10A NCAC 09 .1725 · Violation

Name of Operation: NANNY'S DAY CARE HOME Facility ID: 80000116 Consultant: ASHLYNN VAUGHAN Operation Type: Family CC Home Case Number: Visit Date: 2/11/2025 Number Present: 5 Completed Date: 2/11/2025 Age: From 1 To 4 Total Minutes: 150 Time In: 11:35 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an Annual Compliance Visit. Your last Annual Compliance Visit was conducted on March 18, 2024. Your facility’s compliance history score prior to today’s visit was 97%. You, Cindy Czibere, Operator, assisted me with today’s visit. I observed your Two-Star License, Emergency Numbers, Emergency Medical Care Plan, tobacco free signage, and NC Summary of Law, posted as required. I used the “Annual Compliance Monitoring Visit Checklist for Family Child Care Homes” during today’s visit. Today children were adequately supervised, staff-child ratios maintained, adequate approved space used, and permit restrictions maintained during the visit. A walk-through of the indoor and outdoor spaces was completed. I observed the children during the lunch routine and rest time. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. You stated that no children currently enrolled take medications or have Medical Action Plans. You stated your program does not provide transportation. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. I monitored your file and a portion of the children’s files. There has been one new child enrolled since the last visit. I received an updated Verification of Required Information for Operator and Additional Caregivers Form from you and Statement of Responsibility form. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during today’s visit. Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A monthly check for hazards on the outdoor play area was not completed for January 2025. The last playground inspection was completed on 12/17/2024. 10A NCAC .1721(e)(5)(A-F) 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological analysis was completed on 10/19/2022. 10A NCAC 09 .1725(a)(1) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. One dog's rabies vaccination expired on 12/29/2024. .1719(b)(1) 1853 The operator did not conduct a monthly fire drill. A fire drill was not conducted in January 2025. The last fire drill was conducted on 12/17/2024. .1719(a)(15) & .1721( e)(2) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. An activity plan was not posted or made available for review. 10A NCAC 09 .1718(a)(8)(A)(i-iv) Technical Assistance: • We discussed completing and posting the weekly activity plan for the following week by Friday of the current week. You can create a weekly checklist of items that need to be completed prior to the end of the week to serve as a reminder. • To ensure all playground inspections and monthly fire drills are completed, set a reminder on your phone to alert you when these items need to be completed. It can be helpful to schedule these dates for the entire year to be sure they are completed. • Today we discussed doing periodic compliance checks of your paperwork to ensure all documentation and testing are completed in a timely manner. I suggested that you look through your binder quarterly and make a note of any water testing or vaccinations that need to be completed prior to the next quarterly check. You stated that you have received the kit for lead water and the well water analysis but have not obtained or submitted the samples. You stated that you plan to obtain and submit these samples by the end of this week. Consultation: • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/25/2025 stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .1718 · Violation

Name of Operation: NANNY'S DAY CARE HOME Facility ID: 80000116 Consultant: ASHLYNN VAUGHAN Operation Type: Family CC Home Case Number: Visit Date: 2/11/2025 Number Present: 5 Completed Date: 2/11/2025 Age: From 1 To 4 Total Minutes: 150 Time In: 11:35 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable childcare requirements during an Annual Compliance Visit. Your last Annual Compliance Visit was conducted on March 18, 2024. Your facility’s compliance history score prior to today’s visit was 97%. You, Cindy Czibere, Operator, assisted me with today’s visit. I observed your Two-Star License, Emergency Numbers, Emergency Medical Care Plan, tobacco free signage, and NC Summary of Law, posted as required. I used the “Annual Compliance Monitoring Visit Checklist for Family Child Care Homes” during today’s visit. Today children were adequately supervised, staff-child ratios maintained, adequate approved space used, and permit restrictions maintained during the visit. A walk-through of the indoor and outdoor spaces was completed. I observed the children during the lunch routine and rest time. There were a variety of materials available to children. Materials and furnishings were found to be developmentally appropriate. You stated that no children currently enrolled take medications or have Medical Action Plans. You stated your program does not provide transportation. Program records were monitored, including emergency drills, fire drills, monthly outdoor inspections, and incident logs. I monitored your file and a portion of the children’s files. There has been one new child enrolled since the last visit. I received an updated Verification of Required Information for Operator and Additional Caregivers Form from you and Statement of Responsibility form. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during today’s visit. Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. A monthly check for hazards on the outdoor play area was not completed for January 2025. The last playground inspection was completed on 12/17/2024. 10A NCAC .1721(e)(5)(A-F) 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last bacteriological analysis was completed on 10/19/2022. 10A NCAC 09 .1725(a)(1) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. One dog's rabies vaccination expired on 12/29/2024. .1719(b)(1) 1853 The operator did not conduct a monthly fire drill. A fire drill was not conducted in January 2025. The last fire drill was conducted on 12/17/2024. .1719(a)(15) & .1721( e)(2) 1962 Activity plans did not include activities intended to stimulate the developmental domains, in accordance with NC Foundations for Early Learning and Development. An activity plan was not posted or made available for review. 10A NCAC 09 .1718(a)(8)(A)(i-iv) Technical Assistance: • We discussed completing and posting the weekly activity plan for the following week by Friday of the current week. You can create a weekly checklist of items that need to be completed prior to the end of the week to serve as a reminder. • To ensure all playground inspections and monthly fire drills are completed, set a reminder on your phone to alert you when these items need to be completed. It can be helpful to schedule these dates for the entire year to be sure they are completed. • Today we discussed doing periodic compliance checks of your paperwork to ensure all documentation and testing are completed in a timely manner. I suggested that you look through your binder quarterly and make a note of any water testing or vaccinations that need to be completed prior to the next quarterly check. You stated that you have received the kit for lead water and the well water analysis but have not obtained or submitted the samples. You stated that you plan to obtain and submit these samples by the end of this week. Consultation: • Due to the recent impacts of Hurricane Helene and other natural disasters, the Clean Classrooms for Carolina Kids enrollment deadline has been revised statewide. Child care facilities that have not yet enrolled should complete the online process by May 31, 2025. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Here are some important links on the DCEEE website that may be helpful: -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (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 against the facility's license. Any violations cited during a visit may affect your score. COMPLIANCE PLAN: Violations must be corrected immediately. A signed and dated letter of compliance must be received by me no later than 2/25/2025 stating how each violation was corrected and how compliance will be maintained in the future. Please mail or email me a signed copy of the letter to: Mailing Address: P.O. Box 1078 Faith, NC 28041 Email: ashlynn.vaughan@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. If a letter is not received by the required date an unannounced follow-up visit may be conducted to confirm the violations were corrected or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Please Note: Please be aware that any information submitted by you is legal documentation. If you state in your compliance letter that corrections have been made when they have not, it will be considered falsification of information. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (704) 330-3722 or by email at ashlynn.vaughan@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov. Thank you for your time today. 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 .1714 · Violation

Name of Operation: NANNY'S DAY CARE HOME Facility ID: 80000116 Consultant: CAROLYN CONLEY Operation Type: Family CC Home Case Number: Visit Date: 3/18/2024 Number Present: 5 Completed Date: 3/18/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:30 PM Time Out: 03:40 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The last Annual Compliance visit was conducted on March 29, 2023. This family child care home has a two-star license with an effective date of August 22, 2018. Your Family Child Care Home is licensed for eight children on first shift 0-12 years of age. The restrictions on your license are daytime care only; maximum of five preschool children at any time; swimming pool not used during operating hours and no more than two infants under age one. Your program will be part of cohort one which means you will go through the rated license process between July 1, 2024, and June 30, 2025. The compliance history prior to this visit was at 96%. Upon arrival, I was greeted by you, Cindy Czibere, owner, and I stated the reason for my visit. I observed the children during nap/quiet time and you reading books to those that were awake. I observed the children also during hand washing routines and snack time. I used the "Annual Compliance Monitoring Checklist for Family Child Care Homes". I monitored the outdoor play area and outdoor inspections. The fenced in outdoor play area had three broken seats from riding toys and a broken door from one of the playhouses. There was also a metal roofing panel that was blown into the play area. You stated that you would remove it prior to allowing the Children to play in this area. There are tow storage sheds that will need to be locked. One of the locks is broken and the other has a bracket that needs to be replaced or reattached to enable the doors to be locked. I monitored the emergency drill report. I monitored the program files, your file, and a portion of the children’s files. There are no new children enrolled since my last visit. The following forms were completed during today’s visit: -“VERFICIATION OF REQUIRED INFORMATION FOR OPERTOR AND ADDITIONAL CAREGIVERS” -“FCCH OPERATOR'S STATEMENTS OF RESPONSIBILITY” form. The following violations were observed during today’s visit. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. There were three broken seats from riding toys, a broken door from one of the play houses and there was a metal roofing panel located in the fenced in play area. There were two storage sheds that were not locked. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan was not completed on the Emergency Management template. 10A NCAC 09 .1714(c) & .1721(e)(1) TECHNICAL ASSITANCE: -We discussed that you are required to use the Emergency Management Template for the EPR plan. Here is the link to access your EPR Plan: https://rmp.nc.gov/portal/portal.aspx#. You are also required to have a hard copy that is accessible at all times and to monitor the EPR Plan annually. Add to your calendar as a reminder. Monitor it when you complete your Health Questionnaire or Professional Development Plan. -Your EPR plan needs to have the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers, and the facility, to utilize, if an evacuation occurs. The file will need to include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. You have a copy of the “Ready to Go Kit Facility Checklist” developed by the NC Child Care and Safety Resource Center to use as a guide as well. CONSULTATION: -It’s time to enroll your family child care home in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, family child care homes are required to meet rule requirements (Child Care Rule 10A NCAC 09 .1725(a)(2), NC 10A NCAC 41C.1001-1007). Clean Classrooms for Carolina Kids is designed to ensure family child care homes meet all requirements, receive direct support throughout the participation process, and have access to communication resources. Please sign up for a pre-enrollment webinar so you can begin your enrollment before the next phase of enrollment begins. I forwarded the email blast that was sent out on February 14th that has the links for you. -We discussed that challenging behaviors seem to be more prevalent. The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that you can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your program: 1-888-600-1685 option 1. You can contact Betty Trujillo, Early Education Program Lead, at (704) 603-3351 or btrujillo@smartstartrowan.org. You can also visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are trainings and resources available. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by April 1, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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 .1725 · Violation

Name of Operation: NANNY'S DAY CARE HOME Facility ID: 80000116 Consultant: CAROLYN CONLEY Operation Type: Family CC Home Case Number: Visit Date: 3/18/2024 Number Present: 5 Completed Date: 3/18/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:30 PM Time Out: 03:40 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The last Annual Compliance visit was conducted on March 29, 2023. This family child care home has a two-star license with an effective date of August 22, 2018. Your Family Child Care Home is licensed for eight children on first shift 0-12 years of age. The restrictions on your license are daytime care only; maximum of five preschool children at any time; swimming pool not used during operating hours and no more than two infants under age one. Your program will be part of cohort one which means you will go through the rated license process between July 1, 2024, and June 30, 2025. The compliance history prior to this visit was at 96%. Upon arrival, I was greeted by you, Cindy Czibere, owner, and I stated the reason for my visit. I observed the children during nap/quiet time and you reading books to those that were awake. I observed the children also during hand washing routines and snack time. I used the "Annual Compliance Monitoring Checklist for Family Child Care Homes". I monitored the outdoor play area and outdoor inspections. The fenced in outdoor play area had three broken seats from riding toys and a broken door from one of the playhouses. There was also a metal roofing panel that was blown into the play area. You stated that you would remove it prior to allowing the Children to play in this area. There are tow storage sheds that will need to be locked. One of the locks is broken and the other has a bracket that needs to be replaced or reattached to enable the doors to be locked. I monitored the emergency drill report. I monitored the program files, your file, and a portion of the children’s files. There are no new children enrolled since my last visit. The following forms were completed during today’s visit: -“VERFICIATION OF REQUIRED INFORMATION FOR OPERTOR AND ADDITIONAL CAREGIVERS” -“FCCH OPERATOR'S STATEMENTS OF RESPONSIBILITY” form. The following violations were observed during today’s visit. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. There were three broken seats from riding toys, a broken door from one of the play houses and there was a metal roofing panel located in the fenced in play area. There were two storage sheds that were not locked. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan was not completed on the Emergency Management template. 