before unsafe situations escalate. Age-Appropriate Care: Supervision strategies must be tailored to the specific age, needs, and capabilities of each child. Why Active Supervision Matters Prevents Injuries: This focused, intentional observation helps prevent injuries by allowing staff to intervene before accidents happen. Promotes Safe Environments: Active supervision creates a safe environment for children to explore and play. Fosters Positive Play: It ensures that play is both safe and positive, allowing for healthy development and learning. Item 316 and Item 1756 In North Carolina, appropriate staff-to-child ratios in childcare settings are crucial for ensuring children's safety, well-being, and development and must be maintained at all times. The only time children of all ages may be cared for together is the first and last operating hour of the day, if the staff/child ratio for the youngest child present is maintained; Item 1024 Staff members who were 16 or 17 years old who were counted in meeting a required staff/child ratio must be supervised by a credentialed staff person who is at least 21 years old. Item 1026 Someone less than 18 years old cannot be left alone with a group of children and count in Item 1027 volunteers ages 13 through 15 years of age should not be responsible for a group or counted in staff/child ratio. Item 1041 and Item 1757 N. Vetten must have a qualification letter before he can care for or assist with a group of children Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 04, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Consultant Name Address: 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: 0825-214L Visit Date: 8/21/2025 Number Present: 29 Completed Date: 8/21/2025 Age: From 6 To 9 Total Minutes: 205 Time In: 10:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Morgan Brock, Investigation Consultant, accompanied on today’s visit. The Ashley Moody, Administrative Assistant, assisted us today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 08/20/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 08/19/2025 with additional information added on 08/20/2025 and sent to me originally on 08/19/2025 updated information sent on 08/20/2025. There is a concern of inadequate supervision. During the week of July 14th a nonverbal child was left in the preschool classroom for approximately 15 minutes before he was discovered by another staff member. The staff was walking through the classroom to access the sink and noticed the child playing in a center. The rest of the class had gone outside. The staff member gathered the child and took him outside with his classmates and teachers. During today’s visit I interviewed the lead teacher of the four-to-five-year-old classroom and she reported that she doesn’t recall an incident of a child being left in the classroom or a staff member bring him outside to her. Video footage for the week of July 14th was no longer available for review. Based on the information received today this item was unsubstantiated. During the week of July 14th a staff member observed the owner/administrator coming into the facility with a child and his father during operating hours. They walked through the classroom to the back bathrooms. About 3-5 minutes later the staff member heard the child yelling for his daddy from the bathroom. The staff member step around and looked to the back bathrooms and noticed the owner and the father coming out of the non working bathroom. During today’s visit I spoke with all staff members involved in the staff meeting on that were still employed at the facility. According to staff report the incident did occur but the child had been signed-out and was in care of his father. Based on the information received today this item was unsubstantiated. There are concerns of staff to child ratio and age grouping of children. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for in the infant classroom. Children ranged in age six months to 9 years of age. Based on video footage reviewed today and staff report all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. At 9:23 am children were divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and infants and school age children were cared for in the infant room. Based on the information received today this concern was substantiated There are concerns that volunteers who are 13, and 14 years of age were counted in staff to child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were being cared for by one staff member, the owner/administrator husband, a 13 year-old and a 14 year-old. Today a staff member reported that it was her understanding that the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There are concerns that children were cared for by someone that did not have a qualification letter. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by the owners/administrator’s husband, Nick Vetten, which does not have a qualification letter. Today a staff member reported that it was her understanding that Nick Vetten, there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There is concern that someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by a 17 year-old. Based on video footage reviewed today and staff report at 9:23 am children wee divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. Based on the information received today this concern was substantiated The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During our visit today two (2) staff in the classroom for children ages three-through-four years of were observed sitting in chairs talking to each other while children were playing outside. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On August 14th all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. 10A NCAC 09 .0713(a)(5) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. On August 14th all twenty eight (28) children present were cared for in the infant classroom by two caregivers that were 19 years of age and 17 years of age. GS 110-91(8) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August 14th at 9:23 am toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1027 Volunteers who are 13, 14, or 15 years old were not directly supervised by or worked with a staff person who was at least 21 years old and met staff qualification requirements. Today a staff member reported that it was her understanding that on August 14th the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. .0102(53) 1041 Prior to employment a Criminal Background Check was not completed. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #303 In North Carolina childcare, adequate playground supervision means staff are positioned to see and hear all children, actively moving and interacting with them, and knowing each child's location and activities at all times. Supervision must be age-appropriate, and staff need to be able to anticipate and redirect potentially unsafe behaviors. Key Aspects of Playground Supervision Visibility and Audibility: Staff must be able to see and hear all children, particularly those aged birth to five years. Active Movement: Staff should continuously move around the play area, rather than standing in one place, to maintain a broad view of the children. Engagement: Interacting with children by playing with them or moving with them is a key part of adequate supervision. Awareness of Location and Activity: Staff must always know where each child is and what they are doing. Proactive Intervention: Supervisors need to anticipate potential hazards and redirect children before unsafe situations escalate. Age-Appropriate Care: Supervision strategies must be tailored to the specific age, needs, and capabilities of each child. Why Active Supervision Matters Prevents Injuries: This focused, intentional observation helps prevent injuries by allowing staff to intervene before accidents happen. Promotes Safe Environments: Active supervision creates a safe environment for children to explore and play. Fosters Positive Play: It ensures that play is both safe and positive, allowing for healthy development and learning. Item 316 and Item 1756 In North Carolina, appropriate staff-to-child ratios in childcare settings are crucial for ensuring children's safety, well-being, and development and must be maintained at all times. The only time children of all ages may be cared for together is the first and last operating hour of the day, if the staff/child ratio for the youngest child present is maintained; Item 1024 Staff members who were 16 or 17 years old who were counted in meeting a required staff/child ratio must be supervised by a credentialed staff person who is at least 21 years old. Item 1026 Someone less than 18 years old cannot be left alone with a group of children and count in Item 1027 volunteers ages 13 through 15 years of age should not be responsible for a group or counted in staff/child ratio. Item 1041 and Item 1757 N. Vetten must have a qualification letter before he can care for or assist with a group of children Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 04, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Consultant Name Address: 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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. 110-106 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: 0825-214L Visit Date: 8/21/2025 Number Present: 29 Completed Date: 8/21/2025 Age: From 6 To 9 Total Minutes: 205 Time In: 10:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Morgan Brock, Investigation Consultant, accompanied on today’s visit. The Ashley Moody, Administrative Assistant, assisted us today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 08/20/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 08/19/2025 with additional information added on 08/20/2025 and sent to me originally on 08/19/2025 updated information sent on 08/20/2025. There is a concern of inadequate supervision. During the week of July 14th a nonverbal child was left in the preschool classroom for approximately 15 minutes before he was discovered by another staff member. The staff was walking through the classroom to access the sink and noticed the child playing in a center. The rest of the class had gone outside. The staff member gathered the child and took him outside with his classmates and teachers. During today’s visit I interviewed the lead teacher of the four-to-five-year-old classroom and she reported that she doesn’t recall an incident of a child being left in the classroom or a staff member bring him outside to her. Video footage for the week of July 14th was no longer available for review. Based on the information received today this item was unsubstantiated. During the week of July 14th a staff member observed the owner/administrator coming into the facility with a child and his father during operating hours. They walked through the classroom to the back bathrooms. About 3-5 minutes later the staff member heard the child yelling for his daddy from the bathroom. The staff member step around and looked to the back bathrooms and noticed the owner and the father coming out of the non working bathroom. During today’s visit I spoke with all staff members involved in the staff meeting on that were still employed at the facility. According to staff report the incident did occur but the child had been signed-out and was in care of his father. Based on the information received today this item was unsubstantiated. There are concerns of staff to child ratio and age grouping of children. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for in the infant classroom. Children ranged in age six months to 9 years of age. Based on video footage reviewed today and staff report all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. At 9:23 am children were divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and infants and school age children were cared for in the infant room. Based on the information received today this concern was substantiated There are concerns that volunteers who are 13, and 14 years of age were counted in staff to child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were being cared for by one staff member, the owner/administrator husband, a 13 year-old and a 14 year-old. Today a staff member reported that it was her understanding that the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There are concerns that children were cared for by someone that did not have a qualification letter. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by the owners/administrator’s husband, Nick Vetten, which does not have a qualification letter. Today a staff member reported that it was her understanding that Nick Vetten, there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There is concern that someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by a 17 year-old. Based on video footage reviewed today and staff report at 9:23 am children wee divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. Based on the information received today this concern was substantiated The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During our visit today two (2) staff in the classroom for children ages three-through-four years of were observed sitting in chairs talking to each other while children were playing outside. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On August 14th all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. 10A NCAC 09 .0713(a)(5) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. On August 14th all twenty eight (28) children present were cared for in the infant classroom by two caregivers that were 19 years of age and 17 years of age. GS 110-91(8) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August 14th at 9:23 am toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1027 Volunteers who are 13, 14, or 15 years old were not directly supervised by or worked with a staff person who was at least 21 years old and met staff qualification requirements. Today a staff member reported that it was her understanding that on August 14th the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. .0102(53) 1041 Prior to employment a Criminal Background Check was not completed. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #303 In North Carolina childcare, adequate playground supervision means staff are positioned to see and hear all children, actively moving and interacting with them, and knowing each child's location and activities at all times. Supervision must be age-appropriate, and staff need to be able to anticipate and redirect potentially unsafe behaviors. Key Aspects of Playground Supervision Visibility and Audibility: Staff must be able to see and hear all children, particularly those aged birth to five years. Active Movement: Staff should continuously move around the play area, rather than standing in one place, to maintain a broad view of the children. Engagement: Interacting with children by playing with them or moving with them is a key part of adequate supervision. Awareness of Location and Activity: Staff must always know where each child is and what they are doing. Proactive Intervention: Supervisors need to anticipate potential hazards and redirect children before unsafe situations escalate. Age-Appropriate Care: Supervision strategies must be tailored to the specific age, needs, and capabilities of each child. Why Active Supervision Matters Prevents Injuries: This focused, intentional observation helps prevent injuries by allowing staff to intervene before accidents happen. Promotes Safe Environments: Active supervision creates a safe environment for children to explore and play. Fosters Positive Play: It ensures that play is both safe and positive, allowing for healthy development and learning. Item 316 and Item 1756 In North Carolina, appropriate staff-to-child ratios in childcare settings are crucial for ensuring children's safety, well-being, and development and must be maintained at all times. The only time children of all ages may be cared for together is the first and last operating hour of the day, if the staff/child ratio for the youngest child present is maintained; Item 1024 Staff members who were 16 or 17 years old who were counted in meeting a required staff/child ratio must be supervised by a credentialed staff person who is at least 21 years old. Item 1026 Someone less than 18 years old cannot be left alone with a group of children and count in Item 1027 volunteers ages 13 through 15 years of age should not be responsible for a group or counted in staff/child ratio. Item 1041 and Item 1757 N. Vetten must have a qualification letter before he can care for or assist with a group of children Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 04, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Consultant Name Address: 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: 0825-214L Visit Date: 8/21/2025 Number Present: 29 Completed Date: 8/21/2025 Age: From 6 To 9 Total Minutes: 205 Time In: 10:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Morgan Brock, Investigation Consultant, accompanied on today’s visit. The Ashley Moody, Administrative Assistant, assisted us today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 08/20/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 08/19/2025 with additional information added on 08/20/2025 and sent to me originally on 08/19/2025 updated information sent on 08/20/2025. There is a concern of inadequate supervision. During the week of July 14th a nonverbal child was left in the preschool classroom for approximately 15 minutes before he was discovered by another staff member. The staff was walking through the classroom to access the sink and noticed the child playing in a center. The rest of the class had gone outside. The staff member gathered the child and took him outside with his classmates and teachers. During today’s visit I interviewed the lead teacher of the four-to-five-year-old classroom and she reported that she doesn’t recall an incident of a child being left in the classroom or a staff member bring him outside to her. Video footage for the week of July 14th was no longer available for review. Based on the information received today this item was unsubstantiated. During the week of July 14th a staff member observed the owner/administrator coming into the facility with a child and his father during operating hours. They walked through the classroom to the back bathrooms. About 3-5 minutes later the staff member heard the child yelling for his daddy from the bathroom. The staff member step around and looked to the back bathrooms and noticed the owner and the father coming out of the non working bathroom. During today’s visit I spoke with all staff members involved in the staff meeting on that were still employed at the facility. According to staff report the incident did occur but the child had been signed-out and was in care of his father. Based on the information received today this item was unsubstantiated. There are concerns of staff to child ratio and age grouping of children. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for in the infant classroom. Children ranged in age six months to 9 years of age. Based on video footage reviewed today and staff report all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. At 9:23 am children were divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and infants and school age children were cared for in the infant room. Based on the information received today this concern was substantiated There are concerns that volunteers who are 13, and 14 years of age were counted in staff to child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were being cared for by one staff member, the owner/administrator husband, a 13 year-old and a 14 year-old. Today a staff member reported that it was her understanding that the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There are concerns that children were cared for by someone that did not have a qualification letter. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by the owners/administrator’s husband, Nick Vetten, which does not have a qualification letter. Today a staff member reported that it was her understanding that Nick Vetten, there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There is concern that someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by a 17 year-old. Based on video footage reviewed today and staff report at 9:23 am children wee divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. Based on the information received today this concern was substantiated The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During our visit today two (2) staff in the classroom for children ages three-through-four years of were observed sitting in chairs talking to each other while children were playing outside. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On August 14th all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. 10A NCAC 09 .0713(a)(5) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. On August 14th all twenty eight (28) children present were cared for in the infant classroom by two caregivers that were 19 years of age and 17 years of age. GS 110-91(8) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August 14th at 9:23 am toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1027 Volunteers who are 13, 14, or 15 years old were not directly supervised by or worked with a staff person who was at least 21 years old and met staff qualification requirements. Today a staff member reported that it was her understanding that on August 14th the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. .0102(53) 1041 Prior to employment a Criminal Background Check was not completed. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #303 In North Carolina childcare, adequate playground supervision means staff are positioned to see and hear all children, actively moving and interacting with them, and knowing each child's location and activities at all times. Supervision must be age-appropriate, and staff need to be able to anticipate and redirect potentially unsafe behaviors. Key Aspects of Playground Supervision Visibility and Audibility: Staff must be able to see and hear all children, particularly those aged birth to five years. Active Movement: Staff should continuously move around the play area, rather than standing in one place, to maintain a broad view of the children. Engagement: Interacting with children by playing with them or moving with them is a key part of adequate supervision. Awareness of Location and Activity: Staff must always know where each child is and what they are doing. Proactive Intervention: Supervisors need to anticipate potential hazards and redirect children before unsafe situations escalate. Age-Appropriate Care: Supervision strategies must be tailored to the specific age, needs, and capabilities of each child. Why Active Supervision Matters Prevents Injuries: This focused, intentional observation helps prevent injuries by allowing staff to intervene before accidents happen. Promotes Safe Environments: Active supervision creates a safe environment for children to explore and play. Fosters Positive Play: It ensures that play is both safe and positive, allowing for healthy development and learning. Item 316 and Item 1756 In North Carolina, appropriate staff-to-child ratios in childcare settings are crucial for ensuring children's safety, well-being, and development and must be maintained at all times. The only time children of all ages may be cared for together is the first and last operating hour of the day, if the staff/child ratio for the youngest child present is maintained; Item 1024 Staff members who were 16 or 17 years old who were counted in meeting a required staff/child ratio must be supervised by a credentialed staff person who is at least 21 years old. Item 1026 Someone less than 18 years old cannot be left alone with a group of children and count in Item 1027 volunteers ages 13 through 15 years of age should not be responsible for a group or counted in staff/child ratio. Item 1041 and Item 1757 N. Vetten must have a qualification letter before he can care for or assist with a group of children Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 04, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Consultant Name Address: 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: 0825-214L Visit Date: 8/21/2025 Number Present: 29 Completed Date: 8/21/2025 Age: From 6 To 9 Total Minutes: 205 Time In: 10:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Morgan Brock, Investigation Consultant, accompanied on today’s visit. The Ashley Moody, Administrative Assistant, assisted us today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 08/20/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 08/19/2025 with additional information added on 08/20/2025 and sent to me originally on 08/19/2025 updated information sent on 08/20/2025. There is a concern of inadequate supervision. During the week of July 14th a nonverbal child was left in the preschool classroom for approximately 15 minutes before he was discovered by another staff member. The staff was walking through the classroom to access the sink and noticed the child playing in a center. The rest of the class had gone outside. The staff member gathered the child and took him outside with his classmates and teachers. During today’s visit I interviewed the lead teacher of the four-to-five-year-old classroom and she reported that she doesn’t recall an incident of a child being left in the classroom or a staff member bring him outside to her. Video footage for the week of July 14th was no longer available for review. Based on the information received today this item was unsubstantiated. During the week of July 14th a staff member observed the owner/administrator coming into the facility with a child and his father during operating hours. They walked through the classroom to the back bathrooms. About 3-5 minutes later the staff member heard the child yelling for his daddy from the bathroom. The staff member step around and looked to the back bathrooms and noticed the owner and the father coming out of the non working bathroom. During today’s visit I spoke with all staff members involved in the staff meeting on that were still employed at the facility. According to staff report the incident did occur but the child had been signed-out and was in care of his father. Based on the information received today this item was unsubstantiated. There are concerns of staff to child ratio and age grouping of children. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for in the infant classroom. Children ranged in age six months to 9 years of age. Based on video footage reviewed today and staff report all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. At 9:23 am children were divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and infants and school age children were cared for in the infant room. Based on the information received today this concern was substantiated There are concerns that volunteers who are 13, and 14 years of age were counted in staff to child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were being cared for by one staff member, the owner/administrator husband, a 13 year-old and a 14 year-old. Today a staff member reported that it was her understanding that the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There are concerns that children were cared for by someone that did not have a qualification letter. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by the owners/administrator’s husband, Nick Vetten, which does not have a qualification letter. Today a staff member reported that it was her understanding that Nick Vetten, there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There is concern that someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by a 17 year-old. Based on video footage reviewed today and staff report at 9:23 am children wee divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. Based on the information received today this concern was substantiated The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During our visit today two (2) staff in the classroom for children ages three-through-four years of were observed sitting in chairs talking to each other while children were playing outside. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On August 14th all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. 10A NCAC 09 .0713(a)(5) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. On August 14th all twenty eight (28) children present were cared for in the infant classroom by two caregivers that were 19 years of age and 17 years of age. GS 110-91(8) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August 14th at 9:23 am toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1027 Volunteers who are 13, 14, or 15 years old were not directly supervised by or worked with a staff person who was at least 21 years old and met staff qualification requirements. Today a staff member reported that it was her understanding that on August 14th the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. .0102(53) 1041 Prior to employment a Criminal Background Check was not completed. