ALL Smiles Child Care Center

10A NCAC 09 .0604 · Violation

Name of Operation: ALL SMILES CHILD CARE CENTER Facility ID: 64000146 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 64 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance visit. S. Whitaker, administrator, was present and assisted with the visit. Currently, this center operates with a Four-Star License issued November 17, 2017, earning five (5) points in the Education Component, five (5) points in the Program Component and one (1) Quality point. The last sanitation inspection was completed on October 16, 2025 earning a “Superior” rating. The last fire inspection was completed on December 11, 2025 and the facility was approved for daytime care only. Children were observed participating in activity center play, outdoor play and a teacher directed art project. Observed interactions between teachers and children were nurturing in nature. FACILITY PROFILE This facility is owned by All Smiles Child Care, Inc. The corporation is listed as current/active in the North Carolina Secretary of State corporation’s database. The corporation that owns this facility is required to always maintain a current/active status. Failure to do so could result in Administrative Action. I reviewed the contact information for the owner and the facility with you. You verified the current information listed with DCDEE is correct. The following violations of child care requirements were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. There was no documentation on file that a child enrolled 7/6/22 received or reviewed the NC summary of child care law. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There was an uncovered outlet by shelving in space #6. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff hired 1/6/2020 did not have a medical report, completed by a health care professional, on file. 10A NCAC 09 .0701(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There was no medical action plan on-site for a child with asthma in space #3. .0801(b) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by December 30, 2025. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how you corrected the violations. Please be aware that any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 94% over an eighteen (18) month period. CHILDREN’S RECORDS I reviewed ten (10) percent, or more, of children’s records and a violation was documented. There is no documentation that the parents of a child enrolled on 7/6/22 reviewed or received summary of child care law. The child is noted on the children’s record check form. There was no medical action plan observed for a child with an albuterol inhaler in space #3. While there is a medication authorization form on-site the medical action plan is required as it details what symptoms are considered emergency and non-emergency. This form must be updated annually by a health care provider or parent. STAFF RECORDS I reviewed ten (10) percent, or more, of staff records and a violation was documented. There is no medical report, completed by a health care professional, on file for a staff member hired 1/6/2020. There is a medical form with the part for the staff person to complete filled in. However, the required bottom half is blank. The staff member is noted on the staff/training worksheet. SAFETY & HEALTH I observed an uncovered outlet by a shelving near the entrance in space #6. I recommend that staff monitor outlets at either the beginning or end of each day, or both, to ensure all accessible outlets are covered when children are in care. TECHNICAL ASSISTANCE & REMINDERS: Technical assistance given regarding monitoring the metal equipment on the playground and play structures for peeling or chipping paint. Child Care Rules require that all equipment be in good condition. Therefore, once signs of peeling/chipping begin the item should either be re-painted or removed until it can be repaired or disposed of. Continue to monitor the stakes that secure the black rubber border around play equipment. Over time the stakes may begin to rise and cause a tripping or protrusion hazard. When observed the stakes should be hammered flush to the top of the border. ABCMS PROVIDER PORTAL TRAINING Upon checking the ABCMS website there is a roster available for your program. This confirms that you have completed the required ABCMS provider portal training. This roster must be maintained so be sure to add and remove caregivers as applicable. QRIS RATED LICENSE TRANSTION We are scheduled for January 13th to complete a technical assistance visit to discuss new QRIS options for earning a 2-5 star rated license. I recommend reviewing the “QRIS Modernization” page found beneath the “What’s New Tab” on the DCDEE website https://ncchildcare.ncdhhs.gov/ and note any questions you may have. I will be able to answer these questions during the TA visit. We will also determine what pathway the program would like to use and discuss the transition plan at that time. MARKET RATE SURVEY All NC child care facilities, please take time to complete the 2025 survey on the rates you charge for child care. Your survey answers provide valuable information to the Division of Child Development and Early Education (DCDEE). Survey results support DCDEE’s recommendations to the General Assembly for establishing rates for subsidized child care that reflect the current market. Information about cost and fees also helps the Division recommend fair payment rates for child care providers offering higher quality care who participate in the subsidized child care program. To ensure your responses are kept confidential, DCDEE has partnered with the Center for Urban Affairs and Community Services (CUACS) at North Carolina State University. If any additional information is needed regarding your completed survey, CUACS staff will follow up with you directly. A link for the survey was sent in the “Raise NC Newsletter” sent out on November 26th. The Clean Water for Carolina Kids program expanded to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. After reviewing the website, I noted that this program has completed the lead water testing in May 2024 and is not due again until May 2027. The program has also completed the lead paint and asbestos requirement and completed remediation. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2025, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: ALL SMILES CHILD CARE CENTER Facility ID: 64000146 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 64 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance visit. S. Whitaker, administrator, was present and assisted with the visit. Currently, this center operates with a Four-Star License issued November 17, 2017, earning five (5) points in the Education Component, five (5) points in the Program Component and one (1) Quality point. The last sanitation inspection was completed on October 16, 2025 earning a “Superior” rating. The last fire inspection was completed on December 11, 2025 and the facility was approved for daytime care only. Children were observed participating in activity center play, outdoor play and a teacher directed art project. Observed interactions between teachers and children were nurturing in nature. FACILITY PROFILE This facility is owned by All Smiles Child Care, Inc. The corporation is listed as current/active in the North Carolina Secretary of State corporation’s database. The corporation that owns this facility is required to always maintain a current/active status. Failure to do so could result in Administrative Action. I reviewed the contact information for the owner and the facility with you. You verified the current information listed with DCDEE is correct. The following violations of child care requirements were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. There was no documentation on file that a child enrolled 7/6/22 received or reviewed the NC summary of child care law. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There was an uncovered outlet by shelving in space #6. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff hired 1/6/2020 did not have a medical report, completed by a health care professional, on file. 10A NCAC 09 .0701(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There was no medical action plan on-site for a child with asthma in space #3. .0801(b) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by December 30, 2025. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how you corrected the violations. Please be aware that any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 94% over an eighteen (18) month period. CHILDREN’S RECORDS I reviewed ten (10) percent, or more, of children’s records and a violation was documented. There is no documentation that the parents of a child enrolled on 7/6/22 reviewed or received summary of child care law. The child is noted on the children’s record check form. There was no medical action plan observed for a child with an albuterol inhaler in space #3. While there is a medication authorization form on-site the medical action plan is required as it details what symptoms are considered emergency and non-emergency. This form must be updated annually by a health care provider or parent. STAFF RECORDS I reviewed ten (10) percent, or more, of staff records and a violation was documented. There is no medical report, completed by a health care professional, on file for a staff member hired 1/6/2020. There is a medical form with the part for the staff person to complete filled in. However, the required bottom half is blank. The staff member is noted on the staff/training worksheet. SAFETY & HEALTH I observed an uncovered outlet by a shelving near the entrance in space #6. I recommend that staff monitor outlets at either the beginning or end of each day, or both, to ensure all accessible outlets are covered when children are in care. TECHNICAL ASSISTANCE & REMINDERS: Technical assistance given regarding monitoring the metal equipment on the playground and play structures for peeling or chipping paint. Child Care Rules require that all equipment be in good condition. Therefore, once signs of peeling/chipping begin the item should either be re-painted or removed until it can be repaired or disposed of. Continue to monitor the stakes that secure the black rubber border around play equipment. Over time the stakes may begin to rise and cause a tripping or protrusion hazard. When observed the stakes should be hammered flush to the top of the border. ABCMS PROVIDER PORTAL TRAINING Upon checking the ABCMS website there is a roster available for your program. This confirms that you have completed the required ABCMS provider portal training. This roster must be maintained so be sure to add and remove caregivers as applicable. QRIS RATED LICENSE TRANSTION We are scheduled for January 13th to complete a technical assistance visit to discuss new QRIS options for earning a 2-5 star rated license. I recommend reviewing the “QRIS Modernization” page found beneath the “What’s