10A NCAC 09 .1714(c) & .1721(e)(1) TECHNICAL ASSITANCE: -We discussed that you are required to use the Emergency Management Template for the EPR plan. Here is the link to access your EPR Plan: https://rmp.nc.gov/portal/portal.aspx#. You are also required to have a hard copy that is accessible at all times and to monitor the EPR Plan annually. Add to your calendar as a reminder. Monitor it when you complete your Health Questionnaire or Professional Development Plan. -Your EPR plan needs to have the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers, and the facility, to utilize, if an evacuation occurs. The file will need to include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. You have a copy of the “Ready to Go Kit Facility Checklist” developed by the NC Child Care and Safety Resource Center to use as a guide as well. CONSULTATION: -It’s time to enroll your family child care home in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, family child care homes are required to meet rule requirements (Child Care Rule 10A NCAC 09 .1725(a)(2), NC 10A NCAC 41C.1001-1007). Clean Classrooms for Carolina Kids is designed to ensure family child care homes meet all requirements, receive direct support throughout the participation process, and have access to communication resources. Please sign up for a pre-enrollment webinar so you can begin your enrollment before the next phase of enrollment begins. I forwarded the email blast that was sent out on February 14th that has the links for you. -We discussed that challenging behaviors seem to be more prevalent. The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that you can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your program: 1-888-600-1685 option 1. You can contact Betty Trujillo, Early Education Program Lead, at (704) 603-3351 or btrujillo@smartstartrowan.org. You can also visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are trainings and resources available. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by April 1, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2200 · Violation

Name of Operation: NANNY'S DAY CARE HOME Facility ID: 80000116 Consultant: CAROLYN CONLEY Operation Type: Family CC Home Case Number: Visit Date: 3/18/2024 Number Present: 5 Completed Date: 3/18/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 01:30 PM Time Out: 03:40 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The last Annual Compliance visit was conducted on March 29, 2023. This family child care home has a two-star license with an effective date of August 22, 2018. Your Family Child Care Home is licensed for eight children on first shift 0-12 years of age. The restrictions on your license are daytime care only; maximum of five preschool children at any time; swimming pool not used during operating hours and no more than two infants under age one. Your program will be part of cohort one which means you will go through the rated license process between July 1, 2024, and June 30, 2025. The compliance history prior to this visit was at 96%. Upon arrival, I was greeted by you, Cindy Czibere, owner, and I stated the reason for my visit. I observed the children during nap/quiet time and you reading books to those that were awake. I observed the children also during hand washing routines and snack time. I used the "Annual Compliance Monitoring Checklist for Family Child Care Homes". I monitored the outdoor play area and outdoor inspections. The fenced in outdoor play area had three broken seats from riding toys and a broken door from one of the playhouses. There was also a metal roofing panel that was blown into the play area. You stated that you would remove it prior to allowing the Children to play in this area. There are tow storage sheds that will need to be locked. One of the locks is broken and the other has a bracket that needs to be replaced or reattached to enable the doors to be locked. I monitored the emergency drill report. I monitored the program files, your file, and a portion of the children’s files. There are no new children enrolled since my last visit. The following forms were completed during today’s visit: -“VERFICIATION OF REQUIRED INFORMATION FOR OPERTOR AND ADDITIONAL CAREGIVERS” -“FCCH OPERATOR'S STATEMENTS OF RESPONSIBILITY” form. The following violations were observed during today’s visit. Violation Number Comment Rule 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. There were three broken seats from riding toys, a broken door from one of the play houses and there was a metal roofing panel located in the fenced in play area. There were two storage sheds that were not locked. .1719(a)(1)&(17) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The EPR plan was not completed on the Emergency Management template. 10A NCAC 09 .1714(c) & .1721(e)(1) TECHNICAL ASSITANCE: -We discussed that you are required to use the Emergency Management Template for the EPR plan. Here is the link to access your EPR Plan: https://rmp.nc.gov/portal/portal.aspx#. You are also required to have a hard copy that is accessible at all times and to monitor the EPR Plan annually. Add to your calendar as a reminder. Monitor it when you complete your Health Questionnaire or Professional Development Plan. -Your EPR plan needs to have the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers, and the facility, to utilize, if an evacuation occurs. The file will need to include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. You have a copy of the “Ready to Go Kit Facility Checklist” developed by the NC Child Care and Safety Resource Center to use as a guide as well. CONSULTATION: -It’s time to enroll your family child care home in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, family child care homes are required to meet rule requirements (Child Care Rule 10A NCAC 09 .1725(a)(2), NC 10A NCAC 41C.1001-1007). Clean Classrooms for Carolina Kids is designed to ensure