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #303 In North Carolina childcare, adequate playground supervision means staff are positioned to see and hear all children, actively moving and interacting with them, and knowing each child's location and activities at all times. Supervision must be age-appropriate, and staff need to be able to anticipate and redirect potentially unsafe behaviors. Key Aspects of Playground Supervision Visibility and Audibility: Staff must be able to see and hear all children, particularly those aged birth to five years. Active Movement: Staff should continuously move around the play area, rather than standing in one place, to maintain a broad view of the children. Engagement: Interacting with children by playing with them or moving with them is a key part of adequate supervision. Awareness of Location and Activity: Staff must always know where each child is and what they are doing. Proactive Intervention: Supervisors need to anticipate potential hazards and redirect children before unsafe situations escalate. Age-Appropriate Care: Supervision strategies must be tailored to the specific age, needs, and capabilities of each child. Why Active Supervision Matters Prevents Injuries: This focused, intentional observation helps prevent injuries by allowing staff to intervene before accidents happen. Promotes Safe Environments: Active supervision creates a safe environment for children to explore and play. Fosters Positive Play: It ensures that play is both safe and positive, allowing for healthy development and learning. Item 316 and Item 1756 In North Carolina, appropriate staff-to-child ratios in childcare settings are crucial for ensuring children's safety, well-being, and development and must be maintained at all times. The only time children of all ages may be cared for together is the first and last operating hour of the day, if the staff/child ratio for the youngest child present is maintained; Item 1024 Staff members who were 16 or 17 years old who were counted in meeting a required staff/child ratio must be supervised by a credentialed staff person who is at least 21 years old. Item 1026 Someone less than 18 years old cannot be left alone with a group of children and count in Item 1027 volunteers ages 13 through 15 years of age should not be responsible for a group or counted in staff/child ratio. Item 1041 and Item 1757 N. Vetten must have a qualification letter before he can care for or assist with a group of children Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 04, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Consultant Name Address: 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: 0825-214L Visit Date: 8/21/2025 Number Present: 29 Completed Date: 8/21/2025 Age: From 6 To 9 Total Minutes: 205 Time In: 10:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Morgan Brock, Investigation Consultant, accompanied on today’s visit. The Ashley Moody, Administrative Assistant, assisted us today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 08/20/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 08/19/2025 with additional information added on 08/20/2025 and sent to me originally on 08/19/2025 updated information sent on 08/20/2025. There is a concern of inadequate supervision. During the week of July 14th a nonverbal child was left in the preschool classroom for approximately 15 minutes before he was discovered by another staff member. The staff was walking through the classroom to access the sink and noticed the child playing in a center. The rest of the class had gone outside. The staff member gathered the child and took him outside with his classmates and teachers. During today’s visit I interviewed the lead teacher of the four-to-five-year-old classroom and she reported that she doesn’t recall an incident of a child being left in the classroom or a staff member bring him outside to her. Video footage for the week of July 14th was no longer available for review. Based on the information received today this item was unsubstantiated. During the week of July 14th a staff member observed the owner/administrator coming into the facility with a child and his father during operating hours. They walked through the classroom to the back bathrooms. About 3-5 minutes later the staff member heard the child yelling for his daddy from the bathroom. The staff member step around and looked to the back bathrooms and noticed the owner and the father coming out of the non working bathroom. During today’s visit I spoke with all staff members involved in the staff meeting on that were still employed at the facility. According to staff report the incident did occur but the child had been signed-out and was in care of his father. Based on the information received today this item was unsubstantiated. There are concerns of staff to child ratio and age grouping of children. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for in the infant classroom. Children ranged in age six months to 9 years of age. Based on video footage reviewed today and staff report all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. At 9:23 am children were divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and infants and school age children were cared for in the infant room. Based on the information received today this concern was substantiated There are concerns that volunteers who are 13, and 14 years of age were counted in staff to child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were being cared for by one staff member, the owner/administrator husband, a 13 year-old and a 14 year-old. Today a staff member reported that it was her understanding that the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There are concerns that children were cared for by someone that did not have a qualification letter. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by the owners/administrator’s husband, Nick Vetten, which does not have a qualification letter. Today a staff member reported that it was her understanding that Nick Vetten, there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There is concern that someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by a 17 year-old. Based on video footage reviewed today and staff report at 9:23 am children wee divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. Based on the information received today this concern was substantiated The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During our visit today two (2) staff in the classroom for children ages three-through-four years of were observed sitting in chairs talking to each other while children were playing outside. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On August 14th all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. 10A NCAC 09 .0713(a)(5) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. On August 14th all twenty eight (28) children present were cared for in the infant classroom by two caregivers that were 19 years of age and 17 years of age. GS 110-91(8) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August 14th at 9:23 am toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1027 Volunteers who are 13, 14, or 15 years old were not directly supervised by or worked with a staff person who was at least 21 years old and met staff qualification requirements. Today a staff member reported that it was her understanding that on August 14th the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. .0102(53) 1041 Prior to employment a Criminal Background Check was not completed. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #303 In North Carolina childcare, adequate playground supervision means staff are positioned to see and hear all children, actively moving and interacting with them, and knowing each child's location and activities at all times. Supervision must be age-appropriate, and staff need to be able to anticipate and redirect potentially unsafe behaviors. Key Aspects of Playground Supervision Visibility and Audibility: Staff must be able to see and hear all children, particularly those aged birth to five years. Active Movement: Staff should continuously move around the play area, rather than standing in one place, to maintain a broad view of the children. Engagement: Interacting with children by playing with them or moving with them is a key part of adequate supervision. Awareness of Location and Activity: Staff must always know where each child is and what they are doing. Proactive Intervention: Supervisors need to anticipate potential hazards and redirect children before unsafe situations escalate. Age-Appropriate Care: Supervision strategies must be tailored to the specific age, needs, and capabilities of each child. Why Active Supervision Matters Prevents Injuries: This focused, intentional observation helps prevent injuries by allowing staff to intervene before accidents happen. Promotes Safe Environments: Active supervision creates a safe environment for children to explore and play. Fosters Positive Play: It ensures that play is both safe and positive, allowing for healthy development and learning. Item 316 and Item 1756 In North Carolina, appropriate staff-to-child ratios in childcare settings are crucial for ensuring children's safety, well-being, and development and must be maintained at all times. The only time children of all ages may be cared for together is the first and last operating hour of the day, if the staff/child ratio for the youngest child present is maintained; Item 1024 Staff members who were 16 or 17 years old who were counted in meeting a required staff/child ratio must be supervised by a credentialed staff person who is at least 21 years old. Item 1026 Someone less than 18 years old cannot be left alone with a group of children and count in Item 1027 volunteers ages 13 through 15 years of age should not be responsible for a group or counted in staff/child ratio. Item 1041 and Item 1757 N. Vetten must have a qualification letter before he can care for or assist with a group of children Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 04, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Consultant Name Address: 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: 0825-214L Visit Date: 8/21/2025 Number Present: 29 Completed Date: 8/21/2025 Age: From 6 To 9 Total Minutes: 205 Time In: 10:35 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. An electronic signed copy of the visit summary was left on-site. Morgan Brock, Investigation Consultant, accompanied on today’s visit. The Ashley Moody, Administrative Assistant, assisted us today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 08/20/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The complaint was received by the Division of Child Development and Early Education on 08/19/2025 with additional information added on 08/20/2025 and sent to me originally on 08/19/2025 updated information sent on 08/20/2025. There is a concern of inadequate supervision. During the week of July 14th a nonverbal child was left in the preschool classroom for approximately 15 minutes before he was discovered by another staff member. The staff was walking through the classroom to access the sink and noticed the child playing in a center. The rest of the class had gone outside. The staff member gathered the child and took him outside with his classmates and teachers. During today’s visit I interviewed the lead teacher of the four-to-five-year-old classroom and she reported that she doesn’t recall an incident of a child being left in the classroom or a staff member bring him outside to her. Video footage for the week of July 14th was no longer available for review. Based on the information received today this item was unsubstantiated. During the week of July 14th a staff member observed the owner/administrator coming into the facility with a child and his father during operating hours. They walked through the classroom to the back bathrooms. About 3-5 minutes later the staff member heard the child yelling for his daddy from the bathroom. The staff member step around and looked to the back bathrooms and noticed the owner and the father coming out of the non working bathroom. During today’s visit I spoke with all staff members involved in the staff meeting on that were still employed at the facility. According to staff report the incident did occur but the child had been signed-out and was in care of his father. Based on the information received today this item was unsubstantiated. There are concerns of staff to child ratio and age grouping of children. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for in the infant classroom. Children ranged in age six months to 9 years of age. Based on video footage reviewed today and staff report all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. At 9:23 am children were divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and infants and school age children were cared for in the infant room. Based on the information received today this concern was substantiated There are concerns that volunteers who are 13, and 14 years of age were counted in staff to child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were being cared for by one staff member, the owner/administrator husband, a 13 year-old and a 14 year-old. Today a staff member reported that it was her understanding that the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There are concerns that children were cared for by someone that did not have a qualification letter. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by the owners/administrator’s husband, Nick Vetten, which does not have a qualification letter. Today a staff member reported that it was her understanding that Nick Vetten, there to help her while the other staff members were involved in the staff meeting. Based on the information received today this concern was substantiated There is concern that someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August the 14th, 2025 the owner/administrator called for a staff meeting for all staff and required all staff to gather in the school age children’s classroom between 9:00-11:00 am. While staff members were in the meeting all children were cared for by a 17 year-old. Based on video footage reviewed today and staff report at 9:23 am children wee divided into two (2) groups. Toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. Based on the information received today this concern was substantiated The following violations were documented during today’s visit. Violation Number Comment Rule 303 Children were not adequately supervised at all times. During our visit today two (2) staff in the classroom for children ages three-through-four years of were observed sitting in chairs talking to each other while children were playing outside. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. On August 14th all children ages six months to 9 years of age were grouped together and cared for in the infant classroom from 8:54 am until 9:23 am. 10A NCAC 09 .0713(a)(5) 1024 Staff members who were 16 or 17 years old were counted in meeting a required staff/child ratio were not supervised by a credentialed staff person who is at least 21 years old. On August 14th all twenty eight (28) children present were cared for in the infant classroom by two caregivers that were 19 years of age and 17 years of age. GS 110-91(8) 1026 Someone less than 18 years old was left alone with children and was counted in the staff/child ratio. On August 14th at 9:23 am toddler and preschool aged children were taken into the toddler room and cared for by a 17 year old staff member. G.S. 110-91(8); G.S. 110-106(e); .0703(a) 1027 Volunteers who are 13, 14, or 15 years old were not directly supervised by or worked with a staff person who was at least 21 years old and met staff qualification requirements. Today a staff member reported that it was her understanding that on August 14th the 13 year old and the 14 year old were there to help her while the other staff members were involved in the staff meeting. .0102(53) 1041 Prior to employment a Criminal Background Check was not completed. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. Today a staff member reported that it was her understanding that on August 14 Nick Vetten was there to assist her with the children while the other staff members were involved in the staff meeting. Nick Vetten, did not have a Criminal Background Check prior to assisting with the children. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #303 In North Carolina childcare, adequate playground supervision means staff are positioned to see and hear all children, actively moving and interacting with them, and knowing each child's location and activities at all times. Supervision must be age-appropriate, and staff need to be able to anticipate and redirect potentially unsafe behaviors. Key Aspects of Playground Supervision Visibility and Audibility: Staff must be able to see and hear all children, particularly those aged birth to five years. Active Movement: Staff should continuously move around the play area, rather than standing in one place, to maintain a broad view of the children. Engagement: Interacting with children by playing with them or moving with them is a key part of adequate supervision. Awareness of Location and Activity: Staff must always know where each child is and what they are doing. Proactive Intervention: Supervisors need to anticipate potential hazards and redirect children before unsafe situations escalate. Age-Appropriate Care: Supervision strategies must be tailored to the specific age, needs, and capabilities of each child. Why Active Supervision Matters Prevents Injuries: This focused, intentional observation helps prevent injuries by allowing staff to intervene before accidents happen. Promotes Safe Environments: Active supervision creates a safe environment for children to explore and play. Fosters Positive Play: It ensures that play is both safe and positive, allowing for healthy development and learning. Item 316 and Item 1756 In North Carolina, appropriate staff-to-child ratios in childcare settings are crucial for ensuring children's safety, well-being, and development and must be maintained at all times. The only time children of all ages may be cared for together is the first and last operating hour of the day, if the staff/child ratio for the youngest child present is maintained; Item 1024 Staff members who were 16 or 17 years old who were counted in meeting a required staff/child ratio must be supervised by a credentialed staff person who is at least 21 years old. Item 1026 Someone less than 18 years old cannot be left alone with a group of children and count in Item 1027 volunteers ages 13 through 15 years of age should not be responsible for a group or counted in staff/child ratio. Item 1041 and Item 1757 N. Vetten must have a qualification letter before he can care for or assist with a group of children Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by September 04, 2025 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Consultant Name Address: 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 17 Completed Date: 6/4/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 02:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant. Stacey Vetten, Operator/Administrator, was not present during the visit. Ms. Vetten gave verbal permission for Amanda Hyde, Lead Teacher in the infant classroom, to sign this visit summary. An electronic signed copy of the visit summary was left on-site with you. During my walkthrough of the classroom staff members in each space assisted me with information I needed for that specific classroom and were able to answer my questions. This visit was conducted in conjugation with complaint visits and all classrooms were observed and were monitored based on the procedures set forth by DCDEE. Children in the classroom for ages zero-through-one-year-of-age where observed during transition from outside to inside, washing hands and free play. Staff members were observed sitting on the floor and engaged in play with the non-mobile infants and providing toys. Children were also observed during lunch, which consisted of mini corn dogs, corn, peaches and milk. Children in the classroom for children one-year-of-age through two-years-of-age were observed playing outside, lunch and nap. Children in the classroom for ages three-year-of-age through five-years-of-age were combined with the school age children and were observed during a teacher directed dessert making activity involving pudding and cookie crumbles. They were also observed during the transition to lunch, lunch and nap. Staff members were observed adequately supervising each group of children, they were engaged and involved with the children and interactions between children and staff were observed helpful and meaningful. The classroom for children ages three-years-of-age through five-years-of-age was closed today due to staff shortage. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage (90%) as of 06/03/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions The last fire drill was practiced on June 01, 2025. The last shelter-in-place drill/lockdown drill was practiced on May 31, 2025. Four (4) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in the classroom for children zero-through-one-year-of-age, the classroom for children three-years-of-age-through-five and the classroom for the school aged children were dated 05/26-05/30. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. Today children were served mini corn dogs for lunch. The corn dogs were cut in half, however, they still presented a choking hazard and needed to be cut diagonally as well as horizontal. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the four (4) new staff members' files it was noted that one (1) staff member (AL) did not have the TB screening signed by a health care professional. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the four new staff members' files it was noted that one (1) staff member (AJ) did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) Technical Assistance provided as follows: Item #428 a current activity plan must be posted in each space. Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Item #1033 negative TB test result or the TB questionnaire must be on file on or before the first day of employment. Item #1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. This may require that you move a staff member with current ITS/SIDS training into this classroom until the current staff member can complete the training. Item #1874 All teachers must sign acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy has been reviewed with them prior to caring for children. Achieving Compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by June 18, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Today there were no concerns related to nap time, but I wanted to share that during nap time there should be enough light in the classroom to allow staff to see children’s faces and coloring. Blankets should not cover children’s faces/hands. Staff should be periodically walking through the classroom to check children and see if their faces/heads are uncovered. If covered then they should remove the blanket. You recently sent me email regarding off-premises activities including swimming. I was hoping to talk to you today regarding the requirements for these types of activities but was unable to do so. Please refer to the following CHAPTER 09 - CHILD CARE RULES for further information: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS SECTION .1000 - TRANSPORTATION STANDARDS You should have completed the ABCMS training and are using the system by now. If you have any question please let me know. Lead and asbestos testing should have already been completed or at least requested. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1005 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 17 Completed Date: 6/4/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 02:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant. Stacey Vetten, Operator/Administrator, was not present during the visit. Ms. Vetten gave verbal permission for Amanda Hyde, Lead Teacher in the infant classroom, to sign this visit summary. An electronic signed copy of the visit summary was left on-site with you. During my walkthrough of the classroom staff members in each space assisted me with information I needed for that specific classroom and were able to answer my questions. This visit was conducted in conjugation with complaint visits and all classrooms were observed and were monitored based on the procedures set forth by DCDEE. Children in the classroom for ages zero-through-one-year-of-age where observed during transition from outside to inside, washing hands and free play. Staff members were observed sitting on the floor and engaged in play with the non-mobile infants and providing toys. Children were also observed during lunch, which consisted of mini corn dogs, corn, peaches and milk. Children in the classroom for children one-year-of-age through two-years-of-age were observed playing outside, lunch and nap. Children in the classroom for ages three-year-of-age through five-years-of-age were combined with the school age children and were observed during a teacher directed dessert making activity involving pudding and cookie crumbles. They were also observed during the transition to lunch, lunch and nap. Staff members were observed adequately supervising each group of children, they were engaged and involved with the children and interactions between children and staff were observed helpful and meaningful. The classroom for children ages three-years-of-age through five-years-of-age was closed today due to staff shortage. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage (90%) as of 06/03/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions The last fire drill was practiced on June 01, 2025. The last shelter-in-place drill/lockdown drill was practiced on May 31, 2025. Four (4) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in the classroom for children zero-through-one-year-of-age, the classroom for children three-years-of-age-through-five and the classroom for the school aged children were dated 05/26-05/30. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. Today children were served mini corn dogs for lunch. The corn dogs were cut in half, however, they still presented a choking hazard and needed to be cut diagonally as well as horizontal. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the four (4) new staff members' files it was noted that one (1) staff member (AL) did not have the TB screening signed by a health care professional. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the four new staff members' files it was noted that one (1) staff member (AJ) did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) Technical Assistance provided as follows: Item #428 a current activity plan must be posted in each space. Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Item #1033 negative TB test result or the TB questionnaire must be on file on or before the first day of employment. Item #1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. This may require that you move a staff member with current ITS/SIDS training into this classroom until the current staff member can complete the training. Item #1874 All teachers must sign acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy has been reviewed with them prior to caring for children. Achieving Compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by June 18, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Today there were no concerns related to nap time, but I wanted to share that during nap time there should be enough light in the classroom to allow staff to see children’s faces and coloring. Blankets should not cover children’s faces/hands. Staff should be periodically walking through the classroom to check children and see if their faces/heads are uncovered. If covered then they should remove the blanket. You recently sent me email regarding off-premises activities including swimming. I was hoping to talk to you today regarding the requirements for these types of activities but was unable to do so. Please refer to the following CHAPTER 09 - CHILD CARE RULES for further information: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS SECTION .1000 - TRANSPORTATION STANDARDS You should have completed the ABCMS training and are using the system by now. If you have any question please let me know. Lead and asbestos testing should have already been completed or at least requested. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1403 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 17 Completed Date: 6/4/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 02:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant. Stacey Vetten, Operator/Administrator, was not present during the visit. Ms. Vetten gave verbal permission for Amanda Hyde, Lead Teacher in the infant classroom, to sign this visit summary. An electronic signed copy of the visit summary was left on-site with you. During my walkthrough of the classroom staff members in each space assisted me with information I needed for that specific classroom and were able to answer my questions. This visit was conducted in conjugation with complaint visits and all classrooms were observed and were monitored based on the procedures set forth by DCDEE. Children in the classroom for ages zero-through-one-year-of-age where observed during transition from outside to inside, washing hands and free play. Staff members were observed sitting on the floor and engaged in play with the non-mobile infants and providing toys. Children were also observed during lunch, which consisted of mini corn dogs, corn, peaches and milk. Children in the classroom for children one-year-of-age through two-years-of-age were observed playing outside, lunch and nap. Children in the classroom for ages three-year-of-age through five-years-of-age were combined with the school age children and were observed during a teacher directed dessert making activity involving pudding and cookie crumbles. They were also observed during the transition to lunch, lunch and nap. Staff members were observed adequately supervising each group of children, they were engaged and involved with the children and interactions between children and staff were observed helpful and meaningful. The classroom for children ages three-years-of-age through five-years-of-age was closed today due to staff shortage. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage (90%) as of 06/03/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions The last fire drill was practiced on June 01, 2025. The last shelter-in-place drill/lockdown drill was practiced on May 31, 2025. Four (4) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in the classroom for children zero-through-one-year-of-age, the classroom for children three-years-of-age-through-five and the classroom for the school aged children were dated 05/26-05/30. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. Today children were served mini corn dogs for lunch. The corn dogs were cut in half, however, they still presented a choking hazard and needed to be cut diagonally as well as horizontal. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the four (4) new staff members' files it was noted that one (1) staff member (AL) did not have the TB screening signed by a health care professional. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the four new staff members' files it was noted that one (1) staff member (AJ) did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) Technical Assistance provided as follows: Item #428 a current activity plan must be posted in each space. Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Item #1033 negative TB test result or the TB questionnaire must be on file on or before the first day of employment. Item #1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. This may require that you move a staff member with current ITS/SIDS training into this classroom until the current staff member can complete the training. Item #1874 All teachers must sign acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy has been reviewed with them prior to caring for children. Achieving Compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by June 18, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Today there were no concerns related to nap time, but I wanted to share that during nap time there should be enough light in the classroom to allow staff to see children’s faces and coloring. Blankets should not cover children’s faces/hands. Staff should be periodically walking through the classroom to check children and see if their faces/heads are uncovered. If covered then they should remove the blanket. You recently sent me email regarding off-premises activities including swimming. I was hoping to talk to you today regarding the requirements for these types of activities but was unable to do so. Please refer to the following CHAPTER 09 - CHILD CARE RULES for further information: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS SECTION .1000 - TRANSPORTATION STANDARDS You should have completed the ABCMS training and are using the system by now. If you have any question please let me know. Lead and asbestos testing should have already been completed or at least requested. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