New Tab” on the DCDEE website https://ncchildcare.ncdhhs.gov/ and note any questions you may have. I will be able to answer these questions during the TA visit. We will also determine what pathway the program would like to use and discuss the transition plan at that time. MARKET RATE SURVEY All NC child care facilities, please take time to complete the 2025 survey on the rates you charge for child care. Your survey answers provide valuable information to the Division of Child Development and Early Education (DCDEE). Survey results support DCDEE’s recommendations to the General Assembly for establishing rates for subsidized child care that reflect the current market. Information about cost and fees also helps the Division recommend fair payment rates for child care providers offering higher quality care who participate in the subsidized child care program. To ensure your responses are kept confidential, DCDEE has partnered with the Center for Urban Affairs and Community Services (CUACS) at North Carolina State University. If any additional information is needed regarding your completed survey, CUACS staff will follow up with you directly. A link for the survey was sent in the “Raise NC Newsletter” sent out on November 26th. The Clean Water for Carolina Kids program expanded to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. After reviewing the website, I noted that this program has completed the lead water testing in May 2024 and is not due again until May 2027. The program has also completed the lead paint and asbestos requirement and completed remediation. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2025, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: ALL SMILES CHILD CARE CENTER Facility ID: 64000146 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 12/16/2025 Number Present: 64 Completed Date: 12/16/2025 Age: From 0 To 5 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance visit. S. Whitaker, administrator, was present and assisted with the visit. Currently, this center operates with a Four-Star License issued November 17, 2017, earning five (5) points in the Education Component, five (5) points in the Program Component and one (1) Quality point. The last sanitation inspection was completed on October 16, 2025 earning a “Superior” rating. The last fire inspection was completed on December 11, 2025 and the facility was approved for daytime care only. Children were observed participating in activity center play, outdoor play and a teacher directed art project. Observed interactions between teachers and children were nurturing in nature. FACILITY PROFILE This facility is owned by All Smiles Child Care, Inc. The corporation is listed as current/active in the North Carolina Secretary of State corporation’s database. The corporation that owns this facility is required to always maintain a current/active status. Failure to do so could result in Administrative Action. I reviewed the contact information for the owner and the facility with you. You verified the current information listed with DCDEE is correct. The following violations of child care requirements were documented. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. There was no documentation on file that a child enrolled 7/6/22 received or reviewed the NC summary of child care law. GS 110-102 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. There was an uncovered outlet by shelving in space #6. 10A NCAC 09 .0604(c) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Staff hired 1/6/2020 did not have a medical report, completed by a health care professional, on file. 10A NCAC 09 .0701(a) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There was no medical action plan on-site for a child with asthma in space #3. .0801(b) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by December 30, 2025. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how you corrected the violations. Please be aware that any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 94% over an eighteen (18) month period. CHILDREN’S RECORDS I reviewed ten (10) percent, or more, of children’s records and a violation was documented. There is no documentation that the parents of a child enrolled on 7/6/22 reviewed or received summary of child care law. The child is noted on the children’s record check form. There was no medical action plan observed for a child with an albuterol inhaler in space #3. While there is a medication authorization form on-site the medical action plan is required as it details what symptoms are considered emergency and non-emergency. This form must be updated annually by a health care provider or parent. STAFF RECORDS I reviewed ten (10) percent, or more, of staff records and a violation was documented. There is no medical report, completed by a health care professional, on file for a staff member hired 1/6/2020. There is a medical form with the part for the staff person to complete filled in. However, the required bottom half is blank. The staff member is noted on the staff/training worksheet. SAFETY & HEALTH I observed an uncovered outlet by a shelving near the entrance in space #6. I recommend that staff monitor outlets at either the beginning or end of each day, or both, to ensure all accessible outlets are covered when children are in care. TECHNICAL ASSISTANCE & REMINDERS: Technical assistance given regarding monitoring the metal equipment on the playground and play structures for peeling or chipping paint. Child Care Rules require that all equipment