family child care homes meet all requirements, receive direct support throughout the participation process, and have access to communication resources. Please sign up for a pre-enrollment webinar so you can begin your enrollment before the next phase of enrollment begins. I forwarded the email blast that was sent out on February 14th that has the links for you. -We discussed that challenging behaviors seem to be more prevalent. The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that you can call and speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in your program: 1-888-600-1685 option 1. You can contact Betty Trujillo, Early Education Program Lead, at (704) 603-3351 or btrujillo@smartstartrowan.org. You can also visit the North Carolina Rated License Assessment Project’s website: ncrlap.org. There are trainings and resources available. REQUIRED RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by April 1, 2024. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2200 · Violation

Name of Operation: NANNY'S DAY CARE HOME Facility ID: 80000116 Consultant: CAROLYN CONLEY Operation Type: Family CC Home Case Number: Visit Date: 10/19/2023 Number Present: 4 Completed Date: 10/19/2023 Age: From 1 To 3 Total Minutes: 90 Time In: 12:00 PM Time Out: 01:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor applicable child care requirements. The last annual compliance visit was conducted on March 29, 2023. Upon arrival, I was greeted by you, Cindy Czibere, the owner, and I stated the reason for my visit. This family child care home has a two star license with an effective date of August 22, 2018. Your Family Child Care Home is licensed for eight children on first shift 0-12 years of age. The restrictions on your license are daytime care only; maximum of five preschool children at any time; swimming pool not used during operating hours and no more than two infants under age one. I observed the children during nap/rest time. There was one child enrolled since my last visit and I monitored their file. I monitored the following items: supervision, staff/child ratios, CPR and First Aid, ITS-SIDS training, special training, criminal background checks completed, general safety, discipline, Emergency Medical Care Plan, storage of hazardous products, adequate/approved space, program records, posted license and restrictions met. I monitored the emergency drills and outdoor inspections and there were occurring as required. The following violation was observed during today’s visit. Violation Number Comment Rule 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. Peanut's (dog) rabies vaccination expired on 8/22/23. .1719(b)(1) TECHNICAL ASSISTANCE/RESOURCES: -We discussed that you will be in cohort one which means you will go through the rated license process between July 1, 2024 and June 30, 2025. You stated that you received information concerning this and wanted to know if you are required to go through Environmental Rating Scale (ERS) assessment. We discussed that the ERS assessment is not required. This is voluntary and may help increase your program points. You will need to complete the three month self-study to be eligible for two points in program standards. -To earn two points in program standards a self-study/self-assessment using the Family Child Care Rating Scale over a 3-month time period will need to be completed. Documentation such as an ERS book with score sheets, self-assessments and program adjustments will be reviewed by the Division as part of the rated license assessment. -Place a reminder in your phone a month prior to your pets vaccinations due so that you can make an appointment and have this completed prior to the expiration date. -The summary of the law has been updated and can be found on the DCDEE website under “Provider Documents”. You will want to print it and post it. -You are required to monitor the EPR Plan annually. Add to your calendar as a reminder. Monitor it when you complete your Health Questionnaire or Professional Development Plan. Here is the link to access your EPR Plan: https://rmp.nc.gov/portal/portal.aspx# -The North Carolina child Care Resource and Referral Council (CCR&R) now has a challenging behavior helpline that staff can call and peak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classrooms: 1-888-600-1685 option 1. -Kimberly Cruz, Child Care Health Consultant, is a great resource. She is available for technical assistance and trainings for staff and children. She is also available to develop strategies to include and support children with special health care needs. Her contact information is 704-216-8806 or kimberly.cruz@rowancountync.gov. RESPONSE: Violations must be corrected immediately. You shall submit a written/typed, signed and dated statement to me at the address noted below or email me detailing how the violations were corrected with exact dates and details including how you plan to prevent reoccurrence of such violations which must be received by November 2, 2023. Failure to correct the violation(s) and send the written statement by the established deadline listed above may result in an unannounced follow-up visit or an administrative action may be recommended based on Child Care Rule 10A NCAC 09 .2200. Please continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have any questions, please contact me at: 704-594-0149 or carolyn.conley@dhhs.nc.gov. or my supervisor Erin Pickard at erin.pickard@dhhs.nc.gov. Carolyn Conley Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education Post Office Box 835 Kannapolis, NC 28082-0835 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.