G.S. 110-90 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 17 Completed Date: 6/4/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 02:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant. Stacey Vetten, Operator/Administrator, was not present during the visit. Ms. Vetten gave verbal permission for Amanda Hyde, Lead Teacher in the infant classroom, to sign this visit summary. An electronic signed copy of the visit summary was left on-site with you. During my walkthrough of the classroom staff members in each space assisted me with information I needed for that specific classroom and were able to answer my questions. This visit was conducted in conjugation with complaint visits and all classrooms were observed and were monitored based on the procedures set forth by DCDEE. Children in the classroom for ages zero-through-one-year-of-age where observed during transition from outside to inside, washing hands and free play. Staff members were observed sitting on the floor and engaged in play with the non-mobile infants and providing toys. Children were also observed during lunch, which consisted of mini corn dogs, corn, peaches and milk. Children in the classroom for children one-year-of-age through two-years-of-age were observed playing outside, lunch and nap. Children in the classroom for ages three-year-of-age through five-years-of-age were combined with the school age children and were observed during a teacher directed dessert making activity involving pudding and cookie crumbles. They were also observed during the transition to lunch, lunch and nap. Staff members were observed adequately supervising each group of children, they were engaged and involved with the children and interactions between children and staff were observed helpful and meaningful. The classroom for children ages three-years-of-age through five-years-of-age was closed today due to staff shortage. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage (90%) as of 06/03/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions The last fire drill was practiced on June 01, 2025. The last shelter-in-place drill/lockdown drill was practiced on May 31, 2025. Four (4) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in the classroom for children zero-through-one-year-of-age, the classroom for children three-years-of-age-through-five and the classroom for the school aged children were dated 05/26-05/30. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. Today children were served mini corn dogs for lunch. The corn dogs were cut in half, however, they still presented a choking hazard and needed to be cut diagonally as well as horizontal. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the four (4) new staff members' files it was noted that one (1) staff member (AL) did not have the TB screening signed by a health care professional. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the four new staff members' files it was noted that one (1) staff member (AJ) did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) Technical Assistance provided as follows: Item #428 a current activity plan must be posted in each space. Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Item #1033 negative TB test result or the TB questionnaire must be on file on or before the first day of employment. Item #1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. This may require that you move a staff member with current ITS/SIDS training into this classroom until the current staff member can complete the training. Item #1874 All teachers must sign acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy has been reviewed with them prior to caring for children. Achieving Compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by June 18, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Today there were no concerns related to nap time, but I wanted to share that during nap time there should be enough light in the classroom to allow staff to see children’s faces and coloring. Blankets should not cover children’s faces/hands. Staff should be periodically walking through the classroom to check children and see if their faces/heads are uncovered. If covered then they should remove the blanket. You recently sent me email regarding off-premises activities including swimming. I was hoping to talk to you today regarding the requirements for these types of activities but was unable to do so. Please refer to the following CHAPTER 09 - CHILD CARE RULES for further information: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS SECTION .1000 - TRANSPORTATION STANDARDS You should have completed the ABCMS training and are using the system by now. If you have any question please let me know. Lead and asbestos testing should have already been completed or at least requested. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: SARAH UPTON Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 17 Completed Date: 6/4/2025 Age: From 0 To 5 Total Minutes: 105 Time In: 02:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Sarah Upton, Child Care Consultant. Stacey Vetten, Operator/Administrator, was not present during the visit. Ms. Vetten gave verbal permission for Amanda Hyde, Lead Teacher in the infant classroom, to sign this visit summary. An electronic signed copy of the visit summary was left on-site with you. During my walkthrough of the classroom staff members in each space assisted me with information I needed for that specific classroom and were able to answer my questions. This visit was conducted in conjugation with complaint visits and all classrooms were observed and were monitored based on the procedures set forth by DCDEE. Children in the classroom for ages zero-through-one-year-of-age where observed during transition from outside to inside, washing hands and free play. Staff members were observed sitting on the floor and engaged in play with the non-mobile infants and providing toys. Children were also observed during lunch, which consisted of mini corn dogs, corn, peaches and milk. Children in the classroom for children one-year-of-age through two-years-of-age were observed playing outside, lunch and nap. Children in the classroom for ages three-year-of-age through five-years-of-age were combined with the school age children and were observed during a teacher directed dessert making activity involving pudding and cookie crumbles. They were also observed during the transition to lunch, lunch and nap. Staff members were observed adequately supervising each group of children, they were engaged and involved with the children and interactions between children and staff were observed helpful and meaningful. The classroom for children ages three-years-of-age through five-years-of-age was closed today due to staff shortage. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percentage (90%) as of 06/03/2025. The facility operates with a Five Star License dated 6/19/24 and special services/restrictions include approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted Permit Restrictions The last fire drill was practiced on June 01, 2025. The last shelter-in-place drill/lockdown drill was practiced on May 31, 2025. Four (4) new teacher has been hired since your last visit Annual Compliance visit. The new teacher’s file was reviewed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were written during this visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plans posted in the classroom for children zero-through-one-year-of-age, the classroom for children three-years-of-age-through-five and the classroom for the school aged children were dated 05/26-05/30. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. Today children were served mini corn dogs for lunch. The corn dogs were cut in half, however, they still presented a choking hazard and needed to be cut diagonally as well as horizontal. 10A NCAC 09 .0601(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. After review of the four (4) new staff members' files it was noted that one (1) staff member (AL) did not have the TB screening signed by a health care professional. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. After review of the four new staff members' files it was noted that one (1) staff member (AJ) did not have a signed acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was reviewed with them. .0608(d)(1-4) Technical Assistance provided as follows: Item #428 a current activity plan must be posted in each space. Item #807 children should be served all foods in a way that would prevent choking. During this visit I emailed you all some resources regarding foods that are potentially choking hazards for children and how certain foods should be cut prior to being served to prevent choking. I encourage these resources to be shared with all teachers. Item #1033 negative TB test result or the TB questionnaire must be on file on or before the first day of employment. Item #1831 when children under 12 months of age are present there must be at least one caregiver that has completed the ITS-SIDS in the classroom. This may require that you move a staff member with current ITS/SIDS training into this classroom until the current staff member can complete the training. Item #1874 All teachers must sign acknowledgement that the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy has been reviewed with them prior to caring for children. Achieving Compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by June 18, 2025 Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: sarah.upton@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sarah Upton 143 Bobcat Trail Clyde, NC 28721 Please call me at 828-782-0937, or email sarah.upton@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation provided: Today there were no concerns related to nap time, but I wanted to share that during nap time there should be enough light in the classroom to allow staff to see children’s faces and coloring. Blankets should not cover children’s faces/hands. Staff should be periodically walking through the classroom to check children and see if their faces/heads are uncovered. If covered then they should remove the blanket. You recently sent me email regarding off-premises activities including swimming. I was hoping to talk to you today regarding the requirements for these types of activities but was unable to do so. Please refer to the following CHAPTER 09 - CHILD CARE RULES for further information: 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS SECTION .1000 - TRANSPORTATION STANDARDS You should have completed the ABCMS training and are using the system by now. If you have any question please let me know. Lead and asbestos testing should have already been completed or at least requested. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at sarah.upton@dhhs.nc.gov or 828.782.0937, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0525-270A Visit Date: 5/27/2025 Number Present: 29 Completed Date: 5/27/2025 Age: From 0 To 8 Total Minutes: 180 Time In: 01:00 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Lilly Lancaster, staff member, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Lancaster and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On May 20, 2025, a one-year-old child was playing on a riding toy designed for children ages three to four-year-old. The child fell from the toy and sustained a dislocated elbow. 10A NCAC 09 .0601(a) You may contact me at Morgan Brock, Investigations Consultant, morgan.brock@dhhs.nc.gov, 828-788-0011 or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. 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 .0304 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 20 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 260 Time In: 10:25 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Lilly Lancaster, Lead Teacher, was the person in charge and was available to answer and ask questions. Ms. Vetten arrived on-site at approximately 10:55am through 11:10am, then left and returned again at approximately 12:25pm for the duration of the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of 12/18/24. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/7/24. The last lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection was approved on 12/12/23 for daytime care only. The last sanitation inspection was conducted on 8/26/24 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 2/20/24. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, mandarin oranges, and milk. One staff (hired on 12/11/24) file monitored was not documented on the staff and training worksheet, M. Sellers. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the classroom with three and four year old children, one child with a Ventolin inhaler did not have a parent medication authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One A and D Ointment in space #3, the classroom with one and two year old children, had a parent medication authorization with an expiration date of 12/11/24. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #2, the classroom with three and four year old children, one child had an asthma action plan dated 7/24/23. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance for Compliance – rule references can be found in the cited violations Item #1835 - Asthma Action Plan The asthma action plan must be updated at least annually. It is important to have an updated action plan on any child to be sure medical information is up to date and accurate. Plan to communicate with the parent and obtain an updated asthma action plan. Item #847 - Parent Medication Authorization Parent medication authorization must be obtained for the Ventolin inhaler, which was stored in a prescription box for a Flovent inhaler. No medication can be administered to a child without parent permission. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to provide the medication authorization form to the parent and have them complete it in its entirety. If the Ventolin is the medication the parent wants to authorize for use with the child, the Ventolin would need to be stored in the prescription box for Ventolin. Item #849 - Expired Parent Medication Authorization Form Once a parent authorization form expired on 12/11/24, the A and D ointment should have been sent home or discarded by 12/14/24. Valid parent authorization must be on file to apply any diaper ointments. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to send the A and D ointment home with the child's parent or discard the A and D ointment. Due to Tropical Storm Helene, the following guidance was discussed to allow additional time to achieve compliance. *One (1) staff began employment on 10/22/24. The staff has a medical report on file dated 6/2/23 and a TB Test dated 2/13/23. The medical report and TB test/screening must be dated within 12 months of employment. We discussed that the one (1) staff will need to have a new medical report and TB test/screening that is dated within the last 12 months. Plan to update me once the staff has an appointment for the staff medical report and TB test/screening. *The last approved fire inspection was dated 12/12/23.You stated the local fire inspector has been contacted and let you know it may be January 2025 before a fire inspection can be conducted. Plan to keep me updated on the progress of when a fire inspection is completed. Once completed, the fire inspection will need to be sent to me by email and the original by mail. Plan to make a copy for your records. *One (1) staff, with hire date of 12/11/23, has a topic missing from their health and safety, Prevention of Shaken Baby and Abusive Head Trauma. Once J. Rich completes the training, plan to update me. Consultation is provided as follows: Reminder to have all staff that began working at the new location during the ownership change on 12/19/23 to start their required number of hours for annual on-going training requirements from 12/19/24-12/19/25. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Reminder to update the EPR plan in February 2025. The plan is to be updated as changes occur and at least annually. Reminder that the annual requirement to update children's emergency medical care information is coming due. We discussed that a file audit of all child files will need to be completed to meet the rule requirement below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c)Emergency medical care information shall be on file for each child. That information shall include: (1)the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2)the responsible party's choice of health care professional; (3)any chronic illness and any medication taken for that illness; and (4)any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to use your Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during future visits. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 20 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 260 Time In: 10:25 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Lilly Lancaster, Lead Teacher, was the person in charge and was available to answer and ask questions. Ms. Vetten arrived on-site at approximately 10:55am through 11:10am, then left and returned again at approximately 12:25pm for the duration of the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of 12/18/24. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/7/24. The last lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection was approved on 12/12/23 for daytime care only. The last sanitation inspection was conducted on 8/26/24 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 2/20/24. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, mandarin oranges, and milk. One staff (hired on 12/11/24) file monitored was not documented on the staff and training worksheet, M. Sellers. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the classroom with three and four year old children, one child with a Ventolin inhaler did not have a parent medication authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One A and D Ointment in space #3, the classroom with one and two year old children, had a parent medication authorization with an expiration date of 12/11/24. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #2, the classroom with three and four year old children, one child had an asthma action plan dated 7/24/23. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance for Compliance – rule references can be found in the cited violations Item #1835 - Asthma Action Plan The asthma action plan must be updated at least annually. It is important to have an updated action plan on any child to be sure medical information is up to date and accurate. Plan to communicate with the parent and obtain an updated asthma action plan. Item #847 - Parent Medication Authorization Parent medication authorization must be obtained for the Ventolin inhaler, which was stored in a prescription box for a Flovent inhaler. No medication can be administered to a child without parent permission. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to provide the medication authorization form to the parent and have them complete it in its entirety. If the Ventolin is the medication the parent wants to authorize for use with the child, the Ventolin would need to be stored in the prescription box for Ventolin. Item #849 - Expired Parent Medication Authorization Form Once a parent authorization form expired on 12/11/24, the A and D ointment should have been sent home or discarded by 12/14/24. Valid parent authorization must be on file to apply any diaper ointments. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to send the A and D ointment home with the child's parent or discard the A and D ointment. Due to Tropical Storm Helene, the following guidance was discussed to allow additional time to achieve compliance. *One (1) staff began employment on 10/22/24. The staff has a medical report on file dated 6/2/23 and a TB Test dated 2/13/23. The medical report and TB test/screening must be dated within 12 months of employment. We discussed that the one (1) staff will need to have a new medical report and TB test/screening that is dated within the last 12 months. Plan to update me once the staff has an appointment for the staff medical report and TB test/screening. *The last approved fire inspection was dated 12/12/23.You stated the local fire inspector has been contacted and let you know it may be January 2025 before a fire inspection can be conducted. Plan to keep me updated on the progress of when a fire inspection is completed. Once completed, the fire inspection will need to be sent to me by email and the original by mail. Plan to make a copy for your records. *One (1) staff, with hire date of 12/11/23, has a topic missing from their health and safety, Prevention of Shaken Baby and Abusive Head Trauma. Once J. Rich completes the training, plan to update me. Consultation is provided as follows: Reminder to have all staff that began working at the new location during the ownership change on 12/19/23 to start their required number of hours for annual on-going training requirements from 12/19/24-12/19/25. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Reminder to update the EPR plan in February 2025. The plan is to be updated as changes occur and at least annually. Reminder that the annual requirement to update children's emergency medical care information is coming due. We discussed that a file audit of all child files will need to be completed to meet the rule requirement below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c)Emergency medical care information shall be on file for each child. That information shall include: (1)the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2)the responsible party's choice of health care professional; (3)any chronic illness and any medication taken for that illness; and (4)any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to use your Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during future visits. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0803 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 20 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 260 Time In: 10:25 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Lilly Lancaster, Lead Teacher, was the person in charge and was available to answer and ask questions. Ms. Vetten arrived on-site at approximately 10:55am through 11:10am, then left and returned again at approximately 12:25pm for the duration of the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of 12/18/24. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/7/24. The last lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection was approved on 12/12/23 for daytime care only. The last sanitation inspection was conducted on 8/26/24 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 2/20/24. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, mandarin oranges, and milk. One staff (hired on 12/11/24) file monitored was not documented on the staff and training worksheet, M. Sellers. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the classroom with three and four year old children, one child with a Ventolin inhaler did not have a parent medication authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One A and D Ointment in space #3, the classroom with one and two year old children, had a parent medication authorization with an expiration date of 12/11/24. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #2, the classroom with three and four year old children, one child had an asthma action plan dated 7/24/23. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance for Compliance – rule references can be found in the cited violations Item #1835 - Asthma Action Plan The asthma action plan must be updated at least annually. It is important to have an updated action plan on any child to be sure medical information is up to date and accurate. Plan to communicate with the parent and obtain an updated asthma action plan. Item #847 - Parent Medication Authorization Parent medication authorization must be obtained for the Ventolin inhaler, which was stored in a prescription box for a Flovent inhaler. No medication can be administered to a child without parent permission. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to provide the medication authorization form to the parent and have them complete it in its entirety. If the Ventolin is the medication the parent wants to authorize for use with the child, the Ventolin would need to be stored in the prescription box for Ventolin. Item #849 - Expired Parent Medication Authorization Form Once a parent authorization form expired on 12/11/24, the A and D ointment should have been sent home or discarded by 12/14/24. Valid parent authorization must be on file to apply any diaper ointments. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to send the A and D ointment home with the child's parent or discard the A and D ointment. Due to Tropical Storm Helene, the following guidance was discussed to allow additional time to achieve compliance. *One (1) staff began employment on 10/22/24. The staff has a medical report on file dated 6/2/23 and a TB Test dated 2/13/23. The medical report and TB test/screening must be dated within 12 months of employment. We discussed that the one (1) staff will need to have a new medical report and TB test/screening that is dated within the last 12 months. Plan to update me once the staff has an appointment for the staff medical report and TB test/screening. *The last approved fire inspection was dated 12/12/23.You stated the local fire inspector has been contacted and let you know it may be January 2025 before a fire inspection can be conducted. Plan to keep me updated on the progress of when a fire inspection is completed. Once completed, the fire inspection will need to be sent to me by email and the original by mail. Plan to make a copy for your records. *One (1) staff, with hire date of 12/11/23, has a topic missing from their health and safety, Prevention of Shaken Baby and Abusive Head Trauma. Once J. Rich completes the training, plan to update me. Consultation is provided as follows: Reminder to have all staff that began working at the new location during the ownership change on 12/19/23 to start their required number of hours for annual on-going training requirements from 12/19/24-12/19/25. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Reminder to update the EPR plan in February 2025. The plan is to be updated as changes occur and at least annually. Reminder that the annual requirement to update children's emergency medical care information is coming due. We discussed that a file audit of all child files will need to be completed to meet the rule requirement below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c)Emergency medical care information shall be on file for each child. That information shall include: (1)the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2)the responsible party's choice of health care professional; (3)any chronic illness and any medication taken for that illness; and (4)any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to use your Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during future visits. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 20 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 260 Time In: 10:25 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Lilly Lancaster, Lead Teacher, was the person in charge and was available to answer and ask questions. Ms. Vetten arrived on-site at approximately 10:55am through 11:10am, then left and returned again at approximately 12:25pm for the duration of the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of 12/18/24. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/7/24. The last lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection was approved on 12/12/23 for daytime care only. The last sanitation inspection was conducted on 8/26/24 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 2/20/24. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, mandarin oranges, and milk. One staff (hired on 12/11/24) file monitored was not documented on the staff and training worksheet, M. Sellers. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the classroom with three and four year old children, one child with a Ventolin inhaler did not have a parent medication authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One A and D Ointment in space #3, the classroom with one and two year old children, had a parent medication authorization with an expiration date of 12/11/24. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #2, the classroom with three and four year old children, one child had an asthma action plan dated 7/24/23. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance for Compliance – rule references can be found in the cited violations Item #1835 - Asthma Action Plan The asthma action plan must be updated at least annually. It is important to have an updated action plan on any child to be sure medical information is up to date and accurate. Plan to communicate with the parent and obtain an updated asthma action plan. Item #847 - Parent Medication Authorization Parent medication authorization must be obtained for the Ventolin inhaler, which was stored in a prescription box for a Flovent inhaler. No medication can be administered to a child without parent permission. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to provide the medication authorization form to the parent and have them complete it in its entirety. If the Ventolin is the medication the parent wants to authorize for use with the child, the Ventolin would need to be stored in the prescription box for Ventolin. Item #849 - Expired Parent Medication Authorization Form Once a parent authorization form expired on 12/11/24, the A and D ointment should have been sent home or discarded by 12/14/24. Valid parent authorization must be on file to apply any diaper ointments. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to send the A and D ointment home with the child's parent or discard the A and D ointment. Due to Tropical Storm Helene, the following guidance was discussed to allow additional time to achieve compliance. *One (1) staff began employment on 10/22/24. The staff has a medical report on file dated 6/2/23 and a TB Test dated 2/13/23. The medical report and TB test/screening must be dated within 12 months of employment. We discussed that the one (1) staff will need to have a new medical report and TB test/screening that is dated within the last 12 months. Plan to update me once the staff has an appointment for the staff medical report and TB test/screening. *The last approved fire inspection was dated 12/12/23.You stated the local fire inspector has been contacted and let you know it may be January 2025 before a fire inspection can be conducted. Plan to keep me updated on the progress of when a fire inspection is completed. Once completed, the fire inspection will need to be sent to me by email and the original by mail. Plan to make a copy for your records. *One (1) staff, with hire date of 12/11/23, has a topic missing from their health and safety, Prevention of Shaken Baby and Abusive Head Trauma. Once J. Rich completes the training, plan to update me. Consultation is provided as follows: Reminder to have all staff that began working at the new location during the ownership change on 12/19/23 to start their required number of hours for annual on-going training requirements from 12/19/24-12/19/25. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Reminder to update the EPR plan in February 2025. The plan is to be updated as changes occur and at least annually. Reminder that the annual requirement to update children's emergency medical care information is coming due. We discussed that a file audit of all child files will need to be completed to meet the rule requirement below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c)Emergency medical care information shall be on file for each child. That information shall include: (1)the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2)the responsible party's choice of health care professional; (3)any chronic illness and any medication taken for that illness; and (4)any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to use your Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during future visits. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1103 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 20 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 260 Time In: 10:25 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Lilly Lancaster, Lead Teacher, was the person in charge and was available to answer and ask questions. Ms. Vetten arrived on-site at approximately 10:55am through 11:10am, then left and returned again at approximately 12:25pm for the duration of the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of 12/18/24. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/7/24. The last lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection was approved on 12/12/23 for daytime care only. The last sanitation inspection was conducted on 8/26/24 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 2/20/24. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, mandarin oranges, and milk. One staff (hired on 12/11/24) file monitored was not documented on the staff and training worksheet, M. Sellers. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the classroom with three and four year old children, one child with a Ventolin inhaler did not have a parent medication authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One A and D Ointment in space #3, the classroom with one and two year old children, had a parent medication authorization with an expiration date of 12/11/24. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #2, the classroom with three and four year old children, one child had an asthma action plan dated 7/24/23. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance for Compliance – rule references can be found in the cited violations Item #1835 - Asthma Action Plan The asthma action plan must be updated at least annually. It is important to have an updated action plan on any child to be sure medical information is up to date and accurate. Plan to communicate with the parent and obtain an updated asthma action plan. Item #847 - Parent Medication Authorization Parent medication authorization must be obtained for the Ventolin inhaler, which was stored in a prescription box for a Flovent inhaler. No medication can be administered to a child without parent permission. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to provide the medication authorization form to the parent and have them complete it in its entirety. If the Ventolin is the medication the parent wants to authorize for use with the child, the Ventolin would need to be stored in the prescription box for Ventolin. Item #849 - Expired Parent Medication Authorization Form Once a parent authorization form expired on 12/11/24, the A and D ointment should have been sent home or discarded by 12/14/24. Valid parent authorization must be on file to apply any diaper ointments. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to send the A and D ointment home with the child's parent or discard the A and D ointment. Due to Tropical Storm Helene, the following guidance was discussed to allow additional time to achieve compliance. *One (1) staff began employment on 10/22/24. The staff has a medical report on file dated 6/2/23 and a TB Test dated 2/13/23. The medical report and TB test/screening must be dated within 12 months of employment. We discussed that the one (1) staff will need to have a new medical report and TB test/screening that is dated within the last 12 months. Plan to update me once the staff has an appointment for the staff medical report and TB test/screening. *The last approved fire inspection was dated 12/12/23.You stated the local fire inspector has been contacted and let you know it may be January 2025 before a fire inspection can be conducted. Plan to keep me updated on the progress of when a fire inspection is completed. Once completed, the fire inspection will need to be sent to me by email and the original by mail. Plan to make a copy for your records. *One (1) staff, with hire date of 12/11/23, has a topic missing from their health and safety, Prevention of Shaken Baby and Abusive Head Trauma. Once J. Rich completes the training, plan to update me. Consultation is provided as follows: Reminder to have all staff that began working at the new location during the ownership change on 12/19/23 to start their required number of hours for annual on-going training requirements from 12/19/24-12/19/25. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Reminder to update the EPR plan in February 2025. The plan is to be updated as changes occur and at least annually. Reminder that the annual requirement to update children's emergency medical care information is coming due. We discussed that a file audit of all child files will need to be completed to meet the rule requirement below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c)Emergency medical care information shall be on file for each child. That information shall include: (1)the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2)the responsible party's choice of health care professional; (3)any chronic illness and any medication taken for that illness; and (4)any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to use your Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during future visits. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 20 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 260 Time In: 10:25 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Lilly Lancaster, Lead Teacher, was the person in charge and was available to answer and ask questions. Ms. Vetten arrived on-site at approximately 10:55am through 11:10am, then left and returned again at approximately 12:25pm for the duration of the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of 12/18/24. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/7/24. The last lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection was approved on 12/12/23 for daytime care only. The last sanitation inspection was conducted on 8/26/24 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 2/20/24. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, mandarin oranges, and milk. One staff (hired on 12/11/24) file monitored was not documented on the staff and training worksheet, M. Sellers. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the classroom with three and four year old children, one child with a Ventolin inhaler did not have a parent medication authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One A and D Ointment in space #3, the classroom with one and two year old children, had a parent medication authorization with an expiration date of 12/11/24. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #2, the classroom with three and four year old children, one child had an asthma action plan dated 7/24/23. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance for Compliance – rule references can be found in the cited violations Item #1835 - Asthma Action Plan The asthma action plan must be updated at least annually. It is important to have an updated action plan on any child to be sure medical information is up to date and accurate. Plan to communicate with the parent and obtain an updated asthma action plan. Item #847 - Parent Medication Authorization Parent medication authorization must be obtained for the Ventolin inhaler, which was stored in a prescription box for a Flovent inhaler. No medication can be administered to a child without parent permission. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to provide the medication authorization form to the parent and have them complete it in its entirety. If the Ventolin is the medication the parent wants to authorize for use with the child, the Ventolin would need to be stored in the prescription box for Ventolin. Item #849 - Expired Parent Medication Authorization Form Once a parent authorization form expired on 12/11/24, the A and D ointment should have been sent home or discarded by 12/14/24. Valid parent authorization must be on file to apply any diaper ointments. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to send the A and D ointment home with the child's parent or discard the A and D ointment. Due to Tropical Storm Helene, the following guidance was discussed to allow additional time to achieve compliance. *One (1) staff began employment on 10/22/24. The staff has a medical report on file dated 6/2/23 and a TB Test dated 2/13/23. The medical report and TB test/screening must be dated within 12 months of employment. We discussed that the one (1) staff will need to have a new medical report and TB test/screening that is dated within the last 12 months. Plan to update me once the staff has an appointment for the staff medical report and TB test/screening. *The last approved fire inspection was dated 12/12/23.You stated the local fire inspector has been contacted and let you know it may be January 2025 before a fire inspection can be conducted. Plan to keep me updated on the progress of when a fire inspection is completed. Once completed, the fire inspection will need to be sent to me by email and the original by mail. Plan to make a copy for your records. *One (1) staff, with hire date of 12/11/23, has a topic missing from their health and safety, Prevention of Shaken Baby and Abusive Head Trauma. Once J. Rich completes the training, plan to update me. Consultation is provided as follows: Reminder to have all staff that began working at the new location during the ownership change on 12/19/23 to start their required number of hours for annual on-going training requirements from 12/19/24-12/19/25. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Reminder to update the EPR plan in February 2025. The plan is to be updated as changes occur and at least annually. Reminder that the annual requirement to update children's emergency medical care information is coming due. We discussed that a file audit of all child files will need to be completed to meet the rule requirement below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c)Emergency medical care information shall be on file for each child. That information shall include: (1)the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2)the responsible party's choice of health care professional; (3)any chronic illness and any medication taken for that illness; and (4)any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to use your Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during future visits. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 20 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 260 Time In: 10:25 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Lilly Lancaster, Lead Teacher, was the person in charge and was available to answer and ask questions. Ms. Vetten arrived on-site at approximately 10:55am through 11:10am, then left and returned again at approximately 12:25pm for the duration of the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of 12/18/24. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/7/24. The last lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection was approved on 12/12/23 for daytime care only. The last sanitation inspection was conducted on 8/26/24 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 2/20/24. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, mandarin oranges, and milk. One staff (hired on 12/11/24) file monitored was not documented on the staff and training worksheet, M. Sellers. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the classroom with three and four year old children, one child with a Ventolin inhaler did not have a parent medication authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One A and D Ointment in space #3, the classroom with one and two year old children, had a parent medication authorization with an expiration date of 12/11/24. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #2, the classroom with three and four year old children, one child had an asthma action plan dated 7/24/23. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance for Compliance – rule references can be found in the cited violations Item #1835 - Asthma Action Plan The asthma action plan must be updated at least annually. It is important to have an updated action plan on any child to be sure medical information is up to date and accurate. Plan to communicate with the parent and obtain an updated asthma action plan. Item #847 - Parent Medication Authorization Parent medication authorization must be obtained for the Ventolin inhaler, which was stored in a prescription box for a Flovent inhaler. No medication can be administered to a child without parent permission. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to provide the medication authorization form to the parent and have them complete it in its entirety. If the Ventolin is the medication the parent wants to authorize for use with the child, the Ventolin would need to be stored in the prescription box for Ventolin. Item #849 - Expired Parent Medication Authorization Form Once a parent authorization form expired on 12/11/24, the A and D ointment should have been sent home or discarded by 12/14/24. Valid parent authorization must be on file to apply any diaper ointments. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to send the A and D ointment home with the child's parent or discard the A and D ointment. Due to Tropical Storm Helene, the following guidance was discussed to allow additional time to achieve compliance. *One (1) staff began employment on 10/22/24. The staff has a medical report on file dated 6/2/23 and a TB Test dated 2/13/23. The medical report and TB test/screening must be dated within 12 months of employment. We discussed that the one (1) staff will need to have a new medical report and TB test/screening that is dated within the last 12 months. Plan to update me once the staff has an appointment for the staff medical report and TB test/screening. *The last approved fire inspection was dated 12/12/23.You stated the local fire inspector has been contacted and let you know it may be January 2025 before a fire inspection can be conducted. Plan to keep me updated on the progress of when a fire inspection is completed. Once completed, the fire inspection will need to be sent to me by email and the original by mail. Plan to make a copy for your records. *One (1) staff, with hire date of 12/11/23, has a topic missing from their health and safety, Prevention of Shaken Baby and Abusive Head Trauma. Once J. Rich completes the training, plan to update me. Consultation is provided as follows: Reminder to have all staff that began working at the new location during the ownership change on 12/19/23 to start their required number of hours for annual on-going training requirements from 12/19/24-12/19/25. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Reminder to update the EPR plan in February 2025. The plan is to be updated as changes occur and at least annually. Reminder that the annual requirement to update children's emergency medical care information is coming due. We discussed that a file audit of all child files will need to be completed to meet the rule requirement below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c)Emergency medical care information shall be on file for each child. That information shall include: (1)the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2)the responsible party's choice of health care professional; (3)any chronic illness and any medication taken for that illness; and (4)any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to use your Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during future visits. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

G.S. 110-90 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 20 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 260 Time In: 10:25 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Lilly Lancaster, Lead Teacher, was the person in charge and was available to answer and ask questions. Ms. Vetten arrived on-site at approximately 10:55am through 11:10am, then left and returned again at approximately 12:25pm for the duration of the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of 12/18/24. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/7/24. The last lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection was approved on 12/12/23 for daytime care only. The last sanitation inspection was conducted on 8/26/24 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 2/20/24. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, mandarin oranges, and milk. One staff (hired on 12/11/24) file monitored was not documented on the staff and training worksheet, M. Sellers. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the classroom with three and four year old children, one child with a Ventolin inhaler did not have a parent medication authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One A and D Ointment in space #3, the classroom with one and two year old children, had a parent medication authorization with an expiration date of 12/11/24. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #2, the classroom with three and four year old children, one child had an asthma action plan dated 7/24/23. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance for Compliance – rule references can be found in the cited violations Item #1835 - Asthma Action Plan The asthma action plan must be updated at least annually. It is important to have an updated action plan on any child to be sure medical information is up to date and accurate. Plan to communicate with the parent and obtain an updated asthma action plan. Item #847 - Parent Medication Authorization Parent medication authorization must be obtained for the Ventolin inhaler, which was stored in a prescription box for a Flovent inhaler. No medication can be administered to a child without parent permission. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to provide the medication authorization form to the parent and have them complete it in its entirety. If the Ventolin is the medication the parent wants to authorize for use with the child, the Ventolin would need to be stored in the prescription box for Ventolin. Item #849 - Expired Parent Medication Authorization Form Once a parent authorization form expired on 12/11/24, the A and D ointment should have been sent home or discarded by 12/14/24. Valid parent authorization must be on file to apply any diaper ointments. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to send the A and D ointment home with the child's parent or discard the A and D ointment. Due to Tropical Storm Helene, the following guidance was discussed to allow additional time to achieve compliance. *One (1) staff began employment on 10/22/24. The staff has a medical report on file dated 6/2/23 and a TB Test dated 2/13/23. The medical report and TB test/screening must be dated within 12 months of employment. We discussed that the one (1) staff will need to have a new medical report and TB test/screening that is dated within the last 12 months. Plan to update me once the staff has an appointment for the staff medical report and TB test/screening. *The last approved fire inspection was dated 12/12/23.You stated the local fire inspector has been contacted and let you know it may be January 2025 before a fire inspection can be conducted. Plan to keep me updated on the progress of when a fire inspection is completed. Once completed, the fire inspection will need to be sent to me by email and the original by mail. Plan to make a copy for your records. *One (1) staff, with hire date of 12/11/23, has a topic missing from their health and safety, Prevention of Shaken Baby and Abusive Head Trauma. Once J. Rich completes the training, plan to update me. Consultation is provided as follows: Reminder to have all staff that began working at the new location during the ownership change on 12/19/23 to start their required number of hours for annual on-going training requirements from 12/19/24-12/19/25. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Reminder to update the EPR plan in February 2025. The plan is to be updated as changes occur and at least annually. Reminder that the annual requirement to update children's emergency medical care information is coming due. We discussed that a file audit of all child files will need to be completed to meet the rule requirement below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c)Emergency medical care information shall be on file for each child. That information shall include: (1)the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2)the responsible party's choice of health care professional; (3)any chronic illness and any medication taken for that illness; and (4)any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to use your Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during future visits. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 20 Completed Date: 12/19/2024 Age: From 1 To 4 Total Minutes: 260 Time In: 10:25 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Monica Houck, Child Care Consultant and also signed by Stacey Vetten, Operator/Administrator, during the visit. A signed copy of the visit summary was left on-site for you. Lilly Lancaster, Lead Teacher, was the person in charge and was available to answer and ask questions. Ms. Vetten arrived on-site at approximately 10:55am through 11:10am, then left and returned again at approximately 12:25pm for the duration of the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89%) percent as of 12/18/24. The ownership of the child care facility is a sole proprietor, Stacey Vetten. You are not required to register the child care business on the North Carolina Secretary of State website as a sole proprietor. Permit type – Five Star License dated 6/19/24 Special Services/Restrictions – Approved for daytime care only, meets enhanced staff/child ratios, and meets enhanced space The last fire drill was practiced on 11/7/24. The last lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection was approved on 12/12/23 for daytime care only. The last sanitation inspection was conducted on 8/26/24 with six (6) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was last updated on 2/20/24. The approved curriculum for four-year-old children is Learn Everyday by Kaplan. Children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was a hot dog, bun, peas, mandarin oranges, and milk. One staff (hired on 12/11/24) file monitored was not documented on the staff and training worksheet, M. Sellers. The program does not provide transportation. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #2, the classroom with three and four year old children, one child with a Ventolin inhaler did not have a parent medication authorization on file. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One A and D Ointment in space #3, the classroom with one and two year old children, had a parent medication authorization with an expiration date of 12/11/24. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #2, the classroom with three and four year old children, one child had an asthma action plan dated 7/24/23. .0801(b) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 1/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck 151 Creekview Rd Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance for Compliance – rule references can be found in the cited violations Item #1835 - Asthma Action Plan The asthma action plan must be updated at least annually. It is important to have an updated action plan on any child to be sure medical information is up to date and accurate. Plan to communicate with the parent and obtain an updated asthma action plan. Item #847 - Parent Medication Authorization Parent medication authorization must be obtained for the Ventolin inhaler, which was stored in a prescription box for a Flovent inhaler. No medication can be administered to a child without parent permission. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to provide the medication authorization form to the parent and have them complete it in its entirety. If the Ventolin is the medication the parent wants to authorize for use with the child, the Ventolin would need to be stored in the prescription box for Ventolin. Item #849 - Expired Parent Medication Authorization Form Once a parent authorization form expired on 12/11/24, the A and D ointment should have been sent home or discarded by 12/14/24. Valid parent authorization must be on file to apply any diaper ointments. It may be a liability and a safety hazard to have ointments or medications on-site without permission to administer. Plan to send the A and D ointment home with the child's parent or discard the A and D ointment. Due to Tropical Storm Helene, the following guidance was discussed to allow additional time to achieve compliance. *One (1) staff began employment on 10/22/24. The staff has a medical report on file dated 6/2/23 and a TB Test dated 2/13/23. The medical report and TB test/screening must be dated within 12 months of employment. We discussed that the one (1) staff will need to have a new medical report and TB test/screening that is dated within the last 12 months. Plan to update me once the staff has an appointment for the staff medical report and TB test/screening. *The last approved fire inspection was dated 12/12/23.You stated the local fire inspector has been contacted and let you know it may be January 2025 before a fire inspection can be conducted. Plan to keep me updated on the progress of when a fire inspection is completed. Once completed, the fire inspection will need to be sent to me by email and the original by mail. Plan to make a copy for your records. *One (1) staff, with hire date of 12/11/23, has a topic missing from their health and safety, Prevention of Shaken Baby and Abusive Head Trauma. Once J. Rich completes the training, plan to update me. Consultation is provided as follows: Reminder to have all staff that began working at the new location during the ownership change on 12/19/23 to start their required number of hours for annual on-going training requirements from 12/19/24-12/19/25. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT Reminder to update the EPR plan in February 2025. The plan is to be updated as changes occur and at least annually. Reminder that the annual requirement to update children's emergency medical care information is coming due. We discussed that a file audit of all child files will need to be completed to meet the rule requirement below. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c)Emergency medical care information shall be on file for each child. That information shall include: (1)the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2)the responsible party's choice of health care professional; (3)any chronic illness and any medication taken for that illness; and (4)any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information shall be on file in the center on the child's first day of attendance and shall be updated as changes occur and at least annually. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Criminal Background Check: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to use your Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during future visits. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.273-4569, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0601 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: 0524-370L Visit Date: 6/5/2024 Number Present: 34 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to investigate a complaint. The report was received by the Division of Child Development and Early Education (DCDEE) on 5/24/24 and sent to Monica Houck, Lead Child Care Consultant, on 5/28/24. The concerns from the report are below: There are concerns regarding supervision, discipline, nutrition, safe indoor environment, and safe sleep practices. Stacey Vetten, Administrator/Legal Operator, was on-site and available to discuss the concern. I also met with three (3) additional staff that may have had knowledge of the situations. Space #4, the classroom with infants and one year old children, space #3, the classroom with one and two year old children were observed. The infant feeding plans were reviewed. The discipline policy was reviewed. The bite policy was reviewed. The incident log was reviewed. One (1) staff file was monitored. Staff/child ratio in the classroom with infants and one year old children was monitored as follows: Space #4, infants and one year old children; two (2) staff and five (5) children. Space #3, one and two year old children; two (2) staff and ten (10) children. Children were observed in routine care, rest time, snack and free play. The snack today was pepperoni, Cheez-its, and 100% apple juice. 110-91(1) and 10A NCAC 09 .1801 (a)(1-5) The allegation regarding supervision was unsubstantiated. Staff reported that they move around the classroom to supervise children and stay within an arms reach during meal and snack times. During the visit today, the children were playing with toys, being held, and eating snack. One (1) child was in a high chair in space #4. One (1) teacher was standing by the high chair and one teacher was in a rocking chair across the room facing the child eating. Six (6) children were eating snack in space #3, while the other four (4) children were waking up. One (1) teacher was near the snack tables to see and hear, while another teacher was checking on the sleeping children. There is an area that is protected with shelves for younger children that is harder to see. It was observed that teachers move around the classroom to see or hear the children in that area. 10A NCAC 09 .1803 The allegation regarding discipline was unsubstantiated. Staff reported that one and two year old children may be placed in time out when biting occurs. When asked what time out means, it was explained that the one and two year old children are talked to about the incident to let them know that biting hurts and provided teethers or something else that they can bite. While a child does sit down, they are not required to stay sitting. We further discussed that this is more of a redirection since children are not required to sit down for a certain amount of time. It was recommended to revise the bite policy to exclude time out as part of the bite policy. During the visit today, children were eating snack, washing hands, having diaper changes, and going outside to play. Teachers explained to children what they could do and provided them with choices. Some children were having a hard time waking and received hugs. No children were observed being placed in time out. No biting occurred during the visit. 