be in good condition. Therefore, once signs of peeling/chipping begin the item should either be re-painted or removed until it can be repaired or disposed of. Continue to monitor the stakes that secure the black rubber border around play equipment. Over time the stakes may begin to rise and cause a tripping or protrusion hazard. When observed the stakes should be hammered flush to the top of the border. ABCMS PROVIDER PORTAL TRAINING Upon checking the ABCMS website there is a roster available for your program. This confirms that you have completed the required ABCMS provider portal training. This roster must be maintained so be sure to add and remove caregivers as applicable. QRIS RATED LICENSE TRANSTION We are scheduled for January 13th to complete a technical assistance visit to discuss new QRIS options for earning a 2-5 star rated license. I recommend reviewing the “QRIS Modernization” page found beneath the “What’s New Tab” on the DCDEE website https://ncchildcare.ncdhhs.gov/ and note any questions you may have. I will be able to answer these questions during the TA visit. We will also determine what pathway the program would like to use and discuss the transition plan at that time. MARKET RATE SURVEY All NC child care facilities, please take time to complete the 2025 survey on the rates you charge for child care. Your survey answers provide valuable information to the Division of Child Development and Early Education (DCDEE). Survey results support DCDEE’s recommendations to the General Assembly for establishing rates for subsidized child care that reflect the current market. Information about cost and fees also helps the Division recommend fair payment rates for child care providers offering higher quality care who participate in the subsidized child care program. To ensure your responses are kept confidential, DCDEE has partnered with the Center for Urban Affairs and Community Services (CUACS) at North Carolina State University. If any additional information is needed regarding your completed survey, CUACS staff will follow up with you directly. A link for the survey was sent in the “Raise NC Newsletter” sent out on November 26th. The Clean Water for Carolina Kids program expanded to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. After reviewing the website, I noted that this program has completed the lead water testing in May 2024 and is not due again until May 2027. The program has also completed the lead paint and asbestos requirement and completed remediation. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2025, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: ALL SMILES CHILD CARE CENTER Facility ID: 64000146 Consultant: FELICIA FAISON Operation Type: Center Case Number: 1025-438L Visit Date: 11/7/2025 Number Present: 55 Completed Date: 11/12/2025 Age: From 0 To 5 Total Minutes: 185 Time In: 10:35 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging violations of child care requirements regarding staff/child ratio, nutrition standards, program records, materials and equipment being in good repair. Upon arrival, L. Strickland, assistant administrator, was present and assisted with the visit. S. Whitaker, director, arrived after the visit began. The allegation of the report was reviewed with you both, and you both were given the opportunity to respond and ask questions. The following child care requirements were monitored: supervision, permit restrictions, staff/child ratios, adequate/approved space, nutrition, program records, and materials/equipment. Permit restrictions for this facility include first shift care only, enhanced ratios and enhanced space. Children were observed having lunch, completing toileting and handwashing routines and nap time. Observed interactions between teachers and children were nurturing in nature. The following violations of child care requirements were documented today. Violation Number Comment Rule 405 A child's hands were not washed after each diaper change. A child’s hands were not washed directly after a diaper change in space #7. 15A NCAC 18A .2803(c)(2) 721 All equipment and furnishings were not in good repair. Blue slide attached to play equipment in the middle of the large outdoor play area has several cracked areas at the exit. G.S. 110-91(6); .0601(b) The violations documented must be corrected immediately. The signed and dated letter of compliance should be mailed or emailed to me by November 21, 2025. The letter must state how the violations were corrected in detail. My mailing and email addresses are noted at the bottom. Please be aware that any written information you submit regarding correction of the violation is legal documentation. Therefore, it is important that all included information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. ALLEGATIONS There was a concern regarding alleged violation of the child care requirement regarding staff/child ratio, nutrition, materials and equipment and program records (specifically incident reports). FINDINGS: The allegations were shared with you, the assistant director and two (2) other staff members working in space #5. You were all given the chance to ask questions. You, and staff, stated that no staff members or parents approached you with concerns related to staff/child ratio, nutrition, materials/equipment or incident reports. You and staff also noted that you have not observed or participated in violations of nutrition, staff/child ratio, materials in good repair, and incident reports. I reviewed the menu for today