Amazing Grace Childcare

10A NCAC 09.1701 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 1/16/2026 Number Present: 2 Completed Date: 1/16/2026 Age: From 3 To 4 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for a routine unannounced visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. You, N. Burgess, Operator, were not present upon my arrival; however, you did arrive shortly after the visit began. The children were left in the care of M. Parker, substitute. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. Two (2) children were present from ages three (3) to four (4) years old. The children were observed eating the following for lunch: hot dogs, apple slices, French fries, bread, and milk. The children participated in free-play in centers, transitions, personal care routines, and rest time. The last annual compliance visit was conducted on May 5, 2025. HOME OCCUPATION PERMIT: Your home occupancy permit was dated September 9, 2025- September 10, 2026. HOUSEHOLD MEMEBERS: The following people live with you in the home: M. Parker, your mother, has a valid qualifying letter that expires on April 25, 2027, and E. Williams, your son, has a valid qualifying letter that expires on October 12, 2027. If there are changes in your household, please contact me and if anyone moves into your residence, please ensure they complete the CBC process and have a valid qualification letter on file prior to moving in. The center’s compliance history was reviewed with the operator. The program’s compliance history was 98% percent as of January 30, 2025. The violations documented today may affect your current compliance history score. The following were monitored: Supervision, Capacity, First Aid, CPR, ITS SIDS, CBC Qualification, General Health, Storage of Hazardous Substances, Administration of Medication, General Safety, General License Requirements, License Posted, Fire Safety, Program Records, and Sanitation. The following violations were documented today: Violation Number Comment Rule 411 Individuals who provide care for less than 5 hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. M. Parker did not have the required documentation to meet the requirements in this rule and was providing care to children during the visit. 10A NCAC 09.1701(c) 728 Well-water analysis shall remain on file at the family child care home as long as the license remains valid. The well-water analysis on file for review expired on June 29, 2025. .1721(f)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. N. Burgess had an ITS SIDS certificate on file; however, the certificate expired on September 1, 2025. .1703(a)(4) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The FCCH operator has not created the ABCMS portal and has not connected herself and household members to the ABCMS roster. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 30, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, and stated your phone number has changed and requested it be updated in our system, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. TECHNICAL ASSISTANCE/CONSULTATION: CARGIVER REQUIREMENTS (SUBSTITUTE): MS. Parker, substitute, did not have the requirements needed to provide care as a substitute care-giver. We reviewed child care rule 1729 (a)(b). If you are going to use Ms. Parker as a substitute for less than five hours a week she must meet all the requirements in child rule 1729 (b). WELL WATER ANALYSIS: The well-water analysis you had on file was dated June 29, 2023 and expired on June 29, 2025. A well-water analysis needs to be completed every two (2) years. Maintain the results of the water analysis on file for review. ITS SIDS: N. Burgess had an ITS SIDS certificate on file; however, the certificate expired on September 1, 2025. You stated you have taken the training, but you could not locate the new certificate. Please remember ITS SIDS training must be completed every three (3) years, and the certificate must be kept on file. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: You have not completed the ABCMS portal and created your roster. I have emailed you the instructions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. QRIS CONVERSATION TEMPLATE: We reviewed section 3200-Standards for Two through Five Star License. We reviewed the requirements for you to transition using Pathway Two, which is the Classroom and Instructional Quality Pathway. We reviewed each required form for Pathway Two. We reviewed the DCDEE Modernization Page, NCRLAP website, approved curriculum list. You are also going to review the Moodle training on DCDEE website to help you understand the new rule changes in section 3200. You are going to be working on collecting your documentation for Family and Community Engagement and working using an approved formative assessment and approved curriculum. You would like to transition to your new license in July 2026 REMINDERS: CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website, you have completed enrollment for the lead water test. You have completed all requirements for the lead paint and asbestos testing. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 1/16/2026 Number Present: 2 Completed Date: 1/16/2026 Age: From 3 To 4 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for a routine unannounced visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. You, N. Burgess, Operator, were not present upon my arrival; however, you did arrive shortly after the visit began. The children were left in the care of M. Parker, substitute. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. Two (2) children were present from ages three (3) to four (4) years old. The children were observed eating the following for lunch: hot dogs, apple slices, French fries, bread, and milk. The children participated in free-play in centers, transitions, personal care routines, and rest time. The last annual compliance visit was conducted on May 5, 2025. HOME OCCUPATION PERMIT: Your home occupancy permit was dated September 9, 2025- September 10, 2026. HOUSEHOLD MEMEBERS: The following people live with you in the home: M. Parker, your mother, has a valid qualifying letter that expires on April 25, 2027, and E. Williams, your son, has a valid qualifying letter that expires on October 12, 2027. If there are changes in your household, please contact me and if anyone moves into your residence, please ensure they complete the CBC process and have a valid qualification letter on file prior to moving in. The center’s compliance history was reviewed with the operator. The program’s compliance history was 98% percent as of January 30, 2025. The violations documented today may affect your current compliance history score. The following were monitored: Supervision, Capacity, First Aid, CPR, ITS SIDS, CBC Qualification, General Health, Storage of Hazardous Substances, Administration of Medication, General Safety, General License Requirements, License Posted, Fire Safety, Program Records, and Sanitation. The following violations were documented today: Violation Number Comment Rule 411 Individuals who provide care for less than 5 hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. M. Parker did not have the required documentation to meet the requirements in this rule and was providing care to children during the visit. 