10A NCAC 09 .0902 The allegation regarding nutrition was unsubstantiated. Staff reported they follow the posted feeding plans and work with parents to modify the feeding plan as the child’s needs change. During the visit today, the infants were being held when feeding bottles and the infant feeding plans were completed with changes for when updates were made. 10A NCAC 09 .0601 The allegation regarding a safe indoor environment was unsubstantiated. During observations today, a child was secured in the highchair with the attached buckle straps. 10A NCAC 09 .0606(a, i) The allegation regarding a safe sleep practices was unsubstantiated. Teachers reported blankets are not provided to infants in the crib. Blankets may be used to cover children while having tummy time on the floor. Teachers stated they do not place anything over the face of a child during rest time. During the visit today, there were no blankets observed in the cribs. Two (2) children were observed sleeping, an infant and a one year old child. There was one blanket on the floor that the teacher stated she covered up the child’s legs when tummy time had occurred. We discussed the following concerns as well: *Ms. Vetten stated she works on-site at the facility approximately 40 hours per week. We discussed you are required to work on-site as the administrator at minimum 25 hours per week. *Children have diapers changed at least every two hours and more often if wet or soiled. *Children have wet clothing changed as needed. *Volunteers and visitors are not required to have a Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter and cannot be left alone with children. *The biting policy does state that children may be sent home after two bites in one day. An electronic version of the visit summary was reviewed with you and signed. The electronic visit summary was printed and provided to you to print and maintain with program records. The following violations of child care requirements were observed during the visit: Violation Number Comment Rule 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed them to place their bowl back on the table. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff had a health questionnaire dated 3/23/23. .0701(a) Technical Assistance for Corrective Action Item #1034 - One (1) staff had a health questionnaire dated 3/23/23. This was corrected during the visit. The staff was on-site and completed a new health questionnaire. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #861 - Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed the to place their bowl back on the table. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 6/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: It is recommended to review the following child care rules with staff. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (i) A caregiver shall not place anything over the face of a child during rest time. If you need assistance, you may contact me at monica.houck@dhhs.nc.gov or 828-243-2154. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: 0524-370L Visit Date: 6/5/2024 Number Present: 34 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to investigate a complaint. The report was received by the Division of Child Development and Early Education (DCDEE) on 5/24/24 and sent to Monica Houck, Lead Child Care Consultant, on 5/28/24. The concerns from the report are below: There are concerns regarding supervision, discipline, nutrition, safe indoor environment, and safe sleep practices. Stacey Vetten, Administrator/Legal Operator, was on-site and available to discuss the concern. I also met with three (3) additional staff that may have had knowledge of the situations. Space #4, the classroom with infants and one year old children, space #3, the classroom with one and two year old children were observed. The infant feeding plans were reviewed. The discipline policy was reviewed. The bite policy was reviewed. The incident log was reviewed. One (1) staff file was monitored. Staff/child ratio in the classroom with infants and one year old children was monitored as follows: Space #4, infants and one year old children; two (2) staff and five (5) children. Space #3, one and two year old children; two (2) staff and ten (10) children. Children were observed in routine care, rest time, snack and free play. The snack today was pepperoni, Cheez-its, and 100% apple juice. 110-91(1) and 10A NCAC 09 .1801 (a)(1-5) The allegation regarding supervision was unsubstantiated. Staff reported that they move around the classroom to supervise children and stay within an arms reach during meal and snack times. During the visit today, the children were playing with toys, being held, and eating snack. One (1) child was in a high chair in space #4. One (1) teacher was standing by the high chair and one teacher was in a rocking chair across the room facing the child eating. Six (6) children were eating snack in space #3, while the other four (4) children were waking up. One (1) teacher was near the snack tables to see and hear, while another teacher was checking on the sleeping children. There is an area that is protected with shelves for younger children that is harder to see. It was observed that teachers move around the classroom to see or hear the children in that area. 10A NCAC 09 .1803 The allegation regarding discipline was unsubstantiated. Staff reported that one and two year old children may be placed in time out when biting occurs. When asked what time out means, it was explained that the one and two year old children are talked to about the incident to let them know that biting hurts and provided teethers or something else that they can bite. While a child does sit down, they are not required to stay sitting. We further discussed that this is more of a redirection since children are not required to sit down for a certain amount of time. It was recommended to revise the bite policy to exclude time out as part of the bite policy. During the visit today, children were eating snack, washing hands, having diaper changes, and going outside to play. Teachers explained to children what they could do and provided them with choices. Some children were having a hard time waking and received hugs. No children were observed being placed in time out. No biting occurred during the visit. 10A NCAC 09 .0902 The allegation regarding nutrition was unsubstantiated. Staff reported they follow the posted feeding plans and work with parents to modify the feeding plan as the child’s needs change. During the visit today, the infants were being held when feeding bottles and the infant feeding plans were completed with changes for when updates were made. 10A NCAC 09 .0601 The allegation regarding a safe indoor environment was unsubstantiated. During observations today, a child was secured in the highchair with the attached buckle straps. 10A NCAC 09 .0606(a, i) The allegation regarding a safe sleep practices was unsubstantiated. Teachers reported blankets are not provided to infants in the crib. Blankets may be used to cover children while having tummy time on the floor. Teachers stated they do not place anything over the face of a child during rest time. During the visit today, there were no blankets observed in the cribs. Two (2) children were observed sleeping, an infant and a one year old child. There was one blanket on the floor that the teacher stated she covered up the child’s legs when tummy time had occurred. We discussed the following concerns as well: *Ms. Vetten stated she works on-site at the facility approximately 40 hours per week. We discussed you are required to work on-site as the administrator at minimum 25 hours per week. *Children have diapers changed at least every two hours and more often if wet or soiled. *Children have wet clothing changed as needed. *Volunteers and visitors are not required to have a Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter and cannot be left alone with children. *The biting policy does state that children may be sent home after two bites in one day. An electronic version of the visit summary was reviewed with you and signed. The electronic visit summary was printed and provided to you to print and maintain with program records. The following violations of child care requirements were observed during the visit: Violation Number Comment Rule 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed them to place their bowl back on the table. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff had a health questionnaire dated 3/23/23. .0701(a) Technical Assistance for Corrective Action Item #1034 - One (1) staff had a health questionnaire dated 3/23/23. This was corrected during the visit. The staff was on-site and completed a new health questionnaire. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #861 - Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed the to place their bowl back on the table. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 6/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: It is recommended to review the following child care rules with staff. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (i) A caregiver shall not place anything over the face of a child during rest time. If you need assistance, you may contact me at monica.houck@dhhs.nc.gov or 828-243-2154. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0606 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: 0524-370L Visit Date: 6/5/2024 Number Present: 34 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to investigate a complaint. The report was received by the Division of Child Development and Early Education (DCDEE) on 5/24/24 and sent to Monica Houck, Lead Child Care Consultant, on 5/28/24. The concerns from the report are below: There are concerns regarding supervision, discipline, nutrition, safe indoor environment, and safe sleep practices. Stacey Vetten, Administrator/Legal Operator, was on-site and available to discuss the concern. I also met with three (3) additional staff that may have had knowledge of the situations. Space #4, the classroom with infants and one year old children, space #3, the classroom with one and two year old children were observed. The infant feeding plans were reviewed. The discipline policy was reviewed. The bite policy was reviewed. The incident log was reviewed. One (1) staff file was monitored. Staff/child ratio in the classroom with infants and one year old children was monitored as follows: Space #4, infants and one year old children; two (2) staff and five (5) children. Space #3, one and two year old children; two (2) staff and ten (10) children. Children were observed in routine care, rest time, snack and free play. The snack today was pepperoni, Cheez-its, and 100% apple juice. 110-91(1) and 10A NCAC 09 .1801 (a)(1-5) The allegation regarding supervision was unsubstantiated. Staff reported that they move around the classroom to supervise children and stay within an arms reach during meal and snack times. During the visit today, the children were playing with toys, being held, and eating snack. One (1) child was in a high chair in space #4. One (1) teacher was standing by the high chair and one teacher was in a rocking chair across the room facing the child eating. Six (6) children were eating snack in space #3, while the other four (4) children were waking up. One (1) teacher was near the snack tables to see and hear, while another teacher was checking on the sleeping children. There is an area that is protected with shelves for younger children that is harder to see. It was observed that teachers move around the classroom to see or hear the children in that area. 10A NCAC 09 .1803 The allegation regarding discipline was unsubstantiated. Staff reported that one and two year old children may be placed in time out when biting occurs. When asked what time out means, it was explained that the one and two year old children are talked to about the incident to let them know that biting hurts and provided teethers or something else that they can bite. While a child does sit down, they are not required to stay sitting. We further discussed that this is more of a redirection since children are not required to sit down for a certain amount of time. It was recommended to revise the bite policy to exclude time out as part of the bite policy. During the visit today, children were eating snack, washing hands, having diaper changes, and going outside to play. Teachers explained to children what they could do and provided them with choices. Some children were having a hard time waking and received hugs. No children were observed being placed in time out. No biting occurred during the visit. 10A NCAC 09 .0902 The allegation regarding nutrition was unsubstantiated. Staff reported they follow the posted feeding plans and work with parents to modify the feeding plan as the child’s needs change. During the visit today, the infants were being held when feeding bottles and the infant feeding plans were completed with changes for when updates were made. 10A NCAC 09 .0601 The allegation regarding a safe indoor environment was unsubstantiated. During observations today, a child was secured in the highchair with the attached buckle straps. 10A NCAC 09 .0606(a, i) The allegation regarding a safe sleep practices was unsubstantiated. Teachers reported blankets are not provided to infants in the crib. Blankets may be used to cover children while having tummy time on the floor. Teachers stated they do not place anything over the face of a child during rest time. During the visit today, there were no blankets observed in the cribs. Two (2) children were observed sleeping, an infant and a one year old child. There was one blanket on the floor that the teacher stated she covered up the child’s legs when tummy time had occurred. We discussed the following concerns as well: *Ms. Vetten stated she works on-site at the facility approximately 40 hours per week. We discussed you are required to work on-site as the administrator at minimum 25 hours per week. *Children have diapers changed at least every two hours and more often if wet or soiled. *Children have wet clothing changed as needed. *Volunteers and visitors are not required to have a Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter and cannot be left alone with children. *The biting policy does state that children may be sent home after two bites in one day. An electronic version of the visit summary was reviewed with you and signed. The electronic visit summary was printed and provided to you to print and maintain with program records. The following violations of child care requirements were observed during the visit: Violation Number Comment Rule 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed them to place their bowl back on the table. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff had a health questionnaire dated 3/23/23. .0701(a) Technical Assistance for Corrective Action Item #1034 - One (1) staff had a health questionnaire dated 3/23/23. This was corrected during the visit. The staff was on-site and completed a new health questionnaire. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #861 - Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed the to place their bowl back on the table. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 6/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: It is recommended to review the following child care rules with staff. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (i) A caregiver shall not place anything over the face of a child during rest time. If you need assistance, you may contact me at monica.houck@dhhs.nc.gov or 828-243-2154. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0701 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: 0524-370L Visit Date: 6/5/2024 Number Present: 34 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to investigate a complaint. The report was received by the Division of Child Development and Early Education (DCDEE) on 5/24/24 and sent to Monica Houck, Lead Child Care Consultant, on 5/28/24. The concerns from the report are below: There are concerns regarding supervision, discipline, nutrition, safe indoor environment, and safe sleep practices. Stacey Vetten, Administrator/Legal Operator, was on-site and available to discuss the concern. I also met with three (3) additional staff that may have had knowledge of the situations. Space #4, the classroom with infants and one year old children, space #3, the classroom with one and two year old children were observed. The infant feeding plans were reviewed. The discipline policy was reviewed. The bite policy was reviewed. The incident log was reviewed. One (1) staff file was monitored. Staff/child ratio in the classroom with infants and one year old children was monitored as follows: Space #4, infants and one year old children; two (2) staff and five (5) children. Space #3, one and two year old children; two (2) staff and ten (10) children. Children were observed in routine care, rest time, snack and free play. The snack today was pepperoni, Cheez-its, and 100% apple juice. 110-91(1) and 10A NCAC 09 .1801 (a)(1-5) The allegation regarding supervision was unsubstantiated. Staff reported that they move around the classroom to supervise children and stay within an arms reach during meal and snack times. During the visit today, the children were playing with toys, being held, and eating snack. One (1) child was in a high chair in space #4. One (1) teacher was standing by the high chair and one teacher was in a rocking chair across the room facing the child eating. Six (6) children were eating snack in space #3, while the other four (4) children were waking up. One (1) teacher was near the snack tables to see and hear, while another teacher was checking on the sleeping children. There is an area that is protected with shelves for younger children that is harder to see. It was observed that teachers move around the classroom to see or hear the children in that area. 10A NCAC 09 .1803 The allegation regarding discipline was unsubstantiated. Staff reported that one and two year old children may be placed in time out when biting occurs. When asked what time out means, it was explained that the one and two year old children are talked to about the incident to let them know that biting hurts and provided teethers or something else that they can bite. While a child does sit down, they are not required to stay sitting. We further discussed that this is more of a redirection since children are not required to sit down for a certain amount of time. It was recommended to revise the bite policy to exclude time out as part of the bite policy. During the visit today, children were eating snack, washing hands, having diaper changes, and going outside to play. Teachers explained to children what they could do and provided them with choices. Some children were having a hard time waking and received hugs. No children were observed being placed in time out. No biting occurred during the visit. 10A NCAC 09 .0902 The allegation regarding nutrition was unsubstantiated. Staff reported they follow the posted feeding plans and work with parents to modify the feeding plan as the child’s needs change. During the visit today, the infants were being held when feeding bottles and the infant feeding plans were completed with changes for when updates were made. 10A NCAC 09 .0601 The allegation regarding a safe indoor environment was unsubstantiated. During observations today, a child was secured in the highchair with the attached buckle straps. 10A NCAC 09 .0606(a, i) The allegation regarding a safe sleep practices was unsubstantiated. Teachers reported blankets are not provided to infants in the crib. Blankets may be used to cover children while having tummy time on the floor. Teachers stated they do not place anything over the face of a child during rest time. During the visit today, there were no blankets observed in the cribs. Two (2) children were observed sleeping, an infant and a one year old child. There was one blanket on the floor that the teacher stated she covered up the child’s legs when tummy time had occurred. We discussed the following concerns as well: *Ms. Vetten stated she works on-site at the facility approximately 40 hours per week. We discussed you are required to work on-site as the administrator at minimum 25 hours per week. *Children have diapers changed at least every two hours and more often if wet or soiled. *Children have wet clothing changed as needed. *Volunteers and visitors are not required to have a Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter and cannot be left alone with children. *The biting policy does state that children may be sent home after two bites in one day. An electronic version of the visit summary was reviewed with you and signed. The electronic visit summary was printed and provided to you to print and maintain with program records. The following violations of child care requirements were observed during the visit: Violation Number Comment Rule 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed them to place their bowl back on the table. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff had a health questionnaire dated 3/23/23. .0701(a) Technical Assistance for Corrective Action Item #1034 - One (1) staff had a health questionnaire dated 3/23/23. This was corrected during the visit. The staff was on-site and completed a new health questionnaire. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #861 - Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed the to place their bowl back on the table. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 6/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: It is recommended to review the following child care rules with staff. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (i) A caregiver shall not place anything over the face of a child during rest time. If you need assistance, you may contact me at monica.houck@dhhs.nc.gov or 828-243-2154. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0902 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: 0524-370L Visit Date: 6/5/2024 Number Present: 34 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to investigate a complaint. The report was received by the Division of Child Development and Early Education (DCDEE) on 5/24/24 and sent to Monica Houck, Lead Child Care Consultant, on 5/28/24. The concerns from the report are below: There are concerns regarding supervision, discipline, nutrition, safe indoor environment, and safe sleep practices. Stacey Vetten, Administrator/Legal Operator, was on-site and available to discuss the concern. I also met with three (3) additional staff that may have had knowledge of the situations. Space #4, the classroom with infants and one year old children, space #3, the classroom with one and two year old children were observed. The infant feeding plans were reviewed. The discipline policy was reviewed. The bite policy was reviewed. The incident log was reviewed. One (1) staff file was monitored. Staff/child ratio in the classroom with infants and one year old children was monitored as follows: Space #4, infants and one year old children; two (2) staff and five (5) children. Space #3, one and two year old children; two (2) staff and ten (10) children. Children were observed in routine care, rest time, snack and free play. The snack today was pepperoni, Cheez-its, and 100% apple juice. 110-91(1) and 10A NCAC 09 .1801 (a)(1-5) The allegation regarding supervision was unsubstantiated. Staff reported that they move around the classroom to supervise children and stay within an arms reach during meal and snack times. During the visit today, the children were playing with toys, being held, and eating snack. One (1) child was in a high chair in space #4. One (1) teacher was standing by the high chair and one teacher was in a rocking chair across the room facing the child eating. Six (6) children were eating snack in space #3, while the other four (4) children were waking up. One (1) teacher was near the snack tables to see and hear, while another teacher was checking on the sleeping children. There is an area that is protected with shelves for younger children that is harder to see. It was observed that teachers move around the classroom to see or hear the children in that area. 10A NCAC 09 .1803 The allegation regarding discipline was unsubstantiated. Staff reported that one and two year old children may be placed in time out when biting occurs. When asked what time out means, it was explained that the one and two year old children are talked to about the incident to let them know that biting hurts and provided teethers or something else that they can bite. While a child does sit down, they are not required to stay sitting. We further discussed that this is more of a redirection since children are not required to sit down for a certain amount of time. It was recommended to revise the bite policy to exclude time out as part of the bite policy. During the visit today, children were eating snack, washing hands, having diaper changes, and going outside to play. Teachers explained to children what they could do and provided them with choices. Some children were having a hard time waking and received hugs. No children were observed being placed in time out. No biting occurred during the visit. 10A NCAC 09 .0902 The allegation regarding nutrition was unsubstantiated. Staff reported they follow the posted feeding plans and work with parents to modify the feeding plan as the child’s needs change. During the visit today, the infants were being held when feeding bottles and the infant feeding plans were completed with changes for when updates were made. 10A NCAC 09 .0601 The allegation regarding a safe indoor environment was unsubstantiated. During observations today, a child was secured in the highchair with the attached buckle straps. 10A NCAC 09 .0606(a, i) The allegation regarding a safe sleep practices was unsubstantiated. Teachers reported blankets are not provided to infants in the crib. Blankets may be used to cover children while having tummy time on the floor. Teachers stated they do not place anything over the face of a child during rest time. During the visit today, there were no blankets observed in the cribs. Two (2) children were observed sleeping, an infant and a one year old child. There was one blanket on the floor that the teacher stated she covered up the child’s legs when tummy time had occurred. We discussed the following concerns as well: *Ms. Vetten stated she works on-site at the facility approximately 40 hours per week. We discussed you are required to work on-site as the administrator at minimum 25 hours per week. *Children have diapers changed at least every two hours and more often if wet or soiled. *Children have wet clothing changed as needed. *Volunteers and visitors are not required to have a Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter and cannot be left alone with children. *The biting policy does state that children may be sent home after two bites in one day. An electronic version of the visit summary was reviewed with you and signed. The electronic visit summary was printed and provided to you to print and maintain with program records. The following violations of child care requirements were observed during the visit: Violation Number Comment Rule 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed them to place their bowl back on the table. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff had a health questionnaire dated 3/23/23. .0701(a) Technical Assistance for Corrective Action Item #1034 - One (1) staff had a health questionnaire dated 3/23/23. This was corrected during the visit. The staff was on-site and completed a new health questionnaire. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #861 - Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed the to place their bowl back on the table. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 6/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: It is recommended to review the following child care rules with staff. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (i) A caregiver shall not place anything over the face of a child during rest time. If you need assistance, you may contact me at monica.houck@dhhs.nc.gov or 828-243-2154. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1801 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: 0524-370L Visit Date: 6/5/2024 Number Present: 34 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to investigate a complaint. The report was received by the Division of Child Development and Early Education (DCDEE) on 5/24/24 and sent to Monica Houck, Lead Child Care Consultant, on 5/28/24. The concerns from the report are below: There are concerns regarding supervision, discipline, nutrition, safe indoor environment, and safe sleep practices. Stacey Vetten, Administrator/Legal Operator, was on-site and available to discuss the concern. I also met with three (3) additional staff that may have had knowledge of the situations. Space #4, the classroom with infants and one year old children, space #3, the classroom with one and two year old children were observed. The infant feeding plans were reviewed. The discipline policy was reviewed. The bite policy was reviewed. The incident log was reviewed. One (1) staff file was monitored. Staff/child ratio in the classroom with infants and one year old children was monitored as follows: Space #4, infants and one year old children; two (2) staff and five (5) children. Space #3, one and two year old children; two (2) staff and ten (10) children. Children were observed in routine care, rest time, snack and free play. The snack today was pepperoni, Cheez-its, and 100% apple juice. 110-91(1) and 10A NCAC 09 .1801 (a)(1-5) The allegation regarding supervision was unsubstantiated. Staff reported that they move around the classroom to supervise children and stay within an arms reach during meal and snack times. During the visit today, the children were playing with toys, being held, and eating snack. One (1) child was in a high chair in space #4. One (1) teacher was standing by the high chair and one teacher was in a rocking chair across the room facing the child eating. Six (6) children were eating snack in space #3, while the other four (4) children were waking up. One (1) teacher was near the snack tables to see and hear, while another teacher was checking on the sleeping children. There is an area that is protected with shelves for younger children that is harder to see. It was observed that teachers move around the classroom to see or hear the children in that area. 10A NCAC 09 .1803 The allegation regarding discipline was unsubstantiated. Staff reported that one and two year old children may be placed in time out when biting occurs. When asked what time out means, it was explained that the one and two year old children are talked to about the incident to let them know that biting hurts and provided teethers or something else that they can bite. While a child does sit down, they are not required to stay sitting. We further discussed that this is more of a redirection since children are not required to sit down for a certain amount of time. It was recommended to revise the bite policy to exclude time out as part of the bite policy. During the visit today, children were eating snack, washing hands, having diaper changes, and going outside to play. Teachers explained to children what they could do and provided them with choices. Some children were having a hard time waking and received hugs. No children were observed being placed in time out. No biting occurred during the visit. 