and observed lunch being served. Lunch consisted of beef ravioli, whole wheat bread, carrots, pears and milk. These foods were listed on the menu for today and met current meal patterns for child care. You and staff also confirm that meal patterns are followed. You informed me that you ensure there are at least two (2) weeks’ worth of menus for the program. I observed that enhanced staff/child ratios were followed as required in each space and during nap time. I reviewed the incident report log and noted that it appears to be updated as incidents occur. Staff confirmed that they fill out incident reports right after an incident or no later than twenty-four (24) hours after the incident. Parents are informed the same day either by phone or at pick-up depending on severity. The report sent into DCDEE did not indicate a specific day or incident that staff/child ratio or incident reports were not followed or filed out as required. I monitored the materials and equipment in the indoor and outdoor environment. I did not observe any disrepair in the indoor environment. However, I did observe that the blue slide, in the middle of the large playground, is has two cracks forming at the slide exit. It appears something beneath the slide exit is pushing up at the bottom of the slide and may eventually cause large holes at the exit. Therefore, a violation was documented and must be corrected by November 21st. CAREGIVING FOR INFANTS & TODDLERS A staff member was changing a toddler’s diaper in space #7. After changing the child’s diaper, the child was lowered to the ground and went and sat at the table. The teacher began cleaning the changing table. I asked about handwashing after toileting and staff noted that she typically cleans the changing first and then helps the child wash hands, so they are not playing with the water. Staff should assist a child in washing hands properly after diapering to ensure they do not have any bio-contaminants on their hands prior to touching other surfaces, children or eating/putting hands in their mouth. I recommend reviewing the diapering changing procedure with staff and observe changing at least one (1). Also refer them to the diaper changing posters in the rooms should they not be sure of a step. Based on the information received, and my observations, the allegation regarding staff/child ratio, nutrition requirements, materials/equipment in good repair, and incident reports were not substantiated. TECHNICAL ASSITANCE & CONSULTATION Technical assistance was discussed regarding creating a policy or procedure for staff to identify and notify administration of furniture, materials or equipment not being in good repair. Including time frames for management to address and correct and how staff handle the materials between corrections would assist in keeping the environment safe. I also recommend reviewing the current program policies regarding staff/child ration and/or supervision to ensure staff have a set way to handle times when they are approaching being over ratio. During conversations today it sounded as if the current practices are more word of mouth. I reviewed with that since this program is licensed for a capacity of ninety-four (94) the on-site administrator must work a minimum of thirty (30) hours per week during operational hours. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: ALL SMILES CHILD CARE CENTER Facility ID: 64000146 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 8/26/2025 Number Present: 58 Completed Date: 8/28/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 12:00 PM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to a routine unannounced visit. S. Whitaker, administrator, was present and assisted with the visit. Currently, this center operates with a Four-Star License issued November 17, 2017, earning five (5) points in the Education Component, five (5) points in the Program Component and one (1) Quality point. The posted sanitation inspection was completed April 2, 2025 earning a Superior rating. The last fire inspection was completed January 8, 2025 and the facility was approved for daytime care only. Children were observed participating in free choice activity center play, outdoor play, and teacher directed writing. Observed interactions between teachers and children were nurturing in nature. The following violations of child care requirements were documented. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Three (3) large play equipment pieces with slides have red and while rails that are peeling/chipping paint on both playgrounds. G.S. 110-91(6); .0601(b) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by September 9, 2025. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how you corrected the violations. Please be aware that any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. STAFF/CHILD INTERACTION & OBSERVATIONS I observed current activity plans and schedules posted in each classroom. I observed children napping safely in each space, waking from nap time and having snacks. The schedules were followed as posted. Appropriate staff/child ratios were maintained during the visit. Observed interactions included teachers supervising activities and engaging the children in play and conversations. The theme in space #2 are letters “E” and “F.” Activities included painting a paper mâché “E,” painting an elephant and coloring a frog. Materials required to complete the observed activities were present. These activities offer chances for children to build on their