NC GS 110-90 · Violation

Name of Operation: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 6/19/2025 Number Present: 73 Completed Date: 6/19/2025 Age: From 0 To 12 Total Minutes: 145 Time In: 09:15 AM Time Out: 11:40 AM 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 monitor for applicable child care rules and laws. The facility operates with a five-star license. The facility has a current compliance history of 92%. I completed a walkthrough of the indoor spaces used by children and monitored for the following: supervision, staff/child ratios, CPR and First Aid certification, storage of hazardous products and medication, adequate and approved space and program records. The staff and training worksheet completed for the last annual compliance visit and staff files were used to monitor for current required information for the existing staff. Since the last annual compliance visit five (5) new employees have been hired. I monitored the files for the five (5) new employees during today's visit. The last fire drill was conducted on 6/11/25. The last lockdown drill was conducted on 6/10/25. All emergency drills have been completed as required. The playground inspections have been completed as required. The following items were posted for easy reference: license, NC Summary of Law, First Aid poster, evacuation routes, safe arrival and departure procedures, classroom schedules, activity plans, menu, staff/child ratio charts, emergency telephone numbers, tobacco free policy and emergency medical care plan. The following activity centers were present in the classrooms: books, blocks, manipulatives, dramatic play, science, art, sand/water, and music. I observed in classroom space #2 during the visit. The teachers were leading a large group gross motor activity with the children. All interactions between the teachers and children were positive and neutral tones of voices were used. During the visit I also observed in space #3. The children were observed engaged in individualized water play. The teachers assisted the children as needed. All interactions observed were positive. I observed in space #5 where the children were engaged in free-play in activity areas. The teachers were traveling around the room interacting with the children. The teachers used positive, encouraging language with the children and all interactions were positive. There were two (2) violations of child care requirements observed during the visit regarding CPR and First Aid certification. Violation Number Comment Rule 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. The First Aid certification for V. Pratt expired on 6/3/2025. .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. The CPR certification for V. Pratt expired on 6/3/2025. .1102(d) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 7/3/25. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Rated License: Hold harmless has been extended until the new QRIS (Quality Rating and Improvement System) is implemented, this is also known as SB 425 (Senate Bill 425). Technical Assistance: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free child care publications/posters. The website is healthychildcare.unc.edu. *Please ensure that all on-going training hours are being completed and documented as required for yourself and all staff members and that any annual documents are being updated and completed. *All completed and signed incident reports need to filed in each child's individual file. *The facility’s Emergency Preparedness and Response Plan (EPR) must reflect all current information regarding enrollment, contact numbers and any updates to your emergency plans. This plan requires at a minimum to be updated annually or when any changes occur. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you, Iris McRae. We jointly reviewed the visit summary and documentation of my findings and violations. You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or email michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Please check regularly for important recalls from the Consumer Product Safety Commission. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 11/22/2024 Number Present: 47 Completed Date: 11/22/2024 Age: From 0 To 5 Total Minutes: 350 Time In: 08:40 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of this unannounced annual compliance visit was to monitor for compliance with all applicable childcare requirements. I met with Iris McRae, Owner. A walk-through of the facility was conducted. The facility operates with a 5-star license that was issued 07/17/19. The facility operates 1st, 2nd and 3rd shifts. The facility had an 88% compliance history prior to this visit. There are 78 children currently enrolled on 1st shift and 47 were present during the visit. I observed the children present engaged in the following activities: indoor free-play in activity centers, teacher-directed activities, diapering, and bathroom/handwashing routines. The “Annual Compliance Monitoring Checklist for Child Care Centers” was used to note the requirements monitored today. Prior to the visit, I sent an email to Iris McRae, Owner, requesting the staff and training worksheets. The worksheets were received prior to the visit. During the visit some information was updated and corrected by the child care consultant. Staff and children's records were reviewed during the visit. Eleven (11) new staff have been hired since the last monitoring visit was conducted. During today’s visit I monitored the files of the new staff members and three (3) files of existing staff members. I selected eight (8) children's records for review. The last fire inspection was conducted 11/5/24 and the facility was found to be satisfactory and approved for day time and night time care. The last sanitation inspection was conducted on 4/30/24. The facility received a Superior rating with 2 demerits. The centers Emergency Drill Log report form was reviewed during the visit. Fire drills and shelter-in-place/lockdown drills were documented and completed as required. The last fire drill was conducted on 11/12/24. The last shelter-in-place drill was conducted on 9/25/24. Playground safety inspections were documented as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily schedules, current activity plans, First Aid poster, menu, applicable staff/child ratio charts, tobacco free signage, allergies, mat lists, and evacuation routes. Transportation is not provided. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, medication storage, program records and management. The following violations of child care requirements were observed during the visit. Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A seven (7) month old child was observed in space #1 laying on the carpeted area drinking a bottle/cup. 10A NCAC 09 .0902(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. T. Smith hired 2/9/24 had a medical report on file dated 3/2/24; C. Waddell hired 11/4/24 had a medical report on file dated 11/12/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. T. Smith hired 2/9/24 had a TB screening on file dated 3/2/24. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 4/24/23 had a medical exam on file dated 6/5/23. GS110-91(1) 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. The staff file for T. Ellis did not contain a signed acknowledgement that the facility's prevention of shaken baby syndrome and abusive head trauma policy was reviewed. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Ellis hired 2/26/24 did not complete this required training until 10/30/24. .1102(g) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 12/06/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. I reviewed this information with Tacha Hyatt, Director, at the conclusion of the visit and you were given a chance to ask questions. Technical Assistance: All staff members must have medical statement and a TB screening/test on file prior to their first day of employment. Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 2694 Rockingham, NC 28380 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 11/22/2024 Number Present: 47 Completed Date: 11/22/2024 Age: From 0 To 5 Total Minutes: 350 Time In: 08:40 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of this unannounced annual compliance visit was to monitor for compliance with all applicable childcare requirements. I met with Iris McRae, Owner. A walk-through of the facility was conducted. The facility operates with a 5-star license that was issued 07/17/19. The facility operates 1st, 2nd and 3rd shifts. The facility had an 88% compliance history prior to this visit. There are 78 children currently enrolled on 1st shift and 47 were present during the visit. I observed the children present engaged in the following activities: indoor free-play in activity centers, teacher-directed activities, diapering, and bathroom/handwashing routines. The “Annual Compliance Monitoring Checklist for Child Care Centers” was used to note the requirements monitored today. Prior to the visit, I sent an email to Iris McRae, Owner, requesting the staff and training worksheets. The worksheets were received prior to the visit. During the visit some information was updated and corrected by the child care consultant. Staff and children's records were reviewed during the visit. Eleven (11) new staff have been hired since the last monitoring visit was conducted. During today’s visit I monitored the files of the new staff members and three (3) files of existing staff members. I selected eight (8) children's records for review. The last fire inspection was conducted 11/5/24 and the facility was found to be satisfactory and approved for day time and night time care. The last sanitation inspection was conducted on 4/30/24. The facility received a Superior rating with 2 demerits. The centers Emergency Drill Log report form was reviewed during the visit. Fire drills and shelter-in-place/lockdown drills were documented and completed as required. The last fire drill was conducted on 11/12/24. The last shelter-in-place drill was conducted on 9/25/24. Playground safety inspections were documented as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily schedules, current activity plans, First Aid poster, menu, applicable staff/child ratio charts, tobacco free signage, allergies, mat lists, and evacuation routes. Transportation is not provided. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, medication storage, program records and management. The following violations of child care requirements were observed during the visit. Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A seven (7) month old child was observed in space #1 laying on the carpeted area drinking a bottle/cup. 10A NCAC 09 .0902(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. T. Smith hired 2/9/24 had a medical report on file dated 3/2/24; C. Waddell hired 11/4/24 had a medical report on file dated 11/12/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. T. Smith hired 2/9/24 had a TB screening on file dated 3/2/24. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 4/24/23 had a medical exam on file dated 6/5/23. GS110-91(1) 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. The staff file for T. Ellis did not contain a signed acknowledgement that the facility's prevention of shaken baby syndrome and abusive head trauma policy was reviewed. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Ellis hired 2/26/24 did not complete this required training until 10/30/24. .1102(g) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 12/06/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. I reviewed this information with Tacha Hyatt, Director, at the conclusion of the visit and you were given a chance to ask questions. Technical Assistance: All staff members must have medical statement and a TB screening/test on file prior to their first day of employment. Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 2694 Rockingham, NC 28380 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 11/22/2024 Number Present: 47 Completed Date: 11/22/2024 Age: From 0 To 5 Total Minutes: 350 Time In: 08:40 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of this unannounced annual compliance visit was to monitor for compliance with all applicable childcare requirements. I met with Iris McRae, Owner. A walk-through of the facility was conducted. The facility operates with a 5-star license that was issued 07/17/19. The facility operates 1st, 2nd and 3rd shifts. The facility had an 88% compliance history prior to this visit. There are 78 children currently enrolled on 1st shift and 47 were present during the visit. I observed the children present engaged in the following activities: indoor free-play in activity centers, teacher-directed activities, diapering, and bathroom/handwashing routines. The “Annual Compliance Monitoring Checklist for Child Care Centers” was used to note the requirements monitored today. Prior to the visit, I sent an email to Iris McRae, Owner, requesting the staff and training worksheets. The worksheets were received prior to the visit. During the visit some information was updated and corrected by the child care consultant. Staff and children's records were reviewed during the visit. Eleven (11) new staff have been hired since the last monitoring visit was conducted. During today’s visit I monitored the files of the new staff members and three (3) files of existing staff members. I selected eight (8) children's records for review. The last fire inspection was conducted 11/5/24 and the facility was found to be satisfactory and approved for day time and night time care. The last sanitation inspection was conducted on 4/30/24. The facility received a Superior rating with 2 demerits. The centers Emergency Drill Log report form was reviewed during the visit. Fire drills and shelter-in-place/lockdown drills were documented and completed as required. The last fire drill was conducted on 11/12/24. The last shelter-in-place drill was conducted on 9/25/24. Playground safety inspections were documented as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily schedules, current activity plans, First Aid poster, menu, applicable staff/child ratio charts, tobacco free signage, allergies, mat lists, and evacuation routes. Transportation is not provided. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, medication storage, program records and management. The following violations of child care requirements were observed during the visit. Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A seven (7) month old child was observed in space #1 laying on the carpeted area drinking a bottle/cup. 10A NCAC 09 .0902(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. T. Smith hired 2/9/24 had a medical report on file dated 3/2/24; C. Waddell hired 11/4/24 had a medical report on file dated 11/12/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. T. Smith hired 2/9/24 had a TB screening on file dated 3/2/24. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 4/24/23 had a medical exam on file dated 6/5/23. GS110-91(1) 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. The staff file for T. Ellis did not contain a signed acknowledgement that the facility's prevention of shaken baby syndrome and abusive head trauma policy was reviewed. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Ellis hired 2/26/24 did not complete this required training until 10/30/24. .1102(g) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 12/06/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. I reviewed this information with Tacha Hyatt, Director, at the conclusion of the visit and you were given a chance to ask questions. Technical Assistance: All staff members must have medical statement and a TB screening/test on file prior to their first day of employment. Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 2694 Rockingham, NC 28380 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: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 11/22/2024 Number Present: 47 Completed Date: 11/22/2024 Age: From 0 To 5 Total Minutes: 350 Time In: 08:40 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of this unannounced annual compliance visit was to monitor for compliance with all applicable childcare requirements. I met with Iris McRae, Owner. A walk-through of the facility was conducted. The facility operates with a 5-star license that was issued 07/17/19. The facility operates 1st, 2nd and 3rd shifts. The facility had an 88% compliance history prior to this visit. There are 78 children currently enrolled on 1st shift and 47 were present during the visit. I observed the children present engaged in the following activities: indoor free-play in activity centers, teacher-directed activities, diapering, and bathroom/handwashing routines. The “Annual Compliance Monitoring Checklist for Child Care Centers” was used to note the requirements monitored today. Prior to the visit, I sent an email to Iris McRae, Owner, requesting the staff and training worksheets. The worksheets were received prior to the visit. During the visit some information was updated and corrected by the child care consultant. Staff and children's records were reviewed during the visit. Eleven (11) new staff have been hired since the last monitoring visit was conducted. During today’s visit I monitored the files of the new staff members and three (3) files of existing staff members. I selected eight (8) children's records for review. The last fire inspection was conducted 11/5/24 and the facility was found to be satisfactory and approved for day time and night time care. The last sanitation inspection was conducted on 4/30/24. The facility received a Superior rating with 2 demerits. The centers Emergency Drill Log report form was reviewed during the visit. Fire drills and shelter-in-place/lockdown drills were documented and completed as required. The last fire drill was conducted on 11/12/24. The last shelter-in-place drill was conducted on 9/25/24. Playground safety inspections were documented as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily schedules, current activity plans, First Aid poster, menu, applicable staff/child ratio charts, tobacco free signage, allergies, mat lists, and evacuation routes. Transportation is not provided. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, medication storage, program records and management. The following violations of child care requirements were observed during the visit. Violation Number Comment Rule 532 All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. A seven (7) month old child was observed in space #1 laying on the carpeted area drinking a bottle/cup. 10A NCAC 09 .0902(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. T. Smith hired 2/9/24 had a medical report on file dated 3/2/24; C. Waddell hired 11/4/24 had a medical report on file dated 11/12/24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. T. Smith hired 2/9/24 had a TB screening on file dated 3/2/24. .0701(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 4/24/23 had a medical exam on file dated 6/5/23. GS110-91(1) 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. The staff file for T. Ellis did not contain a signed acknowledgement that the facility's prevention of shaken baby syndrome and abusive head trauma policy was reviewed. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. T. Ellis hired 2/26/24 did not complete this required training until 10/30/24. .1102(g) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 12/06/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. I reviewed this information with Tacha Hyatt, Director, at the conclusion of the visit and you were given a chance to ask questions. Technical Assistance: All staff members must have medical statement and a TB screening/test on file prior to their first day of employment. Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 2694 Rockingham, NC 28380 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: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 49 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 340 Time In: 08:50 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this unannounced annual compliance visit was to monitor for compliance with all applicable childcare requirements. I met with Iris McRae, Owner. I conducted a walk-through of the facility. The facility operates with a 5-star license that was issued 07/17/19. The facility operates 1st, 2nd and 3rd shifts. The facility has a 89% compliance history. There are 118 children currently enrolled on 1st shift and 49 were present during the visit. I observed the children present engaged in the following activities: indoor free-play in activity centers, teacher-directed activities, diapering, and bathroom/handwashing routines. The “Annual Compliance Monitoring Checklist for Child Care Centers” was used to note the requirements monitored today. Prior to the visit I sent an email to Iris McRae, Owner, requesting the staff and training worksheets. The worksheets were received prior to the visit. Staff and children's records were reviewed during the visit. Five (5) new staff have been hired since the last monitoring visit was conducted. During today’s visit I monitored the files of the new staff members and five (5) files of existing staff members. I selected twelve (12) children's records for review. The last fire inspection was conducted 9/21/23 and the facility was found to be satisfactory and approved for day time and night time care. The last sanitation inspection was conducted on 11/15/23. The facility received a Superior rating with 0 demerits. The centers Emergency Drill Log report form was reviewed during the visit. Fire drills and shelter-in-place/lockdown drills were documented and completed as required. The last fire drill was conducted on 10/17/23. The last shelter-in-place drill was conducted on 9/27/23. Playground safety inspections were documented as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily schedules, current activity plans, First Aid poster, menu, applicable staff/child ratio charts, tobacco free signage, allergies, mat lists, and evacuation routes. Transportation is not provided. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, medication storage, program records and management. The following violations of child care requirements were observed during the visit. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It has been more than a year since the EMC plan was reviewed with all staff. 10A NCAC 09 .0802(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. D. Ramos hired 6/21/23 did not complete the six clock hours of training in required topic areas until 7/12/23. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 9/5/23 had a medical exam on file dated 10/12/23. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. It has been more than a year since the last EPR plan review was completed with all staff. .0607(e) 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. C. Wall hired 7/31/23 reviewed and signed off on this policy 8/7/23. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. D. Ramos hired 6/21/23 has not completed this training requirement. .1102(g) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. In monitoring staff files it was observed that K. McDonald does not have a staff development plan. .1104(1-5) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 12/11/23. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. I reviewed this information with Tacha Hyatt, Director, at the conclusion of the visit and you were given a chance to ask questions. Technical Assistance: *Ensure that all orientation is completed within the required timeframe for new staff. *Staff should complete all trainings, paperwork and all other requirements within the required timeframe(s). *Children’s medical exams are to be on file within 30 days of enrollment. *During this visit I discussed with you, Tacha Hyatt, that when onboarding new staff it may be in the best interest of the facility to have staff review and sign off on the facility's shaken baby and abusive head trauma policy even when they are not hired to work with children who are less than 5 years of age. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free child care publications/posters. The website is healthychildcare.unc.edu. *Help with Challenging Behaviors – Please connect your staff to these resources which can assist them in their classroom management skills: • Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. • Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! *Rated License: Today we discussed that the facility is in Cohort #2. The preparation year for the facility is July 1, 2024-June 30, 2025. The reassessment year for the facility is July 1, 2025-June 30, 2026. I recommend that you consider completing the following tasks and activities that will help prepare you for your reassessment year. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update their WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments for [ITERS-R, ECERS-R, SACERS-U, conducted. • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R related training/workshops • Reach out to your local Community College to discuss educational opportunities. • Review NCRLAP website ERS resources (www.NCRLAP.org). • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality. o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment. o Assessment scores can be saved to use during the reassessment year. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 2694 Rockingham, NC 28380 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS110-91 · Violation

Name of Operation: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 49 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 340 Time In: 08:50 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this unannounced annual compliance visit was to monitor for compliance with all applicable childcare requirements. I met with Iris McRae, Owner. I conducted a walk-through of the facility. The facility operates with a 5-star license that was issued 07/17/19. The facility operates 1st, 2nd and 3rd shifts. The facility has a 89% compliance history. There are 118 children currently enrolled on 1st shift and 49 were present during the visit. I observed the children present engaged in the following activities: indoor free-play in activity centers, teacher-directed activities, diapering, and bathroom/handwashing routines. The “Annual Compliance Monitoring Checklist for Child Care Centers” was used to note the requirements monitored today. Prior to the visit I sent an email to Iris McRae, Owner, requesting the staff and training worksheets. The worksheets were received prior to the visit. Staff and children's records were reviewed during the visit. Five (5) new staff have been hired since the last monitoring visit was conducted. During today’s visit I monitored the files of the new staff members and five (5) files of existing staff members. I selected twelve (12) children's records for review. The last fire inspection was conducted 9/21/23 and the facility was found to be satisfactory and approved for day time and night time care. The last sanitation inspection was conducted on 11/15/23. The facility received a Superior rating with 0 demerits. The centers Emergency Drill Log report form was reviewed during the visit. Fire drills and shelter-in-place/lockdown drills were documented and completed as required. The last fire drill was conducted on 10/17/23. The last shelter-in-place drill was conducted on 9/27/23. Playground safety inspections were documented as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily schedules, current activity plans, First Aid poster, menu, applicable staff/child ratio charts, tobacco free signage, allergies, mat lists, and evacuation routes. Transportation is not provided. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, medication storage, program records and management. The following violations of child care requirements were observed during the visit. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It has been more than a year since the EMC plan was reviewed with all staff. 10A NCAC 09 .0802(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. D. Ramos hired 6/21/23 did not complete the six clock hours of training in required topic areas until 7/12/23. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 9/5/23 had a medical exam on file dated 10/12/23. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. It has been more than a year since the last EPR plan review was completed with all staff. .0607(e) 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. C. Wall hired 7/31/23 reviewed and signed off on this policy 8/7/23. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. D. Ramos hired 6/21/23 has not completed this training requirement. .1102(g) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. In monitoring staff files it was observed that K. McDonald does not have a staff development plan. .1104(1-5) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 12/11/23. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. I reviewed this information with Tacha Hyatt, Director, at the conclusion of the visit and you were given a chance to ask questions. Technical Assistance: *Ensure that all orientation is completed within the required timeframe for new staff. *Staff should complete all trainings, paperwork and all other requirements within the required timeframe(s). *Children’s medical exams are to be on file within 30 days of enrollment. *During this visit I discussed with you, Tacha Hyatt, that when onboarding new staff it may be in the best interest of the facility to have staff review and sign off on the facility's shaken baby and abusive head trauma policy even when they are not hired to work with children who are less than 5 years of age. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free child care publications/posters. The website is healthychildcare.unc.edu. *Help with Challenging Behaviors – Please connect your staff to these resources which can assist them in their classroom management skills: • Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. • Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! *Rated License: Today we discussed that the facility is in Cohort #2. The preparation year for the facility is July 1, 2024-June 30, 2025. The reassessment year for the facility is July 1, 2025-June 30, 2026. I recommend that you consider completing the following tasks and activities that will help prepare you for your reassessment year. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update their WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments for [ITERS-R, ECERS-R, SACERS-U, conducted. • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R related training/workshops • Reach out to your local Community College to discuss educational opportunities. • Review NCRLAP website ERS resources (www.NCRLAP.org). • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality. o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment. o Assessment scores can be saved to use during the reassessment year. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 2694 Rockingham, NC 28380 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: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 11/27/2023 Number Present: 49 Completed Date: 11/27/2023 Age: From 0 To 5 Total Minutes: 340 Time In: 08:50 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this unannounced annual compliance visit was to monitor for compliance with all applicable childcare requirements. I met with Iris McRae, Owner. I conducted a walk-through of the facility. The facility operates with a 5-star license that was issued 07/17/19. The facility operates 1st, 2nd and 3rd shifts. The facility has a 89% compliance history. There are 118 children currently enrolled on 1st shift and 49 were present during the visit. I observed the children present engaged in the following activities: indoor free-play in activity centers, teacher-directed activities, diapering, and bathroom/handwashing routines. The “Annual Compliance Monitoring Checklist for Child Care Centers” was used to note the requirements monitored today. Prior to the visit I sent an email to Iris McRae, Owner, requesting the staff and training worksheets. The worksheets were received prior to the visit. Staff and children's records were reviewed during the visit. Five (5) new staff have been hired since the last monitoring visit was conducted. During today’s visit I monitored the files of the new staff members and five (5) files of existing staff members. I selected twelve (12) children's records for review. The last fire inspection was conducted 9/21/23 and the facility was found to be satisfactory and approved for day time and night time care. The last sanitation inspection was conducted on 11/15/23. The facility received a Superior rating with 0 demerits. The centers Emergency Drill Log report form was reviewed during the visit. Fire drills and shelter-in-place/lockdown drills were documented and completed as required. The last fire drill was conducted on 10/17/23. The last shelter-in-place drill was conducted on 9/27/23. Playground safety inspections were documented as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, safe arrival and departure procedures, emergency medical care plan, emergency telephone numbers, daily schedules, current activity plans, First Aid poster, menu, applicable staff/child ratio charts, tobacco free signage, allergies, mat lists, and evacuation routes. Transportation is not provided. I monitored the following items today: supervision, staff/child ratio, staff, health, safety, medication storage, program records and management. The following violations of child care requirements were observed during the visit. Violation Number Comment Rule 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. It has been more than a year since the EMC plan was reviewed with all staff. 10A NCAC 09 .0802(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. D. Ramos hired 6/21/23 did not complete the six clock hours of training in required topic areas until 7/12/23. .1101(a)(b) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 9/5/23 had a medical exam on file dated 10/12/23. GS110-91(1) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. It has been more than a year since the last EPR plan review was completed with all staff. .0607(e) 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. C. Wall hired 7/31/23 reviewed and signed off on this policy 8/7/23. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. D. Ramos hired 6/21/23 has not completed this training requirement. .1102(g) 1901 All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. In monitoring staff files it was observed that K. McDonald does not have a staff development plan. .1104(1-5) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 12/11/23. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. I reviewed this information with Tacha Hyatt, Director, at the conclusion of the visit and you were given a chance to ask questions. Technical Assistance: *Ensure that all orientation is completed within the required timeframe for new staff. *Staff should complete all trainings, paperwork and all other requirements within the required timeframe(s). *Children’s medical exams are to be on file within 30 days of enrollment. *During this visit I discussed with you, Tacha Hyatt, that when onboarding new staff it may be in the best interest of the facility to have staff review and sign off on the facility's shaken baby and abusive head trauma policy even when they are not hired to work with children who are less than 5 years of age. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free child care publications/posters. The website is healthychildcare.unc.edu. *Help with Challenging Behaviors – Please connect your staff to these resources which can assist them in their classroom management skills: • Contact Heathy Social Behavioral specialists at https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ and participate in their initiative. • Helpline: Speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your classroom. 1-888-600-1685 Option 1 Helpline: Submit your questions to a Behavior Support Advisor online- and receive a call or email in response to a Google Form that you complete at https://www.childcareresourcesinc.org/challenging-behaviors-helpline Helpline: Chat on the “Talk to the Expert” online network, Social Emotional Connections, for early childhood educators at https://www.childcareresourcesinc.org/challenging-behaviors-helpline. Having your staff become a part of this network will allow them to glean ideas and information that may assist them in providing a higher quality of care in their classroom….and its free! *Rated License: Today we discussed that the facility is in Cohort #2. The preparation year for the facility is July 1, 2024-June 30, 2025. The reassessment year for the facility is July 1, 2025-June 30, 2026. I recommend that you consider completing the following tasks and activities that will help prepare you for your reassessment year. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update their WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments for [ITERS-R, ECERS-R, SACERS-U, conducted. • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R related training/workshops • Reach out to your local Community College to discuss educational opportunities. • Review NCRLAP website ERS resources (www.NCRLAP.org). • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality. o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment. o Assessment scores can be saved to use during the reassessment year. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 The DCDEE website has changed and has a lot of useful information and resources to help you succeed in providing a safe and healthy environment for the children in your care. You are encouraged to utilize the website on a regular basis. https://ncchildcare.ncdhhs.gov I can be reached at 910-610-7525 or via email at michell.kocan@dhhs.nc.gov Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 2694 Rockingham, NC 28380 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: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 46 Completed Date: 9/25/2023 Age: From 0 To 4 Total Minutes: 115 Time In: 09:05 AM Time Out: 11:00 AM 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 is to monitor for compliance with child care requirements and the Administrative Action’s corrective action plan. A walkthrough of the facility was completed, and the following items were monitored: supervision, capacity, staff/child ratios, CPR, First Aid, ITS-SIDS, current criminal record checks, storage of hazardous products and medications, adequate/approved space, staff records, program records, license posted and permit restrictions. I was greeted by Iris McRae, Owner. One (1) new staff has been hired since the last visit was conducted on 8/16/23, I monitored the file for the new staff today. The last sanitation inspection was conducted on 2/6/23. The facility received a Superior rating with 4 demerits. The last fire inspection was conducted on 9/21/23. There were 46 children present today. The children were observed participating in indoor free-play, outdoor play, and bathroom/handwashing routines. The following items were posted for easy reference: NC Summary of the Law, emergency medical care plan, safe arrival and departure procedures, daily schedules, activity plans, staff/child ratio charts, current menu, ITS-SIDS policy, and evacuation routes. The written warning, cover letter, and corrective action plan were posted. The Written Warning administrative action was issued on August 9, 2023. Ms. McRae received the action on 8/14/23. On 8/16/23, I reviewed the written warning administrative action along with the corrective action plan with Ms. McRae. The action was not appealed. The facilities corrective action plan consists of 5 stipulations #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(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. #2 Within one (1) week of receipt date of the Notice arrange for training that will address positive guidance, and discipline of children. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. The training shall include, but not be limited to, the following topics: Age-appropriate behavior management and discipline techniques for children and acceptable and unacceptable techniques used to handle children to prevent injuries. #3 Within one (1) week after completion of the required training in Item #2, the facility’s discipline policies and procedures must be revised to describe, in detail, the steps facility administration will take to ensure appropriate discipline of children at all times. The discipline policies and procedures shall include, but not be limited to, the following: Procedures for how administration will ensure staff members properly handle children and respond to them in a nurturing and caring manner and in keeping with their developmental needs, a revision of the classroom policies that include appropriate interactions with children, consequences for staff members who fail to comply with the facility’s policies, written plan and/or child care requirements and a plan for regular review of the revised discipline policies and procedures with all staff members including the review of the policies and procedures in the orientation of new staff members before they assume child care responsibilities. The written policies shall be submitted to Michell Kocan, Child Care Consultant, for approval. Once approved, the policies shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #4 Within two (2) weeks after approval of the revised discipline policy is received, all parents of enrolled children must be notified of the change in discipline policies and procedures and obtain a statement signed by the parent that he/she received a copy of the new approved discipline policies and procedures. The approved discipline policies and procedures shall be implemented immediately. A copy of the approved discipline policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #5 Within one (1) week after the approval of the revised discipline policies, a staff meeting must be conducted with all staff members to discuss the approved policies. 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. Corrective Action Plan Status: Item #1-During today’s visit and during the previous visit conducted on 8/16/23, we discussed you remaining in compliance at all times with all applicable child care requirements including, but not limited to the following: North Carolina General Statute § 110-91(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. Item #2- The required training was conducted by the local Smart Start agency, Richmond County Partnership for Children on 8/28/23. The attendance roster, certificates, and agenda were received by me for review via email on 8/30/23. Item #3- The Discipline Policies and Procedures were revised. I received the revised discipline policies and procedures via email on 8/30/23. I, Michell Kocan, Child Care Consultant, reviewed and approved the revised discipline policies and procedures on 8/30/23. Item #4-The parents of enrolled children were notified of the revised discipline policies and procedures on or before 9/13/23. Documentation that parents received the revised discipline policies and procedures was reviewed during today’s visit. Item #5-The revised discipline policies and procedures were reviewed with all staff on or before 9/6/23. Documentation of receipt and review of the revised policies and procedures was reviewed during today’s visit. I shared with Iris McRae, Owner, that all stipulations of the corrective action plan were monitored as completed. I discussed with I. McRae that the administrative action, cover letter, and corrective action plan must remain posted until November 14, 2023. I also shared with I. McRae that she would receive a closure letter from the Division of Child Development and Early Education stating that the corrective action plan has been completed. There were three (3) violations of child care requirements observed during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit a wall mirror with a piece of trim was missing exposing a sharp edge was observed in space #3. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. During the visit parent's choice diaper cream was observed in space #1 with a medication administration permission form that did not contain all required information for administration. 10A NCAC 09 .0803(4)(6-9) 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. C. Wall hired 7/31/23 reviewed this policy on 8/7/23. .0608(d)(1-4) The violations documented must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining how you have corrected the violations described above. The letter should list each item using the item number located to the left of the violation description. When submitting an email for corrections, the email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name, title and signature at the end of the email. I must receive the compliance letter by email or at the address below no later than October 9, 2023. Michell Kocan PO Box 2694 Rockingham NC 28380 michell.kocan@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Failure to maintain compliance with all requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant PO Box 2694 Rockingham, NC 28380 910-610-7525 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 46 Completed Date: 9/25/2023 Age: From 0 To 4 Total Minutes: 115 Time In: 09:05 AM Time Out: 11:00 AM 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 is to monitor for compliance with child care requirements and the Administrative Action’s corrective action plan. A walkthrough of the facility was completed, and the following items were monitored: supervision, capacity, staff/child ratios, CPR, First Aid, ITS-SIDS, current criminal record checks, storage of hazardous products and medications, adequate/approved space, staff records, program records, license posted and permit restrictions. I was greeted by Iris McRae, Owner. One (1) new staff has been hired since the last visit was conducted on 8/16/23, I monitored the file for the new staff today. The last sanitation inspection was conducted on 2/6/23. The facility received a Superior rating with 4 demerits. The last fire inspection was conducted on 9/21/23. There were 46 children present today. The children were observed participating in indoor free-play, outdoor play, and bathroom/handwashing routines. The following items were posted for easy reference: NC Summary of the Law, emergency medical care plan, safe arrival and departure procedures, daily schedules, activity plans, staff/child ratio charts, current menu, ITS-SIDS policy, and evacuation routes. The written warning, cover letter, and corrective action plan were posted. The Written Warning administrative action was issued on August 9, 2023. Ms. McRae received the action on 8/14/23. On 8/16/23, I reviewed the written warning administrative action along with the corrective action plan with Ms. McRae. The action was not appealed. The facilities corrective action plan consists of 5 stipulations #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(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. #2 Within one (1) week of receipt date of the Notice arrange for training that will address positive guidance, and discipline of children. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. The training shall include, but not be limited to, the following topics: Age-appropriate behavior management and discipline techniques for children and acceptable and unacceptable techniques used to handle children to prevent injuries. #3 Within one (1) week after completion of the required training in Item #2, the facility’s discipline policies and procedures must be revised to describe, in detail, the steps facility administration will take to ensure appropriate discipline of children at all times. The discipline policies and procedures shall include, but not be limited to, the following: Procedures for how administration will ensure staff members properly handle children and respond to them in a nurturing and caring manner and in keeping with their developmental needs, a revision of the classroom policies that include appropriate interactions with children, consequences for staff members who fail to comply with the facility’s policies, written plan and/or child care requirements and a plan for regular review of the revised discipline policies and procedures with all staff members including the review of the policies and procedures in the orientation of new staff members before they assume child care responsibilities. The written policies shall be submitted to Michell Kocan, Child Care Consultant, for approval. Once approved, the policies shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #4 Within two (2) weeks after approval of the revised discipline policy is received, all parents of enrolled children must be notified of the change in discipline policies and procedures and obtain a statement signed by the parent that he/she received a copy of the new approved discipline policies and procedures. The approved discipline policies and procedures shall be implemented immediately. A copy of the approved discipline policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #5 Within one (1) week after the approval of the revised discipline policies, a staff meeting must be conducted with all staff members to discuss the approved policies. 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. Corrective Action Plan Status: Item #1-During today’s visit and during the previous visit conducted on 8/16/23, we discussed you remaining in compliance at all times with all applicable child care requirements including, but not limited to the following: North Carolina General Statute § 110-91(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. Item #2- The required training was conducted by the local Smart Start agency, Richmond County Partnership for Children on 8/28/23. The attendance roster, certificates, and agenda were received by me for review via email on 8/30/23. Item #3- The Discipline Policies and Procedures were revised. I received the revised discipline policies and procedures via email on 8/30/23. I, Michell Kocan, Child Care Consultant, reviewed and approved the revised discipline policies and procedures on 8/30/23. Item #4-The parents of enrolled children were notified of the revised discipline policies and procedures on or before 9/13/23. Documentation that parents received the revised discipline policies and procedures was reviewed during today’s visit. Item #5-The revised discipline policies and procedures were reviewed with all staff on or before 9/6/23. Documentation of receipt and review of the revised policies and procedures was reviewed during today’s visit. I shared with Iris McRae, Owner, that all stipulations of the corrective action plan were monitored as completed. I discussed with I. McRae that the administrative action, cover letter, and corrective action plan must remain posted until November 14, 2023. I also shared with I. McRae that she would receive a closure letter from the Division of Child Development and Early Education stating that the corrective action plan has been completed. There were three (3) violations of child care requirements observed during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit a wall mirror with a piece of trim was missing exposing a sharp edge was observed in space #3. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. During the visit parent's choice diaper cream was observed in space #1 with a medication administration permission form that did not contain all required information for administration. 10A NCAC 09 .0803(4)(6-9) 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. C. Wall hired 7/31/23 reviewed this policy on 8/7/23. .0608(d)(1-4) The violations documented must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining how you have corrected the violations described above. The letter should list each item using the item number located to the left of the violation description. When submitting an email for corrections, the email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name, title and signature at the end of the email. I must receive the compliance letter by email or at the address below no later than October 9, 2023. Michell Kocan PO Box 2694 Rockingham NC 28380 michell.kocan@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Failure to maintain compliance with all requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant PO Box 2694 Rockingham, NC 28380 910-610-7525 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: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 46 Completed Date: 9/25/2023 Age: From 0 To 4 Total Minutes: 115 Time In: 09:05 AM Time Out: 11:00 AM 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 is to monitor for compliance with child care requirements and the Administrative Action’s corrective action plan. A walkthrough of the facility was completed, and the following items were monitored: supervision, capacity, staff/child ratios, CPR, First Aid, ITS-SIDS, current criminal record checks, storage of hazardous products and medications, adequate/approved space, staff records, program records, license posted and permit restrictions. I was greeted by Iris McRae, Owner. One (1) new staff has been hired since the last visit was conducted on 8/16/23, I monitored the file for the new staff today. The last sanitation inspection was conducted on 2/6/23. The facility received a Superior rating with 4 demerits. The last fire inspection was conducted on 9/21/23. There were 46 children present today. The children were observed participating in indoor free-play, outdoor play, and bathroom/handwashing routines. The following items were posted for easy reference: NC Summary of the Law, emergency medical care plan, safe arrival and departure procedures, daily schedules, activity plans, staff/child ratio charts, current menu, ITS-SIDS policy, and evacuation routes. The written warning, cover letter, and corrective action plan were posted. The Written Warning administrative action was issued on August 9, 2023. Ms. McRae received the action on 8/14/23. On 8/16/23, I reviewed the written warning administrative action along with the corrective action plan with Ms. McRae. The action was not appealed. The facilities corrective action plan consists of 5 stipulations #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(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. #2 Within one (1) week of receipt date of the Notice arrange for training that will address positive guidance, and discipline of children. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. The training shall include, but not be limited to, the following topics: Age-appropriate behavior management and discipline techniques for children and acceptable and unacceptable techniques used to handle children to prevent injuries. #3 Within one (1) week after completion of the required training in Item #2, the facility’s discipline policies and procedures must be revised to describe, in detail, the steps facility administration will take to ensure appropriate discipline of children at all times. The discipline policies and procedures shall include, but not be limited to, the following: Procedures for how administration will ensure staff members properly handle children and respond to them in a nurturing and caring manner and in keeping with their developmental needs, a revision of the classroom policies that include appropriate interactions with children, consequences for staff members who fail to comply with the facility’s policies, written plan and/or child care requirements and a plan for regular review of the revised discipline policies and procedures with all staff members including the review of the policies and procedures in the orientation of new staff members before they assume child care responsibilities. The written policies shall be submitted to Michell Kocan, Child Care Consultant, for approval. Once approved, the policies shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #4 Within two (2) weeks after approval of the revised discipline policy is received, all parents of enrolled children must be notified of the change in discipline policies and procedures and obtain a statement signed by the parent that he/she received a copy of the new approved discipline policies and procedures. The approved discipline policies and procedures shall be implemented immediately. A copy of the approved discipline policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #5 Within one (1) week after the approval of the revised discipline policies, a staff meeting must be conducted with all staff members to discuss the approved policies. 