10A NCAC 09 .0902 The allegation regarding nutrition was unsubstantiated. Staff reported they follow the posted feeding plans and work with parents to modify the feeding plan as the child’s needs change. During the visit today, the infants were being held when feeding bottles and the infant feeding plans were completed with changes for when updates were made. 10A NCAC 09 .0601 The allegation regarding a safe indoor environment was unsubstantiated. During observations today, a child was secured in the highchair with the attached buckle straps. 10A NCAC 09 .0606(a, i) The allegation regarding a safe sleep practices was unsubstantiated. Teachers reported blankets are not provided to infants in the crib. Blankets may be used to cover children while having tummy time on the floor. Teachers stated they do not place anything over the face of a child during rest time. During the visit today, there were no blankets observed in the cribs. Two (2) children were observed sleeping, an infant and a one year old child. There was one blanket on the floor that the teacher stated she covered up the child’s legs when tummy time had occurred. We discussed the following concerns as well: *Ms. Vetten stated she works on-site at the facility approximately 40 hours per week. We discussed you are required to work on-site as the administrator at minimum 25 hours per week. *Children have diapers changed at least every two hours and more often if wet or soiled. *Children have wet clothing changed as needed. *Volunteers and visitors are not required to have a Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter and cannot be left alone with children. *The biting policy does state that children may be sent home after two bites in one day. An electronic version of the visit summary was reviewed with you and signed. The electronic visit summary was printed and provided to you to print and maintain with program records. The following violations of child care requirements were observed during the visit: Violation Number Comment Rule 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed them to place their bowl back on the table. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff had a health questionnaire dated 3/23/23. .0701(a) Technical Assistance for Corrective Action Item #1034 - One (1) staff had a health questionnaire dated 3/23/23. This was corrected during the visit. The staff was on-site and completed a new health questionnaire. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #861 - Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed the to place their bowl back on the table. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 6/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: It is recommended to review the following child care rules with staff. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (i) A caregiver shall not place anything over the face of a child during rest time. If you need assistance, you may contact me at monica.houck@dhhs.nc.gov or 828-243-2154. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1803 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: 0524-370L Visit Date: 6/5/2024 Number Present: 34 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to investigate a complaint. The report was received by the Division of Child Development and Early Education (DCDEE) on 5/24/24 and sent to Monica Houck, Lead Child Care Consultant, on 5/28/24. The concerns from the report are below: There are concerns regarding supervision, discipline, nutrition, safe indoor environment, and safe sleep practices. Stacey Vetten, Administrator/Legal Operator, was on-site and available to discuss the concern. I also met with three (3) additional staff that may have had knowledge of the situations. Space #4, the classroom with infants and one year old children, space #3, the classroom with one and two year old children were observed. The infant feeding plans were reviewed. The discipline policy was reviewed. The bite policy was reviewed. The incident log was reviewed. One (1) staff file was monitored. Staff/child ratio in the classroom with infants and one year old children was monitored as follows: Space #4, infants and one year old children; two (2) staff and five (5) children. Space #3, one and two year old children; two (2) staff and ten (10) children. Children were observed in routine care, rest time, snack and free play. The snack today was pepperoni, Cheez-its, and 100% apple juice. 110-91(1) and 10A NCAC 09 .1801 (a)(1-5) The allegation regarding supervision was unsubstantiated. Staff reported that they move around the classroom to supervise children and stay within an arms reach during meal and snack times. During the visit today, the children were playing with toys, being held, and eating snack. One (1) child was in a high chair in space #4. One (1) teacher was standing by the high chair and one teacher was in a rocking chair across the room facing the child eating. Six (6) children were eating snack in space #3, while the other four (4) children were waking up. One (1) teacher was near the snack tables to see and hear, while another teacher was checking on the sleeping children. There is an area that is protected with shelves for younger children that is harder to see. It was observed that teachers move around the classroom to see or hear the children in that area. 10A NCAC 09 .1803 The allegation regarding discipline was unsubstantiated. Staff reported that one and two year old children may be placed in time out when biting occurs. When asked what time out means, it was explained that the one and two year old children are talked to about the incident to let them know that biting hurts and provided teethers or something else that they can bite. While a child does sit down, they are not required to stay sitting. We further discussed that this is more of a redirection since children are not required to sit down for a certain amount of time. It was recommended to revise the bite policy to exclude time out as part of the bite policy. During the visit today, children were eating snack, washing hands, having diaper changes, and going outside to play. Teachers explained to children what they could do and provided them with choices. Some children were having a hard time waking and received hugs. No children were observed being placed in time out. No biting occurred during the visit. 10A NCAC 09 .0902 The allegation regarding nutrition was unsubstantiated. Staff reported they follow the posted feeding plans and work with parents to modify the feeding plan as the child’s needs change. During the visit today, the infants were being held when feeding bottles and the infant feeding plans were completed with changes for when updates were made. 10A NCAC 09 .0601 The allegation regarding a safe indoor environment was unsubstantiated. During observations today, a child was secured in the highchair with the attached buckle straps. 10A NCAC 09 .0606(a, i) The allegation regarding a safe sleep practices was unsubstantiated. Teachers reported blankets are not provided to infants in the crib. Blankets may be used to cover children while having tummy time on the floor. Teachers stated they do not place anything over the face of a child during rest time. During the visit today, there were no blankets observed in the cribs. Two (2) children were observed sleeping, an infant and a one year old child. There was one blanket on the floor that the teacher stated she covered up the child’s legs when tummy time had occurred. We discussed the following concerns as well: *Ms. Vetten stated she works on-site at the facility approximately 40 hours per week. We discussed you are required to work on-site as the administrator at minimum 25 hours per week. *Children have diapers changed at least every two hours and more often if wet or soiled. *Children have wet clothing changed as needed. *Volunteers and visitors are not required to have a Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter and cannot be left alone with children. *The biting policy does state that children may be sent home after two bites in one day. An electronic version of the visit summary was reviewed with you and signed. The electronic visit summary was printed and provided to you to print and maintain with program records. The following violations of child care requirements were observed during the visit: Violation Number Comment Rule 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed them to place their bowl back on the table. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff had a health questionnaire dated 3/23/23. .0701(a) Technical Assistance for Corrective Action Item #1034 - One (1) staff had a health questionnaire dated 3/23/23. This was corrected during the visit. The staff was on-site and completed a new health questionnaire. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #861 - Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed the to place their bowl back on the table. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 6/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: It is recommended to review the following child care rules with staff. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (i) A caregiver shall not place anything over the face of a child during rest time. If you need assistance, you may contact me at monica.houck@dhhs.nc.gov or 828-243-2154. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

G.S. 110-90 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: 0524-370L Visit Date: 6/5/2024 Number Present: 34 Completed Date: 6/5/2024 Age: From 0 To 12 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of the unannounced visit today was to investigate a complaint. The report was received by the Division of Child Development and Early Education (DCDEE) on 5/24/24 and sent to Monica Houck, Lead Child Care Consultant, on 5/28/24. The concerns from the report are below: There are concerns regarding supervision, discipline, nutrition, safe indoor environment, and safe sleep practices. Stacey Vetten, Administrator/Legal Operator, was on-site and available to discuss the concern. I also met with three (3) additional staff that may have had knowledge of the situations. Space #4, the classroom with infants and one year old children, space #3, the classroom with one and two year old children were observed. The infant feeding plans were reviewed. The discipline policy was reviewed. The bite policy was reviewed. The incident log was reviewed. One (1) staff file was monitored. Staff/child ratio in the classroom with infants and one year old children was monitored as follows: Space #4, infants and one year old children; two (2) staff and five (5) children. Space #3, one and two year old children; two (2) staff and ten (10) children. Children were observed in routine care, rest time, snack and free play. The snack today was pepperoni, Cheez-its, and 100% apple juice. 110-91(1) and 10A NCAC 09 .1801 (a)(1-5) The allegation regarding supervision was unsubstantiated. Staff reported that they move around the classroom to supervise children and stay within an arms reach during meal and snack times. During the visit today, the children were playing with toys, being held, and eating snack. One (1) child was in a high chair in space #4. One (1) teacher was standing by the high chair and one teacher was in a rocking chair across the room facing the child eating. Six (6) children were eating snack in space #3, while the other four (4) children were waking up. One (1) teacher was near the snack tables to see and hear, while another teacher was checking on the sleeping children. There is an area that is protected with shelves for younger children that is harder to see. It was observed that teachers move around the classroom to see or hear the children in that area. 10A NCAC 09 .1803 The allegation regarding discipline was unsubstantiated. Staff reported that one and two year old children may be placed in time out when biting occurs. When asked what time out means, it was explained that the one and two year old children are talked to about the incident to let them know that biting hurts and provided teethers or something else that they can bite. While a child does sit down, they are not required to stay sitting. We further discussed that this is more of a redirection since children are not required to sit down for a certain amount of time. It was recommended to revise the bite policy to exclude time out as part of the bite policy. During the visit today, children were eating snack, washing hands, having diaper changes, and going outside to play. Teachers explained to children what they could do and provided them with choices. Some children were having a hard time waking and received hugs. No children were observed being placed in time out. No biting occurred during the visit. 10A NCAC 09 .0902 The allegation regarding nutrition was unsubstantiated. Staff reported they follow the posted feeding plans and work with parents to modify the feeding plan as the child’s needs change. During the visit today, the infants were being held when feeding bottles and the infant feeding plans were completed with changes for when updates were made. 10A NCAC 09 .0601 The allegation regarding a safe indoor environment was unsubstantiated. During observations today, a child was secured in the highchair with the attached buckle straps. 10A NCAC 09 .0606(a, i) The allegation regarding a safe sleep practices was unsubstantiated. Teachers reported blankets are not provided to infants in the crib. Blankets may be used to cover children while having tummy time on the floor. Teachers stated they do not place anything over the face of a child during rest time. During the visit today, there were no blankets observed in the cribs. Two (2) children were observed sleeping, an infant and a one year old child. There was one blanket on the floor that the teacher stated she covered up the child’s legs when tummy time had occurred. We discussed the following concerns as well: *Ms. Vetten stated she works on-site at the facility approximately 40 hours per week. We discussed you are required to work on-site as the administrator at minimum 25 hours per week. *Children have diapers changed at least every two hours and more often if wet or soiled. *Children have wet clothing changed as needed. *Volunteers and visitors are not required to have a Division of Child Development and Early Education (DCDEE) Criminal Background Check (CBC) qualifying letter and cannot be left alone with children. *The biting policy does state that children may be sent home after two bites in one day. An electronic version of the visit summary was reviewed with you and signed. The electronic visit summary was printed and provided to you to print and maintain with program records. The following violations of child care requirements were observed during the visit: Violation Number Comment Rule 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed them to place their bowl back on the table. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff had a health questionnaire dated 3/23/23. .0701(a) Technical Assistance for Corrective Action Item #1034 - One (1) staff had a health questionnaire dated 3/23/23. This was corrected during the visit. The staff was on-site and completed a new health questionnaire. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item Requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #861 - Children were eating their snack from Styrofoam bowls. One (1) child from space #3, the classroom with one and two year old children, placed the bowl at their mouth and bit. The teacher recognized the child bit the bowl and instructed the to place their bowl back on the table. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 6/6/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: It is recommended to review the following child care rules with staff. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (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. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. (i) A caregiver shall not place anything over the face of a child during rest time. If you need assistance, you may contact me at monica.houck@dhhs.nc.gov or 828-243-2154. You may also contact Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0102 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0508 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2802 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2809 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2818 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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

G.S. 110-90 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 5/21/2024 Number Present: 27 Completed Date: 5/21/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 09:50 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit at this program was to conduct limited monitoring of child care requirements. Lilly Lancaster, Lead Teacher, was on-site and available to answer and ask questions. Stacey Vetten, Administrator/Legal Operator, was not on-site today during the visit. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 5/14/24. A shelter-in-place drill was practiced on 4/22/24. The last monthly playground inspection was completed on 5/7/24. A sanitation inspection was conducted on 4/29/24 with fifty-nine (59) demerits for a Disapproved classification. A prior notice administrative action summary suspension was sent to the facility on 5/6/24 and received by Ms. Vetten on 5/16/24. A follow-up sanitation inspection was conducted on 5/20/24 with four (4) demerits with a Superior classification. \The last water lead test was completed on 11/15/22. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan was completed on 2/20/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed in free play, routine care, and outdoor play. During the visit, it was noticed that walls were added to space #2, the classroom with preschool age children, to allow for an extension of the kitchen. The L-shaped wall was measured and deducted from the current classroom space to determine the following capacity. Space #2 – 21 children at 30 square feet per child There was one new staff. There was limited monitoring of existing staff files. The administrator would like to take the option to transition to a star-rated license based on the previous ownership’s star-rated license points. Based on the change of ownership, the facility would be included in Cohort 2. We discussed the resources available during the 2024-25 prep year. Plan to visit the North Carolina Rated License Assessment Project (NCRLAP) website, ncrlap.org, for additional information, webinars, and resources. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. GS 110-91(12); .0508(a) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The two (2) staff identified on the plan were not on-site during the visit today. .0802(b)(1-2) Technical assistance for correction plan: Item #428 – The activity plan in space #3, the classroom with one and two year old children, was dated May 3-7. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #1914 – The two (2) staff identified on the plan were not on-site during the visit today. We discussed additional names of staff could be added to the EMC plan to allow for other staff not being on-site. After the EMC plan is revised, it will need to be reviewed with staff and documentation of the review on file. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention…. (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/24/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was 88%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This is recommended to be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Pre-service requirements must be met for all positions. The facility will use the seven (7) points for staff education based on the previous ownership. Program Standards: The facility will use the six (6) points for program standards based on the previous ownership. The facility will be included in Cohort 1 to resume the next rated license cycle. We discussed resources available during the visit today. The facility is required to meet enhanced space and enhanced staff/child ratios. 10A NCAC 09 .2809 ENHANCED SPACE REQUIREMENTS (a) There shall be at least 30 square feet inside space per child per the total licensed capacity and 100 square feet outside space for each child using the outdoor learning environment at any one time. (b) There shall be an area that can be arranged for administrative and private conference activities. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: The facility will use the one (1) quality point based on the previous ownership. Curriculum: The approved curriculum being implemented by the facility is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition. 10A NCAC 09 .2802 APPLICATION FOR A TWO THROUGH FIVE STAR RATED LICENSE (d) Facilities with a four or five-star rated license that are licensed to serve four-year-old children shall implement a curriculum as defined in 10A NCAC 09 .0102(10) with their four year olds. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: A legal designee information form was left on-site for Ms. Vetten to complete allowing Ms. Lancaster to sign the visit summaries during her absence. The sanitation inspection dated 5/20/24 states that the facility is “okay to cook.” The restriction “no cooking allowed in the building” will be removed as a restriction from the license. A request to change the age range from 0-7 years to 0-12 years was received on 5/20/24. This change will be reflected on the rated license dated for 6/3/24, the date the school-age summer program begins operation. A toilet has been added in space #3, the classroom with one and two year old children. A new building inspection, with consideration of four (4) toilets instead of three (3) toilets, would be needed to request a capacity increase. In space #2, the classroom with preschool children, an L-shaped wall was added to allow for an extension of the kitchen with a dishwasher. A new building inspection is required to determine that all North Carolina Building codes are current based on the reconstruction. We discussed that the activity plans in space #3, the classroom with one and two year old children, needs additional activities to identify the developmental domains in the child care rule below. Two (2) sample activity plans were provided to you today during the visit and can also be located on the Division’s website. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. We discussed the annual fire inspection is due on or before 12/12/24. You will need to contact the local Fire Marshal for the annual inspection. The original approved inspection must be mailed to the child care consultant within one week. Reminder that the Fire Marshal must also monitor the auxiliary spaces. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 23 Completed Date: 3/21/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 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 period visit. This facility is on a temporary license due to a change of ownership. Stacey Vetten, Administrator, arrived on-site at approximately 10:05am and was available to answer and ask questions. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/29/24. A lockdown drill must was practiced on 2/29/24. The last monthly playground inspection was completed on 2/26/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan is in the Risk Management portal and a printed copy on-site was dated for February 2024. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was beef ravioli, peas, oranges, bread, and milk as listed on the menu. Three (3) children files were monitored. There are no new staff. Limited monitoring of staff files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s rating and be included in Cohort 2 of the rated license cycle. Information will be forthcoming as the prep year and assessment year approaches. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets that were not in use located by the book shelf and cubbies were not covered with safety plugs in space #2, the classroom with three and four year old children. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. There were five (5) diaper creams in space #3, the classroom with two year old children, that the medication authorization forms could not be found. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Aveeno lotion for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 11/29/23. Destin diaper cream for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 3/14/24. .0803(12) Technical assistance for correction plan: Item #812 – Two outlets that were not in use located by the book shelf and cubbies were not covered with safety plugs in space #2, the classroom with three and four year old children. Outlets must be covered when not in use. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #847 – There were five (5) diaper creams in space #3, the classroom with two year old children, that the medication authorization forms could not be found. Medication authorization forms must be completed for each diaper cream or sent home with the parent. We also discussed to keep a copy of a form in the child’s file in case a form is lost. It is recommended to audit all diaper creams and sunscreens to be sure there is one on file for each child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #849 – Aveeno lotion for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 11/29/23. Desitin diaper cream for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 3/14/24. When medication authorization forms expire, the diaper cream must have a new medication authorization form within 72 hours, be sent home within 72 hours, or be discarded within 72 hours. It is recommended to audit all diaper creams, lotions, and sunscreens to be sure the authorization form has not expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/4/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 84%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have their education evaluated by WORKS. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: Applying for a two through five-star rated license and have the Environment Rating Scale (ERS) assessment is voluntary. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum being implemented is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition and was reviewed today during the visit. Consultation: Electronic versions of the activity plan samples were emailed to you today. We discussed staff may use the electronic version if they choose. We discussed to continue to watch the temperature of the thermometer in the mini fridge located in space #4, the classroom with infants and one year old children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .0604 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 23 Completed Date: 3/21/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 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 period visit. This facility is on a temporary license due to a change of ownership. Stacey Vetten, Administrator, arrived on-site at approximately 10:05am and was available to answer and ask questions. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/29/24. A lockdown drill must was practiced on 2/29/24. The last monthly playground inspection was completed on 2/26/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan is in the Risk Management portal and a printed copy on-site was dated for February 2024. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was beef ravioli, peas, oranges, bread, and milk as listed on the menu. Three (3) children files were monitored. There are no new staff. Limited monitoring of staff files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s rating and be included in Cohort 2 of the rated license cycle. Information will be forthcoming as the prep year and assessment year approaches. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets that were not in use located by the book shelf and cubbies were not covered with safety plugs in space #2, the classroom with three and four year old children. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. There were five (5) diaper creams in space #3, the classroom with two year old children, that the medication authorization forms could not be found. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Aveeno lotion for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 11/29/23. Destin diaper cream for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 3/14/24. .0803(12) Technical assistance for correction plan: Item #812 – Two outlets that were not in use located by the book shelf and cubbies were not covered with safety plugs in space #2, the classroom with three and four year old children. Outlets must be covered when not in use. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #847 – There were five (5) diaper creams in space #3, the classroom with two year old children, that the medication authorization forms could not be found. Medication authorization forms must be completed for each diaper cream or sent home with the parent. We also discussed to keep a copy of a form in the child’s file in case a form is lost. It is recommended to audit all diaper creams and sunscreens to be sure there is one on file for each child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #849 – Aveeno lotion for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 11/29/23. Desitin diaper cream for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 3/14/24. When medication authorization forms expire, the diaper cream must have a new medication authorization form within 72 hours, be sent home within 72 hours, or be discarded within 72 hours. It is recommended to audit all diaper creams, lotions, and sunscreens to be sure the authorization form has not expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/4/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 84%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have their education evaluated by WORKS. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: Applying for a two through five-star rated license and have the Environment Rating Scale (ERS) assessment is voluntary. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum being implemented is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition and was reviewed today during the visit. Consultation: Electronic versions of the activity plan samples were emailed to you today. We discussed staff may use the electronic version if they choose. We discussed to continue to watch the temperature of the thermometer in the mini fridge located in space #4, the classroom with infants and one year old children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .0803 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 23 Completed Date: 3/21/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 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 period visit. This facility is on a temporary license due to a change of ownership. Stacey Vetten, Administrator, arrived on-site at approximately 10:05am and was available to answer and ask questions. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/29/24. A lockdown drill must was practiced on 2/29/24. The last monthly playground inspection was completed on 2/26/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan is in the Risk Management portal and a printed copy on-site was dated for February 2024. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was beef ravioli, peas, oranges, bread, and milk as listed on the menu. Three (3) children files were monitored. There are no new staff. Limited monitoring of staff files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s rating and be included in Cohort 2 of the rated license cycle. Information will be forthcoming as the prep year and assessment year approaches. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets that were not in use located by the book shelf and cubbies were not covered with safety plugs in space #2, the classroom with three and four year old children. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. There were five (5) diaper creams in space #3, the classroom with two year old children, that the medication authorization forms could not be found. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Aveeno lotion for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 11/29/23. Destin diaper cream for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 3/14/24. .0803(12) Technical assistance for correction plan: Item #812 – Two outlets that were not in use located by the book shelf and cubbies were not covered with safety plugs in space #2, the classroom with three and four year old children. Outlets must be covered when not in use. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #847 – There were five (5) diaper creams in space #3, the classroom with two year old children, that the medication authorization forms could not be found. Medication authorization forms must be completed for each diaper cream or sent home with the parent. We also discussed to keep a copy of a form in the child’s file in case a form is lost. It is recommended to audit all diaper creams and sunscreens to be sure there is one on file for each child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #849 – Aveeno lotion for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 11/29/23. Desitin diaper cream for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 3/14/24. When medication authorization forms expire, the diaper cream must have a new medication authorization form within 72 hours, be sent home within 72 hours, or be discarded within 72 hours. It is recommended to audit all diaper creams, lotions, and sunscreens to be sure the authorization form has not expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/4/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 84%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have their education evaluated by WORKS. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: Applying for a two through five-star rated license and have the Environment Rating Scale (ERS) assessment is voluntary. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum being implemented is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition and was reviewed today during the visit. Consultation: Electronic versions of the activity plan samples were emailed to you today. We discussed staff may use the electronic version if they choose. We discussed to continue to watch the temperature of the thermometer in the mini fridge located in space #4, the classroom with infants and one year old children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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