cognitive, fine motor, and vocabulary skills. STAFF RECORDS I reviewed the records of three (3) new staff members during the visit. They were found to be in compliance after you submitted information to me from a CPR trainer that all three (3) completed the infant/pediatric modules when they completed their CPR and first aid training in June. RATED LICENSE ASSESSMENT & QRIS MODERNIZATION While the hold harmless state is no longer in effect rated license assessments remain voluntary. You will be updated as more information is available. Programs that were listed in cohorts 1 and 2 will only go through the Environment Rating Scales or rated license assessment if they volunteer to do so. Continue to review the NCRLAP website at https://ncrlap.org and Down East Partnership for Children, for more information. Information on the new ECERS-3 can be found on the NCRLAP website noted above. There are webinars and books available for review and purchase on the website. The Division is preparing for the gradual transition to the new requirements. Resources, forms, and training will be provided to support the transition to the new pathways to earn your Two- through Five-Star Rated License. Please review the information regarding the three (3) Pathways on the DCDEE website by clicking on “QRIS Modernization” under the “What’s New” tab near the top of the page. You should study the pathways and determine which one would be best for your facility. The Division will hold provider meetings in September to deliver more information regarding the QRIS process and the three (3) pathways. Continue to check your email regularly for this information. TECHNICAL ASSISTANCE & REMINDERS Technical assistance given regarding ensuring that diaper wipes are stored at least five (5) above the floor when not in use. Diaper wipes have a “keep out of reach of children” warning on their packaging. Whenever there are children that are two (2) years of age in a space all easily ripped plastic bags must be inaccessible to children. If any bags are stored under the diaper changing table in a space they should be secured at least by some form of child lock to make them inaccessible to children since they are below five (5) feet. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated July 1, 2025, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. There are also modules reviewing the new Child Care Rules available on Moodle, which can be found on the Division website. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: ALL SMILES CHILD CARE CENTER Facility ID: 64000146 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 51 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 342 Time In: 09:18 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance visit. S. Whitaker, administrator, was present and assisted with the visit. Currently, this center operates with a Four-Star License issued November 17, 2017, earning five (5) points in the Education Component, five (5) points in the Program Component and one (1) Quality point. The last sanitation inspection was completed November 14, 2024 earning a “Superior” rating. The last fire inspection was completed today January 8, 2025 and the facility was approved for daytime care only. Children were observed participating in group time, which included reading a book. Other groups engaged in free choice activity center play, teacher directed art and outdoor activities. All observed interactions were nurturing in nature. The following violations of child care requirements were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The required fire inspection was not completed within twelve (12) months of the previous one. 10A NCAC 09 .0304(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. There is no documentation that parents received the center’s operational policies on or before enrollment for the child enrolled 8/5/24. 10A NCAC 09 .0514(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The child enrolled 2/1/22 does not have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by January 22, 2025. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how you corrected the violations. Please be aware that any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 100% over an eighteen (18) month period. CHILDREN’S RECORDS I reviewed ten (10) percent of children’s records and two (2) violations were documented. There is no documentation that the parents of a child enrolled 8/5/24 reviewed or received the center’s operational policies. The child enrolled 2/1/22 does not have a medical report on file. There is a visit summary dated 3/30/22 from the child’s pediatrician on file but it does not include all the required information noted on the children’s medical report form. Both children are noted on the children’s record check form, of which a copy was left with you. STAFF RECORDS I reviewed ten (10) percent, or more, of staff records and no violations were documented. ANNUAL INSPECTIONS Due to the last fire inspection being completed on January 2, 2024, a violation was documented related to this inspection not being conducted within twelve (12) months of the previous one. The required fire inspection was completed today during the visit. TECHNICAL ASSISTANCE & REMINDERS Technical assistance discussed regarding monitoring the metal equipment on the playground and play structures for peeling or chipping paint. Child Care Rules require that all equipment be in good condition. Therefore, once signs of peeling/chipping begin the item should either