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. Corrective Action Plan Status: Item #1-During today’s visit and during the previous visit conducted on 8/16/23, we discussed you remaining in compliance at all times with all applicable child care requirements including, but not limited to the following: North Carolina General Statute § 110-91(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. Item #2- The required training was conducted by the local Smart Start agency, Richmond County Partnership for Children on 8/28/23. The attendance roster, certificates, and agenda were received by me for review via email on 8/30/23. Item #3- The Discipline Policies and Procedures were revised. I received the revised discipline policies and procedures via email on 8/30/23. I, Michell Kocan, Child Care Consultant, reviewed and approved the revised discipline policies and procedures on 8/30/23. Item #4-The parents of enrolled children were notified of the revised discipline policies and procedures on or before 9/13/23. Documentation that parents received the revised discipline policies and procedures was reviewed during today’s visit. Item #5-The revised discipline policies and procedures were reviewed with all staff on or before 9/6/23. Documentation of receipt and review of the revised policies and procedures was reviewed during today’s visit. I shared with Iris McRae, Owner, that all stipulations of the corrective action plan were monitored as completed. I discussed with I. McRae that the administrative action, cover letter, and corrective action plan must remain posted until November 14, 2023. I also shared with I. McRae that she would receive a closure letter from the Division of Child Development and Early Education stating that the corrective action plan has been completed. There were three (3) violations of child care requirements observed during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit a wall mirror with a piece of trim was missing exposing a sharp edge was observed in space #3. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. During the visit parent's choice diaper cream was observed in space #1 with a medication administration permission form that did not contain all required information for administration. 10A NCAC 09 .0803(4)(6-9) 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. C. Wall hired 7/31/23 reviewed this policy on 8/7/23. .0608(d)(1-4) The violations documented must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining how you have corrected the violations described above. The letter should list each item using the item number located to the left of the violation description. When submitting an email for corrections, the email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name, title and signature at the end of the email. I must receive the compliance letter by email or at the address below no later than October 9, 2023. Michell Kocan PO Box 2694 Rockingham NC 28380 michell.kocan@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Failure to maintain compliance with all requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant PO Box 2694 Rockingham, NC 28380 910-610-7525 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 .1804 · Violation

Name of Operation: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 46 Completed Date: 9/25/2023 Age: From 0 To 4 Total Minutes: 115 Time In: 09:05 AM Time Out: 11:00 AM 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 is to monitor for compliance with child care requirements and the Administrative Action’s corrective action plan. A walkthrough of the facility was completed, and the following items were monitored: supervision, capacity, staff/child ratios, CPR, First Aid, ITS-SIDS, current criminal record checks, storage of hazardous products and medications, adequate/approved space, staff records, program records, license posted and permit restrictions. I was greeted by Iris McRae, Owner. One (1) new staff has been hired since the last visit was conducted on 8/16/23, I monitored the file for the new staff today. The last sanitation inspection was conducted on 2/6/23. The facility received a Superior rating with 4 demerits. The last fire inspection was conducted on 9/21/23. There were 46 children present today. The children were observed participating in indoor free-play, outdoor play, and bathroom/handwashing routines. The following items were posted for easy reference: NC Summary of the Law, emergency medical care plan, safe arrival and departure procedures, daily schedules, activity plans, staff/child ratio charts, current menu, ITS-SIDS policy, and evacuation routes. The written warning, cover letter, and corrective action plan were posted. The Written Warning administrative action was issued on August 9, 2023. Ms. McRae received the action on 8/14/23. On 8/16/23, I reviewed the written warning administrative action along with the corrective action plan with Ms. McRae. The action was not appealed. The facilities corrective action plan consists of 5 stipulations #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(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. #2 Within one (1) week of receipt date of the Notice arrange for training that will address positive guidance, and discipline of children. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. The training shall include, but not be limited to, the following topics: Age-appropriate behavior management and discipline techniques for children and acceptable and unacceptable techniques used to handle children to prevent injuries. #3 Within one (1) week after completion of the required training in Item #2, the facility’s discipline policies and procedures must be revised to describe, in detail, the steps facility administration will take to ensure appropriate discipline of children at all times. The discipline policies and procedures shall include, but not be limited to, the following: Procedures for how administration will ensure staff members properly handle children and respond to them in a nurturing and caring manner and in keeping with their developmental needs, a revision of the classroom policies that include appropriate interactions with children, consequences for staff members who fail to comply with the facility’s policies, written plan and/or child care requirements and a plan for regular review of the revised discipline policies and procedures with all staff members including the review of the policies and procedures in the orientation of new staff members before they assume child care responsibilities. The written policies shall be submitted to Michell Kocan, Child Care Consultant, for approval. Once approved, the policies shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #4 Within two (2) weeks after approval of the revised discipline policy is received, all parents of enrolled children must be notified of the change in discipline policies and procedures and obtain a statement signed by the parent that he/she received a copy of the new approved discipline policies and procedures. The approved discipline policies and procedures shall be implemented immediately. A copy of the approved discipline policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #5 Within one (1) week after the approval of the revised discipline policies, a staff meeting must be conducted with all staff members to discuss the approved policies. 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. Corrective Action Plan Status: Item #1-During today’s visit and during the previous visit conducted on 8/16/23, we discussed you remaining in compliance at all times with all applicable child care requirements including, but not limited to the following: North Carolina General Statute § 110-91(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. Item #2- The required training was conducted by the local Smart Start agency, Richmond County Partnership for Children on 8/28/23. The attendance roster, certificates, and agenda were received by me for review via email on 8/30/23. Item #3- The Discipline Policies and Procedures were revised. I received the revised discipline policies and procedures via email on 8/30/23. I, Michell Kocan, Child Care Consultant, reviewed and approved the revised discipline policies and procedures on 8/30/23. Item #4-The parents of enrolled children were notified of the revised discipline policies and procedures on or before 9/13/23. Documentation that parents received the revised discipline policies and procedures was reviewed during today’s visit. Item #5-The revised discipline policies and procedures were reviewed with all staff on or before 9/6/23. Documentation of receipt and review of the revised policies and procedures was reviewed during today’s visit. I shared with Iris McRae, Owner, that all stipulations of the corrective action plan were monitored as completed. I discussed with I. McRae that the administrative action, cover letter, and corrective action plan must remain posted until November 14, 2023. I also shared with I. McRae that she would receive a closure letter from the Division of Child Development and Early Education stating that the corrective action plan has been completed. There were three (3) violations of child care requirements observed during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit a wall mirror with a piece of trim was missing exposing a sharp edge was observed in space #3. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. During the visit parent's choice diaper cream was observed in space #1 with a medication administration permission form that did not contain all required information for administration. 10A NCAC 09 .0803(4)(6-9) 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. C. Wall hired 7/31/23 reviewed this policy on 8/7/23. .0608(d)(1-4) The violations documented must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining how you have corrected the violations described above. The letter should list each item using the item number located to the left of the violation description. When submitting an email for corrections, the email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name, title and signature at the end of the email. I must receive the compliance letter by email or at the address below no later than October 9, 2023. Michell Kocan PO Box 2694 Rockingham NC 28380 michell.kocan@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Failure to maintain compliance with all requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant PO Box 2694 Rockingham, NC 28380 910-610-7525 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: OVER THE RAINBOW CHILD DEVELOPMENT CENTER INC Facility ID: 77000178 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 9/25/2023 Number Present: 46 Completed Date: 9/25/2023 Age: From 0 To 4 Total Minutes: 115 Time In: 09:05 AM Time Out: 11:00 AM 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 is to monitor for compliance with child care requirements and the Administrative Action’s corrective action plan. A walkthrough of the facility was completed, and the following items were monitored: supervision, capacity, staff/child ratios, CPR, First Aid, ITS-SIDS, current criminal record checks, storage of hazardous products and medications, adequate/approved space, staff records, program records, license posted and permit restrictions. I was greeted by Iris McRae, Owner. One (1) new staff has been hired since the last visit was conducted on 8/16/23, I monitored the file for the new staff today. The last sanitation inspection was conducted on 2/6/23. The facility received a Superior rating with 4 demerits. The last fire inspection was conducted on 9/21/23. There were 46 children present today. The children were observed participating in indoor free-play, outdoor play, and bathroom/handwashing routines. The following items were posted for easy reference: NC Summary of the Law, emergency medical care plan, safe arrival and departure procedures, daily schedules, activity plans, staff/child ratio charts, current menu, ITS-SIDS policy, and evacuation routes. The written warning, cover letter, and corrective action plan were posted. The Written Warning administrative action was issued on August 9, 2023. Ms. McRae received the action on 8/14/23. On 8/16/23, I reviewed the written warning administrative action along with the corrective action plan with Ms. McRae. The action was not appealed. The facilities corrective action plan consists of 5 stipulations #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(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. #2 Within one (1) week of receipt date of the Notice arrange for training that will address positive guidance, and discipline of children. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in the mandatory training. The training shall include, but not be limited to, the following topics: Age-appropriate behavior management and discipline techniques for children and acceptable and unacceptable techniques used to handle children to prevent injuries. #3 Within one (1) week after completion of the required training in Item #2, the facility’s discipline policies and procedures must be revised to describe, in detail, the steps facility administration will take to ensure appropriate discipline of children at all times. The discipline policies and procedures shall include, but not be limited to, the following: Procedures for how administration will ensure staff members properly handle children and respond to them in a nurturing and caring manner and in keeping with their developmental needs, a revision of the classroom policies that include appropriate interactions with children, consequences for staff members who fail to comply with the facility’s policies, written plan and/or child care requirements and a plan for regular review of the revised discipline policies and procedures with all staff members including the review of the policies and procedures in the orientation of new staff members before they assume child care responsibilities. The written policies shall be submitted to Michell Kocan, Child Care Consultant, for approval. Once approved, the policies shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved policies shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #4 Within two (2) weeks after approval of the revised discipline policy is received, all parents of enrolled children must be notified of the change in discipline policies and procedures and obtain a statement signed by the parent that he/she received a copy of the new approved discipline policies and procedures. The approved discipline policies and procedures shall be implemented immediately. A copy of the approved discipline policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. #5 Within one (1) week after the approval of the revised discipline policies, a staff meeting must be conducted with all staff members to discuss the approved policies. 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. Corrective Action Plan Status: Item #1-During today’s visit and during the previous visit conducted on 8/16/23, we discussed you remaining in compliance at all times with all applicable child care requirements including, but not limited to the following: North Carolina General Statute § 110-91(10) regarding attending to children in a nurturing and appropriate manner, Child Care Rule 10A NCAC 09 .1803(a) regarding discipline of children, and Child Care Rule 10A NCAC 09 .1804(a) regarding discipline policy. Item #2- The required training was conducted by the local Smart Start agency, Richmond County Partnership for Children on 8/28/23. The attendance roster, certificates, and agenda were received by me for review via email on 8/30/23. Item #3- The Discipline Policies and Procedures were revised. I received the revised discipline policies and procedures via email on 8/30/23. I, Michell Kocan, Child Care Consultant, reviewed and approved the revised discipline policies and procedures on 8/30/23. Item #4-The parents of enrolled children were notified of the revised discipline policies and procedures on or before 9/13/23. Documentation that parents received the revised discipline policies and procedures was reviewed during today’s visit. Item #5-The revised discipline policies and procedures were reviewed with all staff on or before 9/6/23. Documentation of receipt and review of the revised policies and procedures was reviewed during today’s visit. I shared with Iris McRae, Owner, that all stipulations of the corrective action plan were monitored as completed. I discussed with I. McRae that the administrative action, cover letter, and corrective action plan must remain posted until November 14, 2023. I also shared with I. McRae that she would receive a closure letter from the Division of Child Development and Early Education stating that the corrective action plan has been completed. There were three (3) violations of child care requirements observed during today's visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During the visit a wall mirror with a piece of trim was missing exposing a sharp edge was observed in space #3. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. During the visit parent's choice diaper cream was observed in space #1 with a medication administration permission form that did not contain all required information for administration. 10A NCAC 09 .0803(4)(6-9) 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. C. Wall hired 7/31/23 reviewed this policy on 8/7/23. .0608(d)(1-4) The violations documented must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining how you have corrected the violations described above. The letter should list each item using the item number located to the left of the violation description. When submitting an email for corrections, the email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name, title and signature at the end of the email. I must receive the compliance letter by email or at the address below no later than October 9, 2023. Michell Kocan PO Box 2694 Rockingham NC 28380 michell.kocan@dhhs.nc.gov If you state in your letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, this timeline may be extended. You are required to maintain compliance with all applicable child care rules and regulations at all times. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Failure to maintain compliance with all requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant PO Box 2694 Rockingham, NC 28380 910-610-7525 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