G.S. 110-90 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 3/21/2024 Number Present: 23 Completed Date: 3/21/2024 Age: From 0 To 4 Total Minutes: 175 Time In: 09:50 AM Time Out: 12:45 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 period visit. This facility is on a temporary license due to a change of ownership. Stacey Vetten, Administrator, arrived on-site at approximately 10:05am and was available to answer and ask questions. The report was reviewed with you, printed, signed, and a copy left with you. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 2/29/24. A lockdown drill must was practiced on 2/29/24. The last monthly playground inspection was completed on 2/26/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan is in the Risk Management portal and a printed copy on-site was dated for February 2024. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was beef ravioli, peas, oranges, bread, and milk as listed on the menu. Three (3) children files were monitored. There are no new staff. Limited monitoring of staff files occurred. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s rating and be included in Cohort 2 of the rated license cycle. Information will be forthcoming as the prep year and assessment year approaches. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Two outlets that were not in use located by the book shelf and cubbies were not covered with safety plugs in space #2, the classroom with three and four year old children. 10A NCAC 09 .0604(c) 847 Parent's medication authorization did not include required information. There were five (5) diaper creams in space #3, the classroom with two year old children, that the medication authorization forms could not be found. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Aveeno lotion for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 11/29/23. Destin diaper cream for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 3/14/24. .0803(12) Technical assistance for correction plan: Item #812 – Two outlets that were not in use located by the book shelf and cubbies were not covered with safety plugs in space #2, the classroom with three and four year old children. Outlets must be covered when not in use. This was corrected during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #847 – There were five (5) diaper creams in space #3, the classroom with two year old children, that the medication authorization forms could not be found. Medication authorization forms must be completed for each diaper cream or sent home with the parent. We also discussed to keep a copy of a form in the child’s file in case a form is lost. It is recommended to audit all diaper creams and sunscreens to be sure there is one on file for each child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #849 – Aveeno lotion for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 11/29/23. Desitin diaper cream for a child in space #3, the classroom with two year old children, had a medication authorization form that expired on 3/14/24. When medication authorization forms expire, the diaper cream must have a new medication authorization form within 72 hours, be sent home within 72 hours, or be discarded within 72 hours. It is recommended to audit all diaper creams, lotions, and sunscreens to be sure the authorization form has not expired. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/4/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history prior to the visit today was 84%. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. All staff must have their education evaluated by WORKS. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: Applying for a two through five-star rated license and have the Environment Rating Scale (ERS) assessment is voluntary. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. The curriculum being implemented is Learn Everyday®: The Preschool Curriculum Kaplan Early Learning Company, 2012, 2019 2d Edition and was reviewed today during the visit. Consultation: Electronic versions of the activity plan samples were emailed to you today. We discussed staff may use the electronic version if they choose. We discussed to continue to watch the temperature of the thermometer in the mini fridge located in space #4, the classroom with infants and one year old children. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .0604 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 16 Completed Date: 2/7/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 10:20 AM Time Out: 01:30 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 period visit. This facility is on a temporary license due to a change of ownership. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. Stacey Vetten, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and signed by Stacey Vetten, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stacey Vetten. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, all classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 1/31/24. A lockdown drill must was practiced om 12/30/23. The last monthly playground inspection was completed on 1/24/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan must be in the Risk Management portal and a printed copy on-site on or before 4/19/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was corn dogs, green beans, bananas, and milk as noted on the menu. Three (3) children files were monitored. There are fourteen (14) staff. Fourteen (14) staff files were monitored. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating and be included in the rated license cycle for the previous facility, Cohort 2. Information will be forthcoming when approaching the prep year and assessment year. It is voluntary to apply for a two through five star rated license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. You may also request an Outreach Assessment while waiting for the prep year for the facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. Dolls were not provided in space #4, the classroom with infant and one year old children. .0510 (e ) (1)(A-G) 538 Baby bottles were not stored to protect from contamination. Three (3) bottles in space #4, the classroom with infants and one year children, did not have a bottle cap to protect the nipple from contamination. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical power strip placed on top of the approximately three (3) foot half wall between spaces #1 and #2, had two (2) uncovered outlets that were not in use. 10A NCAC 09 .0604(c) 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. Barbasol shaving cream was located in an unlocked cabinet above five feet in space #2, the classroom with three and four year old children. .2820(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff member hired on 12/13/22 did not have the staff development plan and annual evaluation in file. Refer to the staff and training worksheet. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. The refrigerator in space #3 had a thermometer that was not working. This is a violation of 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION(j). Technical assistance for correction plan: Item #9995 - Thermometer for Refrigeration A working thermometer must be placed in the refrigerator in space #4, the classroom with infant and one year old children. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Item #1232 - Staff Development Plan and Annual Evaluation A staff development plan and an annual staff evaluation shall be completed annually for each staff member. The development plan and evaluation can be combined if you choose to, and the evaluation can be self-evaluation. Please complete the staff development plan and evaluation for the staff member hired on 12/13/22 immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Item #445 - Activity Areas - Corrected During the Visit Dolls were added to space #4, the classroom with infants and one year old children, during the visit. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; Item #840 - Storage of Hazardous Items - Corrected During the Visit The aersol Barbasol shaving cream was moved to a locked storage closet during the visit. We discussed Barbasol is a toxic chemical with warnings on the can and it is not be be played with by children. It is recommended to use something such as Cool Whip or another non-toxic material. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item # 812 - Electrical Outlets Covered - Corrected During the Visit The electrical power strip had outlet covers inserted during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #538 - Bottles Stored to Protect from Contamination - Corrected During the Visit The bottles had a cup placed over the nipple during the visit. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 2/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: It is recommended for T. Carpenter and K. Roane to take the ITS-SIDS training if they will be working in the classroom with children 12 months of age or younger. Ms. Vetten stated these two staff completed ITS-SIDS training yesterday. We discussed to contact the local fire marshal to discuss options for the direct exit door at the front of space #4, the classroom with infants and one year old children. Children are aware that the door opens and are curious and exit the door under staff supervision. We discussed that the medication administration training on the DCDEE Moodle website is now available for 2024. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. We discussed the EMC plan needs to be updated. The EMC plan must be updated at least annually if no changes during the year and posted to be easily viewed. Reminder that immunization and children’s medical reports are due within 30 days of enrollment. Parent Participation plan: We have discussed parent participation plan. Per rule, the plan shall be posted in the center, or a copy shall be given to parents upon enrollment. Your facility’s parent participation plan is included in the handbook, and the parents sign off on the reception of the handbook. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Health and Safety Training: Four (4) staff members (LL, BS, TM, AH) are missing “Medication in Child Care” training as a part of Health and Safety training. At one point, medication in child care training was not available in Moodle. Therefore, this was not cited as a violation. Please complete the training immediately. Moving forward, this will be cited as a violation. Review of Emergency Preparedness and Response Plan and Emergency Medical Care Plan: A staff member who completed EPR in Child Care shall review the facility’s EPR plan and EMC plan upon initial hiring and annually thereafter. Documentation of the review is required. You can list participating staff members and the date of the review shall be maintained for review. The documentation does not need to be included in staff file, unless you choose to. Emergency Information form: The emergency information form shall be included in the regular staff file, not in the confidential file. Four (4) staff members’ (SV, AH, VS, AM) emergency forms were maintained their confidential files. Please move the form to their regular files. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .0510 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 16 Completed Date: 2/7/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 10:20 AM Time Out: 01:30 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 period visit. This facility is on a temporary license due to a change of ownership. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. Stacey Vetten, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and signed by Stacey Vetten, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stacey Vetten. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, all classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 1/31/24. A lockdown drill must was practiced om 12/30/23. The last monthly playground inspection was completed on 1/24/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan must be in the Risk Management portal and a printed copy on-site on or before 4/19/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was corn dogs, green beans, bananas, and milk as noted on the menu. Three (3) children files were monitored. There are fourteen (14) staff. Fourteen (14) staff files were monitored. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating and be included in the rated license cycle for the previous facility, Cohort 2. Information will be forthcoming when approaching the prep year and assessment year. It is voluntary to apply for a two through five star rated license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. You may also request an Outreach Assessment while waiting for the prep year for the facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. Dolls were not provided in space #4, the classroom with infant and one year old children. .0510 (e ) (1)(A-G) 538 Baby bottles were not stored to protect from contamination. Three (3) bottles in space #4, the classroom with infants and one year children, did not have a bottle cap to protect the nipple from contamination. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical power strip placed on top of the approximately three (3) foot half wall between spaces #1 and #2, had two (2) uncovered outlets that were not in use. 10A NCAC 09 .0604(c) 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. Barbasol shaving cream was located in an unlocked cabinet above five feet in space #2, the classroom with three and four year old children. .2820(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff member hired on 12/13/22 did not have the staff development plan and annual evaluation in file. Refer to the staff and training worksheet. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. The refrigerator in space #3 had a thermometer that was not working. This is a violation of 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION(j). Technical assistance for correction plan: Item #9995 - Thermometer for Refrigeration A working thermometer must be placed in the refrigerator in space #4, the classroom with infant and one year old children. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Item #1232 - Staff Development Plan and Annual Evaluation A staff development plan and an annual staff evaluation shall be completed annually for each staff member. The development plan and evaluation can be combined if you choose to, and the evaluation can be self-evaluation. Please complete the staff development plan and evaluation for the staff member hired on 12/13/22 immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Item #445 - Activity Areas - Corrected During the Visit Dolls were added to space #4, the classroom with infants and one year old children, during the visit. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; Item #840 - Storage of Hazardous Items - Corrected During the Visit The aersol Barbasol shaving cream was moved to a locked storage closet during the visit. We discussed Barbasol is a toxic chemical with warnings on the can and it is not be be played with by children. It is recommended to use something such as Cool Whip or another non-toxic material. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item # 812 - Electrical Outlets Covered - Corrected During the Visit The electrical power strip had outlet covers inserted during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #538 - Bottles Stored to Protect from Contamination - Corrected During the Visit The bottles had a cup placed over the nipple during the visit. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 2/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: It is recommended for T. Carpenter and K. Roane to take the ITS-SIDS training if they will be working in the classroom with children 12 months of age or younger. Ms. Vetten stated these two staff completed ITS-SIDS training yesterday. We discussed to contact the local fire marshal to discuss options for the direct exit door at the front of space #4, the classroom with infants and one year old children. Children are aware that the door opens and are curious and exit the door under staff supervision. We discussed that the medication administration training on the DCDEE Moodle website is now available for 2024. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. We discussed the EMC plan needs to be updated. The EMC plan must be updated at least annually if no changes during the year and posted to be easily viewed. Reminder that immunization and children’s medical reports are due within 30 days of enrollment. Parent Participation plan: We have discussed parent participation plan. Per rule, the plan shall be posted in the center, or a copy shall be given to parents upon enrollment. Your facility’s parent participation plan is included in the handbook, and the parents sign off on the reception of the handbook. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Health and Safety Training: Four (4) staff members (LL, BS, TM, AH) are missing “Medication in Child Care” training as a part of Health and Safety training. At one point, medication in child care training was not available in Moodle. Therefore, this was not cited as a violation. Please complete the training immediately. Moving forward, this will be cited as a violation. Review of Emergency Preparedness and Response Plan and Emergency Medical Care Plan: A staff member who completed EPR in Child Care shall review the facility’s EPR plan and EMC plan upon initial hiring and annually thereafter. Documentation of the review is required. You can list participating staff members and the date of the review shall be maintained for review. The documentation does not need to be included in staff file, unless you choose to. Emergency Information form: The emergency information form shall be included in the regular staff file, not in the confidential file. Four (4) staff members’ (SV, AH, VS, AM) emergency forms were maintained their confidential files. Please move the form to their regular files. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 16 Completed Date: 2/7/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 10:20 AM Time Out: 01:30 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 period visit. This facility is on a temporary license due to a change of ownership. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. Stacey Vetten, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and signed by Stacey Vetten, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stacey Vetten. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, all classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 1/31/24. A lockdown drill must was practiced om 12/30/23. The last monthly playground inspection was completed on 1/24/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan must be in the Risk Management portal and a printed copy on-site on or before 4/19/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was corn dogs, green beans, bananas, and milk as noted on the menu. Three (3) children files were monitored. There are fourteen (14) staff. Fourteen (14) staff files were monitored. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating and be included in the rated license cycle for the previous facility, Cohort 2. Information will be forthcoming when approaching the prep year and assessment year. It is voluntary to apply for a two through five star rated license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. You may also request an Outreach Assessment while waiting for the prep year for the facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. Dolls were not provided in space #4, the classroom with infant and one year old children. .0510 (e ) (1)(A-G) 538 Baby bottles were not stored to protect from contamination. Three (3) bottles in space #4, the classroom with infants and one year children, did not have a bottle cap to protect the nipple from contamination. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical power strip placed on top of the approximately three (3) foot half wall between spaces #1 and #2, had two (2) uncovered outlets that were not in use. 10A NCAC 09 .0604(c) 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. Barbasol shaving cream was located in an unlocked cabinet above five feet in space #2, the classroom with three and four year old children. .2820(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff member hired on 12/13/22 did not have the staff development plan and annual evaluation in file. Refer to the staff and training worksheet. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. The refrigerator in space #3 had a thermometer that was not working. This is a violation of 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION(j). Technical assistance for correction plan: Item #9995 - Thermometer for Refrigeration A working thermometer must be placed in the refrigerator in space #4, the classroom with infant and one year old children. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Item #1232 - Staff Development Plan and Annual Evaluation A staff development plan and an annual staff evaluation shall be completed annually for each staff member. The development plan and evaluation can be combined if you choose to, and the evaluation can be self-evaluation. Please complete the staff development plan and evaluation for the staff member hired on 12/13/22 immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Item #445 - Activity Areas - Corrected During the Visit Dolls were added to space #4, the classroom with infants and one year old children, during the visit. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; Item #840 - Storage of Hazardous Items - Corrected During the Visit The aersol Barbasol shaving cream was moved to a locked storage closet during the visit. We discussed Barbasol is a toxic chemical with warnings on the can and it is not be be played with by children. It is recommended to use something such as Cool Whip or another non-toxic material. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item # 812 - Electrical Outlets Covered - Corrected During the Visit The electrical power strip had outlet covers inserted during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #538 - Bottles Stored to Protect from Contamination - Corrected During the Visit The bottles had a cup placed over the nipple during the visit. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 2/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: It is recommended for T. Carpenter and K. Roane to take the ITS-SIDS training if they will be working in the classroom with children 12 months of age or younger. Ms. Vetten stated these two staff completed ITS-SIDS training yesterday. We discussed to contact the local fire marshal to discuss options for the direct exit door at the front of space #4, the classroom with infants and one year old children. Children are aware that the door opens and are curious and exit the door under staff supervision. We discussed that the medication administration training on the DCDEE Moodle website is now available for 2024. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. We discussed the EMC plan needs to be updated. The EMC plan must be updated at least annually if no changes during the year and posted to be easily viewed. Reminder that immunization and children’s medical reports are due within 30 days of enrollment. Parent Participation plan: We have discussed parent participation plan. Per rule, the plan shall be posted in the center, or a copy shall be given to parents upon enrollment. Your facility’s parent participation plan is included in the handbook, and the parents sign off on the reception of the handbook. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Health and Safety Training: Four (4) staff members (LL, BS, TM, AH) are missing “Medication in Child Care” training as a part of Health and Safety training. At one point, medication in child care training was not available in Moodle. Therefore, this was not cited as a violation. Please complete the training immediately. Moving forward, this will be cited as a violation. Review of Emergency Preparedness and Response Plan and Emergency Medical Care Plan: A staff member who completed EPR in Child Care shall review the facility’s EPR plan and EMC plan upon initial hiring and annually thereafter. Documentation of the review is required. You can list participating staff members and the date of the review shall be maintained for review. The documentation does not need to be included in staff file, unless you choose to. Emergency Information form: The emergency information form shall be included in the regular staff file, not in the confidential file. Four (4) staff members’ (SV, AH, VS, AM) emergency forms were maintained their confidential files. Please move the form to their regular files. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 16 Completed Date: 2/7/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 10:20 AM Time Out: 01:30 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 period visit. This facility is on a temporary license due to a change of ownership. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. Stacey Vetten, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and signed by Stacey Vetten, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stacey Vetten. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, all classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 1/31/24. A lockdown drill must was practiced om 12/30/23. The last monthly playground inspection was completed on 1/24/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan must be in the Risk Management portal and a printed copy on-site on or before 4/19/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was corn dogs, green beans, bananas, and milk as noted on the menu. Three (3) children files were monitored. There are fourteen (14) staff. Fourteen (14) staff files were monitored. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating and be included in the rated license cycle for the previous facility, Cohort 2. Information will be forthcoming when approaching the prep year and assessment year. It is voluntary to apply for a two through five star rated license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. You may also request an Outreach Assessment while waiting for the prep year for the facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. Dolls were not provided in space #4, the classroom with infant and one year old children. .0510 (e ) (1)(A-G) 538 Baby bottles were not stored to protect from contamination. Three (3) bottles in space #4, the classroom with infants and one year children, did not have a bottle cap to protect the nipple from contamination. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical power strip placed on top of the approximately three (3) foot half wall between spaces #1 and #2, had two (2) uncovered outlets that were not in use. 10A NCAC 09 .0604(c) 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. Barbasol shaving cream was located in an unlocked cabinet above five feet in space #2, the classroom with three and four year old children. .2820(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff member hired on 12/13/22 did not have the staff development plan and annual evaluation in file. Refer to the staff and training worksheet. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. The refrigerator in space #3 had a thermometer that was not working. This is a violation of 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION(j). Technical assistance for correction plan: Item #9995 - Thermometer for Refrigeration A working thermometer must be placed in the refrigerator in space #4, the classroom with infant and one year old children. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Item #1232 - Staff Development Plan and Annual Evaluation A staff development plan and an annual staff evaluation shall be completed annually for each staff member. The development plan and evaluation can be combined if you choose to, and the evaluation can be self-evaluation. Please complete the staff development plan and evaluation for the staff member hired on 12/13/22 immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Item #445 - Activity Areas - Corrected During the Visit Dolls were added to space #4, the classroom with infants and one year old children, during the visit. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; Item #840 - Storage of Hazardous Items - Corrected During the Visit The aersol Barbasol shaving cream was moved to a locked storage closet during the visit. We discussed Barbasol is a toxic chemical with warnings on the can and it is not be be played with by children. It is recommended to use something such as Cool Whip or another non-toxic material. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item # 812 - Electrical Outlets Covered - Corrected During the Visit The electrical power strip had outlet covers inserted during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #538 - Bottles Stored to Protect from Contamination - Corrected During the Visit The bottles had a cup placed over the nipple during the visit. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 2/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: It is recommended for T. Carpenter and K. Roane to take the ITS-SIDS training if they will be working in the classroom with children 12 months of age or younger. Ms. Vetten stated these two staff completed ITS-SIDS training yesterday. We discussed to contact the local fire marshal to discuss options for the direct exit door at the front of space #4, the classroom with infants and one year old children. Children are aware that the door opens and are curious and exit the door under staff supervision. We discussed that the medication administration training on the DCDEE Moodle website is now available for 2024. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. We discussed the EMC plan needs to be updated. The EMC plan must be updated at least annually if no changes during the year and posted to be easily viewed. Reminder that immunization and children’s medical reports are due within 30 days of enrollment. Parent Participation plan: We have discussed parent participation plan. Per rule, the plan shall be posted in the center, or a copy shall be given to parents upon enrollment. Your facility’s parent participation plan is included in the handbook, and the parents sign off on the reception of the handbook. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Health and Safety Training: Four (4) staff members (LL, BS, TM, AH) are missing “Medication in Child Care” training as a part of Health and Safety training. At one point, medication in child care training was not available in Moodle. Therefore, this was not cited as a violation. Please complete the training immediately. Moving forward, this will be cited as a violation. Review of Emergency Preparedness and Response Plan and Emergency Medical Care Plan: A staff member who completed EPR in Child Care shall review the facility’s EPR plan and EMC plan upon initial hiring and annually thereafter. Documentation of the review is required. You can list participating staff members and the date of the review shall be maintained for review. The documentation does not need to be included in staff file, unless you choose to. Emergency Information form: The emergency information form shall be included in the regular staff file, not in the confidential file. Four (4) staff members’ (SV, AH, VS, AM) emergency forms were maintained their confidential files. Please move the form to their regular files. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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 .0604 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 16 Completed Date: 2/7/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 10:20 AM Time Out: 01:30 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 period visit. This facility is on a temporary license due to a change of ownership. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. Stacey Vetten, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and signed by Stacey Vetten, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stacey Vetten. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, all classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 1/31/24. A lockdown drill must was practiced om 12/30/23. The last monthly playground inspection was completed on 1/24/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan must be in the Risk Management portal and a printed copy on-site on or before 4/19/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was corn dogs, green beans, bananas, and milk as noted on the menu. Three (3) children files were monitored. There are fourteen (14) staff. Fourteen (14) staff files were monitored. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating and be included in the rated license cycle for the previous facility, Cohort 2. Information will be forthcoming when approaching the prep year and assessment year. It is voluntary to apply for a two through five star rated license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. You may also request an Outreach Assessment while waiting for the prep year for the facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. Dolls were not provided in space #4, the classroom with infant and one year old children. .0510 (e ) (1)(A-G) 538 Baby bottles were not stored to protect from contamination. Three (3) bottles in space #4, the classroom with infants and one year children, did not have a bottle cap to protect the nipple from contamination. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical power strip placed on top of the approximately three (3) foot half wall between spaces #1 and #2, had two (2) uncovered outlets that were not in use. 10A NCAC 09 .0604(c) 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. Barbasol shaving cream was located in an unlocked cabinet above five feet in space #2, the classroom with three and four year old children. .2820(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff member hired on 12/13/22 did not have the staff development plan and annual evaluation in file. Refer to the staff and training worksheet. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. The refrigerator in space #3 had a thermometer that was not working. This is a violation of 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION(j). Technical assistance for correction plan: Item #9995 - Thermometer for Refrigeration A working thermometer must be placed in the refrigerator in space #4, the classroom with infant and one year old children. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Item #1232 - Staff Development Plan and Annual Evaluation A staff development plan and an annual staff evaluation shall be completed annually for each staff member. The development plan and evaluation can be combined if you choose to, and the evaluation can be self-evaluation. Please complete the staff development plan and evaluation for the staff member hired on 12/13/22 immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Item #445 - Activity Areas - Corrected During the Visit Dolls were added to space #4, the classroom with infants and one year old children, during the visit. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; Item #840 - Storage of Hazardous Items - Corrected During the Visit The aersol Barbasol shaving cream was moved to a locked storage closet during the visit. We discussed Barbasol is a toxic chemical with warnings on the can and it is not be be played with by children. It is recommended to use something such as Cool Whip or another non-toxic material. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item # 812 - Electrical Outlets Covered - Corrected During the Visit The electrical power strip had outlet covers inserted during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #538 - Bottles Stored to Protect from Contamination - Corrected During the Visit The bottles had a cup placed over the nipple during the visit. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 2/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: It is recommended for T. Carpenter and K. Roane to take the ITS-SIDS training if they will be working in the classroom with children 12 months of age or younger. Ms. Vetten stated these two staff completed ITS-SIDS training yesterday. We discussed to contact the local fire marshal to discuss options for the direct exit door at the front of space #4, the classroom with infants and one year old children. Children are aware that the door opens and are curious and exit the door under staff supervision. We discussed that the medication administration training on the DCDEE Moodle website is now available for 2024. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. We discussed the EMC plan needs to be updated. The EMC plan must be updated at least annually if no changes during the year and posted to be easily viewed. Reminder that immunization and children’s medical reports are due within 30 days of enrollment. Parent Participation plan: We have discussed parent participation plan. Per rule, the plan shall be posted in the center, or a copy shall be given to parents upon enrollment. Your facility’s parent participation plan is included in the handbook, and the parents sign off on the reception of the handbook. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Health and Safety Training: Four (4) staff members (LL, BS, TM, AH) are missing “Medication in Child Care” training as a part of Health and Safety training. At one point, medication in child care training was not available in Moodle. Therefore, this was not cited as a violation. Please complete the training immediately. Moving forward, this will be cited as a violation. Review of Emergency Preparedness and Response Plan and Emergency Medical Care Plan: A staff member who completed EPR in Child Care shall review the facility’s EPR plan and EMC plan upon initial hiring and annually thereafter. Documentation of the review is required. You can list participating staff members and the date of the review shall be maintained for review. The documentation does not need to be included in staff file, unless you choose to. Emergency Information form: The emergency information form shall be included in the regular staff file, not in the confidential file. Four (4) staff members’ (SV, AH, VS, AM) emergency forms were maintained their confidential files. Please move the form to their regular files. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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

G.S. 110-90 · Violation

Name of Operation: DOODLE BUG DAYCARE Facility ID: 38000035 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 16 Completed Date: 2/7/2024 Age: From 0 To 4 Total Minutes: 190 Time In: 10:20 AM Time Out: 01:30 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 period visit. This facility is on a temporary license due to a change of ownership. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. Stacey Vetten, Administrator, was on-site and available to answer and ask questions. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Monica Houck, Lead Child Care Consultant and signed by Stacey Vetten, during the visit. An electronic signed copy of the visit summary was electronically emailed to Stacey Vetten. Currently this center operates with a Temporary License, issued 12/19/23 and is effective through 6/19/24. The restrictions include daytime care only; meets enhanced space; meets enhanced ratios; no cooking allowed in building; maximum capacity forty-five (45) children; and age range; 0-7 years. The program operates as a sole proprietorship and is not required to register with North Carolina Secretary of State. If any changes to the organization need to be made, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. During this first Temporary Time Period visit, all classrooms were monitored as well as the playground, materials, equipment and required posted items for meeting all minimum licensing requirements. The last monthly fire drill was practiced on 1/31/24. A lockdown drill must was practiced om 12/30/23. The last monthly playground inspection was completed on 1/24/24. A sanitation inspection must be completed during the temporary time period. Graham County Environmental Health has been contacted. An approved fire inspection was completed on 12/12/23. An approved building inspection was completed on 12/11/23. The original was collected today. A zoning letter for the facility was completed and dated 10/17/23. Administrative, operational and personnel policies have been submitted, reviewed, and meet all required topics. The Emergency Preparedness and Response (EPR) plan must be in the Risk Management portal and a printed copy on-site on or before 4/19/24. The emergency medical care (EMC) plan was posted. An incident log was in use. The children were observed during routine care, free play, outdoor play, lunch, and rest time. The lunch today was corn dogs, green beans, bananas, and milk as noted on the menu. Three (3) children files were monitored. There are fourteen (14) staff. Fourteen (14) staff files were monitored. To continue to serve children on subsidy vouchers, the facility must transition to a three-star license or higher. If the facility cannot achieve a three-star license or higher, no children can be served that receive subsidy vouchers. Due to the ownership change, the facility has the option to use the previous ownership’s star rating and be included in the rated license cycle for the previous facility, Cohort 2. Information will be forthcoming when approaching the prep year and assessment year. It is voluntary to apply for a two through five star rated license. The Initial Application for Assessment for a Two Component Star Rated License can be found on the Division’s website if you would like to apply for a rated license and the Rated License Request for Review Form can be requested if you would like to request the Environment Rating Scale (ERS) assessment. Plan to visit the ncrlap.org website to learn more about the assessment process. You may also request an Outreach Assessment while waiting for the prep year for the facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. Dolls were not provided in space #4, the classroom with infant and one year old children. .0510 (e ) (1)(A-G) 538 Baby bottles were not stored to protect from contamination. Three (3) bottles in space #4, the classroom with infants and one year children, did not have a bottle cap to protect the nipple from contamination. 15A NCAC 18A .2804(d) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An electrical power strip placed on top of the approximately three (3) foot half wall between spaces #1 and #2, had two (2) uncovered outlets that were not in use. 10A NCAC 09 .0604(c) 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. Barbasol shaving cream was located in an unlocked cabinet above five feet in space #2, the classroom with three and four year old children. .2820(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff member hired on 12/13/22 did not have the staff development plan and annual evaluation in file. Refer to the staff and training worksheet. 10A NCAC 09 .0514(f) 9995 A violation was found for which there is no item number. The refrigerator in space #3 had a thermometer that was not working. This is a violation of 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION(j). Technical assistance for correction plan: Item #9995 - Thermometer for Refrigeration A working thermometer must be placed in the refrigerator in space #4, the classroom with infant and one year old children. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (j) The following shall apply to refrigerated storage of food: (1) Refrigeration equipment shall be provided in such number and of such capacity to ensure the maintenance of potentially hazardous food at the required temperatures during storage. Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Item #1232 - Staff Development Plan and Annual Evaluation A staff development plan and an annual staff evaluation shall be completed annually for each staff member. The development plan and evaluation can be combined if you choose to, and the evaluation can be self-evaluation. Please complete the staff development plan and evaluation for the staff member hired on 12/13/22 immediately. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES Item #445 - Activity Areas - Corrected During the Visit Dolls were added to space #4, the classroom with infants and one year old children, during the visit. 10A NCAC 09 .0510 ACTIVITY AREAS (e) When children under three years old are in care the following apply: (1) each center shall have developmentally appropriate toys and activities for each child to promote the child's emotional and social development, health and physical development, approaches to play and learning, language development, and communication and cognitive development, including: (A) books; (B) blocks; (C) dolls; (D) pretend play materials; (E) musical toys; (F) sensory toys; and (G) fine motor toys; Item #840 - Storage of Hazardous Items - Corrected During the Visit The aersol Barbasol shaving cream was moved to a locked storage closet during the visit. We discussed Barbasol is a toxic chemical with warnings on the can and it is not be be played with by children. It is recommended to use something such as Cool Whip or another non-toxic material. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include 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 shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Item # 812 - Electrical Outlets Covered - Corrected During the Visit The electrical power strip had outlet covers inserted during the visit. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #538 - Bottles Stored to Protect from Contamination - Corrected During the Visit The bottles had a cup placed over the nipple during the visit. 15A NCAC 18A .2806 FOOD STORAGE AND PROTECTION (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement on or before 2/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck PO Box 880, Fletcher, NC 28732 Please call me at 828-243-2154, or email monica.houck@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. *Note - The facility may choose to use staff education points from the previous ownership. Program Standards: The Initial Application for a Two Component Star Rated License can be found on the Division’s website and the Rated License Request for Review form can be requested if you choose to apply for a two through five-star rated license and have the (ERS) assessment. *Note - The facility may choose to use program standard points from the previous ownership. Quality Point: A quality point has not been determined. *Note - The facility may choose to use the quality point from the previous ownership. Curriculum: All four and five star rated license facilities must implement an approved curriculum with four year-old children. Rated License Consultation: ITERS-R and ECERS-R A variety of different types of blocks such as wooden unit blocks, soft unit blocks, cardboard blocks, and homemade blocks with enough blocks in each set for at least three children to build a structure should be provided. The block center should be large enough for three children to build a substantial structure without interfering with one each other’s play. Art projects should allow individual expression by children. Copied, cookie cutter type art projects do not offer children an opportunity for individual expression. Allow children to choose the art media of their choice and provide a variety of materials. The following are suggestions for art materials: markers, chalk, colored pencils, paper, crayons, dry erase markers, finger paint, tape, glue, stickers, small pieces of paper, play dough, clay, hole punchers, stencils, stamps, and scissors. Children under three years age should not have access to materials that would be considered choking hazards such as foam items, small crayons, small pieces of chalk, plastic bags, items easily torn apart or that would fit in a choking tube. You can use these materials under direct teacher supervision working one on one with the child during the art activity. Display in the classroom should be primarily children’s work and not teacher or store-bought display. Children’s art should be posted on their eye level. Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the ERS assessment score. Items such as puzzles and games that are missing pieces should be removed from the classroom and replaced. The classroom should have at least two books per child that are age appropriate for the children in the group. A variety of books that portray real animal pictures, families, disabilities and different cultures should be added to each classroom. Remove any books that are worn, torn or missing pages. Add pictures, books, puzzles, block play people, baby dolls, music, play food and dress-up clothes that represent different cultures. Add pictures, puzzles and block play people that represent people of all ages and disabilities. Water must be available to children throughout the day. Have a pitcher of water and cups for children available at all times. Tables must be cleaned with soapy water then wiped dry. Then spray table with the sanitizing solution and let it sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying the sanitizing solution. Sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. All children must have their diapers or pull ups checked or changed at least every two hours and when soiled. Use a timer or follow a daily individual diaper changing schedule to keep you within the two-hour timeframe. Children must wash their hands upon arrival, before and after eating, before and after sand and water play, after toileting, after outdoor play, after handling messy art materials such as paint, glue, and playdough and after touching nose, mouth, floor, trashcan, and anything else that re-contaminates the hands. Staff should follow proper handwashing procedures and wash hands as required. Remove mouthed items from play immediately and sanitize before allowing other children to play with item. You must interact with children in relation to their play with materials. At least two instances must be observed. Math/number - One instance must be observed during routine care as well as during free play of using math/number. SACERS-U Avoid long periods of waiting during transitions such as bathroom time or from one activity to another. Develop ideas and strategies to reduce waiting time for children. Teachers can sing songs and do finger plays with the children who are waiting. If children wait more than three minutes without activity, then you will be marked down on the Environment Rating Scale Assessment score. Display children’s artwork in the classrooms. Include 2-D and 3-D art and craft projects to complete on the activity plan and display. Staff members should sit with children during meals and when possible, during snacks. Handwashing is required when: After children use the toilet or after assisting individual children with toileting routines. Immediately before meal or snack preparation and eating as well as after eating. (Remember to avoid recontamination of hands that can occur when unclean surfaces such as floors or toys are touched before eating.) Upon arrival and after outdoor play After messy activities (e.g., sand play, play dough). Before/after group water play After dealing with bodily fluids (e.g., wiping noses, coughing into hands, bandaging a scraped knee), even if gloves are used. Child sized tables and chairs must be correctly sized for at least 75% of children to receive credit. Gross motor equipment must be sturdy, age appropriate and stimulate many skills such as climbing, balancing, hanging by arms, sliding, riding tricycles and bicycles. You must have a variety of portable materials in good repair accessible to play individual and group gross motor games that stimulate many skills. Active play must occur indoors when they cannot not go outdoors due to precipitating weather. Make sure to always follow the weather watch chart to determine if weather is permitting for outdoor activities. Dramatic Play - Staff must extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic play roles. Language and reading activities - Children should be encouraged to use reading/writing in practical situations such as reading instructions for games, writing letters to friends, and retrieve information online. Math and reasoning - Staff must encourage children to practice math/reasoning skills in daily activities such as recording scores for games, younger children set table with correct number of plates/napkins, measure and cut craft material accurately. Science and nature activities - Some science/nature books must be used to extend children’s information. Such as a book open on table near collection of pinecones and acorns, book about insect specimens and staff use the books to answer children’s questions about materials. Greeting and departure - Staff must acknowledge and personally greet children during arrival and departure. Staff and child communication - Staff and children’s conversations must be frequent. Language should be generally used by staff to exchange information with children and for social interaction. Most of the language observed during the assessment should be personal conversation and talking about topics of mutual interest rather than all directive language. Children should be asked why, how, what if questions that require longer and more complex answers. Children must be free to decide not to participate in any activity they choose. For example, if the teacher does a group time activity, the teacher cannot require all children to participate. Children should be given alternate activities. Tables must be cleaned with soapy water then wiped dry. Then spray with sanitizing solution and let sit for at least two minutes before wiping dry. Follow this procedure before and after eating. Make sure no children are near the table when spraying sanitizing solution. The sinks must be disinfected between changes of use. The staff should spray the sink with the disinfectant spray and allow the disinfectant to stay for at least two minutes before turning on the water and using the sink. Schedule - At least one fine motor/language activity must be scheduled daily. Staff need to read with children each day. This would be a free choice activity for children to choose to listen to the book. It is recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers the Outreach Assessment and Webinar trainings for staff. It is also recommended that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. Child Care Resource and Referral (CCR&R) Agency – Southwestern Child Development Commission, Inc. - Gail Mattingly, 828-354-0361, Mattingly.Gail@swcdcinc.org Consultation: It is recommended for T. Carpenter and K. Roane to take the ITS-SIDS training if they will be working in the classroom with children 12 months of age or younger. Ms. Vetten stated these two staff completed ITS-SIDS training yesterday. We discussed to contact the local fire marshal to discuss options for the direct exit door at the front of space #4, the classroom with infants and one year old children. Children are aware that the door opens and are curious and exit the door under staff supervision. We discussed that the medication administration training on the DCDEE Moodle website is now available for 2024. Continue to keep the staff and training worksheet updated as changes occur. Anytime staff changes occur, plan to update the Emergency Medical Care (EMC) plan to reflect the changes. We discussed the EMC plan needs to be updated. The EMC plan must be updated at least annually if no changes during the year and posted to be easily viewed. Reminder that immunization and children’s medical reports are due within 30 days of enrollment. Parent Participation plan: We have discussed parent participation plan. Per rule, the plan shall be posted in the center, or a copy shall be given to parents upon enrollment. Your facility’s parent participation plan is included in the handbook, and the parents sign off on the reception of the handbook. 10A NCAC 09 .0515 PARENT PARTICIPATION (a) Each center shall have a plan that will encourage parent participation and inform parents about the program and its services. The plan shall be discussed with parents on or before the child's first day of attendance and shall be posted in the center or a copy shall be given to parents on or before the child's first day of attendance. (b) The plan shall include the following: (1) a procedure for registering a child for child care that involves both parents when possible and that encourages a visit to the center by the child and the child's parents before the child begins attending the center; (2) opportunities for caregiving staff to meet with parents on a regular basis to discuss their child's needs and progress and to exchange information about the program; (3) activities that provide parents opportunities to participate in the center's program on an individual basis and as a group; (4) a procedure for parents who need information or have complaints about the child care program. Health and Safety Training: Four (4) staff members (LL, BS, TM, AH) are missing “Medication in Child Care” training as a part of Health and Safety training. At one point, medication in child care training was not available in Moodle. Therefore, this was not cited as a violation. Please complete the training immediately. Moving forward, this will be cited as a violation. Review of Emergency Preparedness and Response Plan and Emergency Medical Care Plan: A staff member who completed EPR in Child Care shall review the facility’s EPR plan and EMC plan upon initial hiring and annually thereafter. Documentation of the review is required. You can list participating staff members and the date of the review shall be maintained for review. The documentation does not need to be included in staff file, unless you choose to. Emergency Information form: The emergency information form shall be included in the regular staff file, not in the confidential file. Four (4) staff members’ (SV, AH, VS, AM) emergency forms were maintained their confidential files. Please move the form to their regular files. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact the child care consultant within thirty (30) days prior to the change. Failure to notify the child care consultant, may result in a violation of child care requirements. Compliance History Score Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Health and Safety Training It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@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