be re-painted or removed until it can be repaired or disposed of. Continue to ensure that all outlets are covered to prevent access by children. If tape is used to cover the outlets, I recommend replacing with an outlet cover as paint is easily peeled and deteriorates. This could result in children accessing the outlets and risk of injury should they use it inappropriately. We discussed reviewing items in the classrooms used for infant and toddler care to ensure there is a variety and sufficient amounts of materials for the children to use and engage with, including books. The Clean Water for Carolina Kids program expanded to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. After reviewing the website, I noted that this program has completed the lead water testing in May 2024 and is not due again until May 2027. The program has also completed the lead paint and asbestos requirement. Remediation is required related to chipping paint in space #6. You noted that you are in the process of remediating this area and in contact with the Environmental Health Department. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated November 1, 2024, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: ALL SMILES CHILD CARE CENTER Facility ID: 64000146 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 51 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 342 Time In: 09:18 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance visit. S. Whitaker, administrator, was present and assisted with the visit. Currently, this center operates with a Four-Star License issued November 17, 2017, earning five (5) points in the Education Component, five (5) points in the Program Component and one (1) Quality point. The last sanitation inspection was completed November 14, 2024 earning a “Superior” rating. The last fire inspection was completed today January 8, 2025 and the facility was approved for daytime care only. Children were observed participating in group time, which included reading a book. Other groups engaged in free choice activity center play, teacher directed art and outdoor activities. All observed interactions were nurturing in nature. The following violations of child care requirements were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The required fire inspection was not completed within twelve (12) months of the previous one. 10A NCAC 09 .0304(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. There is no documentation that parents received the center’s operational policies on or before enrollment for the child enrolled 8/5/24. 10A NCAC 09 .0514(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The child enrolled 2/1/22 does not have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by January 22, 2025. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how you corrected the violations. Please be aware that any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 100% over an eighteen (18) month period. CHILDREN’S RECORDS I reviewed ten (10) percent of children’s records and two (2) violations were documented. There is no documentation that the parents of a child enrolled 8/5/24 reviewed or received the center’s operational policies. The child enrolled 2/1/22 does not have a medical report on file. There is a visit summary dated 3/30/22 from the child’s pediatrician on file but it does not include all the required information noted on the children’s medical report form. Both children are noted on the children’s record check form, of which a copy was left with you. STAFF RECORDS I reviewed ten (10) percent, or more, of staff records and no violations were documented. ANNUAL INSPECTIONS Due to the last fire inspection being completed on January 2, 2024, a violation was documented related to this inspection not being conducted within twelve (12) months of the previous one. The required fire inspection was completed today during the visit. TECHNICAL ASSISTANCE & REMINDERS Technical assistance discussed regarding monitoring the metal equipment on the playground and play structures for peeling or chipping paint. Child Care Rules require that all equipment be in good condition. Therefore, once signs of peeling/chipping begin the item should either be re-painted or removed until it can be repaired or disposed of. Continue to ensure that all outlets are covered to prevent access by children. If tape is used to cover the outlets, I recommend replacing with an outlet cover as paint is easily peeled and deteriorates. This could result in children accessing the outlets and risk of injury should they use it inappropriately. We discussed reviewing items in the classrooms used for infant and toddler care to ensure there is a variety and sufficient amounts of materials for the children to use and engage with, including books. The Clean Water for Carolina Kids program expanded to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. After reviewing the website, I noted that this program has completed the lead water testing in May 2024 and is not due again until May 2027. The program has also completed the lead paint and asbestos requirement. Remediation is required related to chipping paint in space #6. You noted that you are in the process of remediating this area and in contact with the Environmental Health Department. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated November 1, 2024, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: ALL SMILES CHILD CARE CENTER Facility ID: 64000146 Consultant: FELICIA FAISON Operation Type: Center Case Number: Visit Date: 1/8/2025 Number Present: 51 Completed Date: 1/8/2025 Age: From 0 To 5 Total Minutes: 342 Time In: 09:18 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit today was to monitor compliance with child care requirements applicable to an Annual Compliance visit. S. Whitaker, administrator, was present and assisted with the visit. Currently, this center operates with a Four-Star License issued November 17, 2017, earning five (5) points in the Education Component, five (5) points in the Program Component and one (1) Quality point. The last sanitation inspection was completed November 14, 2024 earning a “Superior” rating. The last fire inspection was completed today January 8, 2025 and the facility was approved for daytime care only. Children were observed participating in group time, which included reading a book. Other groups engaged in free choice activity center play, teacher directed art and outdoor activities. All observed interactions were nurturing in nature. The following violations of child care requirements were documented. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The required fire inspection was not completed within twelve (12) months of the previous one. 10A NCAC 09 .0304(a) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. There is no documentation that parents received the center’s operational policies on or before enrollment for the child enrolled 8/5/24. 10A NCAC 09 .0514(b) 1320 Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. The child enrolled 2/1/22 does not have a medical report on file. GS 110-91(1);.0302(d)(2); .0304(g) The violations documented above must be corrected immediately. A signed and dated letter of compliance can be mailed or emailed to me and must be received by January 22, 2025. If mailing, you must submit two (2) signed and dated copies. My mailing and email addresses are noted at the bottom. The letter of compliance must detail how you corrected the violations. Please be aware that any written information you submit regarding the correction of the violation is legal documentation. Therefore, it is important that all submitted information is accurate and truthful. If it is determined that submitted information was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. COMPLIANCE HISTORY Prior to today’s visit your compliance history was 100% over an eighteen (18) month period. CHILDREN’S RECORDS I reviewed ten (10) percent of children’s records and two (2) violations were documented. There is no documentation that the parents of a child enrolled 8/5/24 reviewed or received the center’s operational policies. The child enrolled 2/1/22 does not have a medical report on file. There is a visit summary dated 3/30/22 from the child’s pediatrician on file but it does not include all the required information noted on the children’s medical report form. Both children are noted on the children’s record check form, of which a copy was left with you. STAFF RECORDS I reviewed ten (10) percent, or more, of staff records and no violations were documented. ANNUAL INSPECTIONS Due to the last fire inspection being completed on January 2, 2024, a violation was documented related to this inspection not being conducted within twelve (12) months of the previous one. The required fire inspection was completed today during the visit. TECHNICAL ASSISTANCE & REMINDERS Technical assistance discussed regarding monitoring the metal equipment on the playground and play structures for peeling or chipping paint. Child Care Rules require that all equipment be in good condition. Therefore, once signs of peeling/chipping begin the item should either be re-painted or removed until it can be repaired or disposed of. Continue to ensure that all outlets are covered to prevent access by children. If tape is used to cover the outlets, I recommend replacing with an outlet cover as paint is easily peeled and deteriorates. This could result in children accessing the outlets and risk of injury should they use it inappropriately. We discussed reviewing items in the classrooms used for infant and toddler care to ensure there is a variety and sufficient amounts of materials for the children to use and engage with, including books. The Clean Water for Carolina Kids program expanded to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. After reviewing the website, I noted that this program has completed the lead water testing in May 2024 and is not due again until May 2027. The program has also completed the lead paint and asbestos requirement. Remediation is required related to chipping paint in space #6. You noted that you are in the process of remediating this area and in contact with the Environmental Health Department. Child care licensing requirements are established to ensure a safe and healthy child care environment. It is your responsibility to maintain compliance with all applicable laws and rules. The best way to do so is to periodically review the child care laws and rules. The current rule book dated November 1, 2024, is available at the DCDEE website https://ncchildcare.ncdhhs.gov/. I recommend you frequently click the “What’s New” tab to stay informed of all updates on the DCDEE website. Please feel free to contact me at (984) 867-7089 or email at Felicia.faison@dhhs.nc.gov for questions and assistance. If needed my mailing address is PO Box 61161, Raleigh NC 27661. You may also contact Susan Fuller, Licensing Supervisor at (252) 373-9809. 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