10A NCAC 09.1701(c) 728 Well-water analysis shall remain on file at the family child care home as long as the license remains valid. The well-water analysis on file for review expired on June 29, 2025. .1721(f)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. N. Burgess had an ITS SIDS certificate on file; however, the certificate expired on September 1, 2025. .1703(a)(4) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The FCCH operator has not created the ABCMS portal and has not connected herself and household members to the ABCMS roster. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 30, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, and stated your phone number has changed and requested it be updated in our system, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. TECHNICAL ASSISTANCE/CONSULTATION: CARGIVER REQUIREMENTS (SUBSTITUTE): MS. Parker, substitute, did not have the requirements needed to provide care as a substitute care-giver. We reviewed child care rule 1729 (a)(b). If you are going to use Ms. Parker as a substitute for less than five hours a week she must meet all the requirements in child rule 1729 (b). WELL WATER ANALYSIS: The well-water analysis you had on file was dated June 29, 2023 and expired on June 29, 2025. A well-water analysis needs to be completed every two (2) years. Maintain the results of the water analysis on file for review. ITS SIDS: N. Burgess had an ITS SIDS certificate on file; however, the certificate expired on September 1, 2025. You stated you have taken the training, but you could not locate the new certificate. Please remember ITS SIDS training must be completed every three (3) years, and the certificate must be kept on file. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: You have not completed the ABCMS portal and created your roster. I have emailed you the instructions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. QRIS CONVERSATION TEMPLATE: We reviewed section 3200-Standards for Two through Five Star License. We reviewed the requirements for you to transition using Pathway Two, which is the Classroom and Instructional Quality Pathway. We reviewed each required form for Pathway Two. We reviewed the DCDEE Modernization Page, NCRLAP website, approved curriculum list. You are also going to review the Moodle training on DCDEE website to help you understand the new rule changes in section 3200. You are going to be working on collecting your documentation for Family and Community Engagement and working using an approved formative assessment and approved curriculum. You would like to transition to your new license in July 2026 REMINDERS: CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website, you have completed enrollment for the lead water test. You have completed all requirements for the lead paint and asbestos testing. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 1/16/2026 Number Present: 2 Completed Date: 1/16/2026 Age: From 3 To 4 Total Minutes: 155 Time In: 11:10 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for a routine unannounced visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. You, N. Burgess, Operator, were not present upon my arrival; however, you did arrive shortly after the visit began. The children were left in the care of M. Parker, substitute. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. Two (2) children were present from ages three (3) to four (4) years old. The children were observed eating the following for lunch: hot dogs, apple slices, French fries, bread, and milk. The children participated in free-play in centers, transitions, personal care routines, and rest time. The last annual compliance visit was conducted on May 5, 2025. HOME OCCUPATION PERMIT: Your home occupancy permit was dated September 9, 2025- September 10, 2026. HOUSEHOLD MEMEBERS: The following people live with you in the home: M. Parker, your mother, has a valid qualifying letter that expires on April 25, 2027, and E. Williams, your son, has a valid qualifying letter that expires on October 12, 2027. If there are changes in your household, please contact me and if anyone moves into your residence, please ensure they complete the CBC process and have a valid qualification letter on file prior to moving in. The center’s compliance history was reviewed with the operator. The program’s compliance history was 98% percent as of January 30, 2025. The violations documented today may affect your current compliance history score. The following were monitored: Supervision, Capacity, First Aid, CPR, ITS SIDS, CBC Qualification, General Health, Storage of Hazardous Substances, Administration of Medication, General Safety, General License Requirements, License Posted, Fire Safety, Program Records, and Sanitation. The following violations were documented today: Violation Number Comment Rule 411 Individuals who provide care for less than 5 hours in a week, during planned absences of the family child care home operator, did not meet the requirements as specified in rule. M. Parker did not have the required documentation to meet the requirements in this rule and was providing care to children during the visit. 10A NCAC 09.1701(c) 728 Well-water analysis shall remain on file at the family child care home as long as the license remains valid. The well-water analysis on file for review expired on June 29, 2025. .1721(f)(5) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. N. Burgess had an ITS SIDS certificate on file; however, the certificate expired on September 1, 2025. .1703(a)(4) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The FCCH operator has not created the ABCMS portal and has not connected herself and household members to the ABCMS roster. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 30, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, and stated your phone number has changed and requested it be updated in our system, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. TECHNICAL ASSISTANCE/CONSULTATION: CARGIVER REQUIREMENTS (SUBSTITUTE): MS. Parker, substitute, did not have the requirements needed to provide care as a substitute care-giver. We reviewed child care rule 1729 (a)(b). If you are going to use Ms. Parker as a substitute for less than five hours a week she must meet all the requirements in child rule 1729 (b). WELL WATER ANALYSIS: The well-water analysis you had on file was dated June 29, 2023 and expired on June 29, 2025. A well-water analysis needs to be completed every two (2) years. Maintain the results of the water analysis on file for review. ITS SIDS: N. Burgess had an ITS SIDS certificate on file; however, the certificate expired on September 1, 2025. You stated you have taken the training, but you could not locate the new certificate. Please remember ITS SIDS training must be completed every three (3) years, and the certificate must be kept on file. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: You have not completed the ABCMS portal and created your roster. I have emailed you the instructions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. QRIS CONVERSATION TEMPLATE: We reviewed section 3200-Standards for Two through Five Star License. We reviewed the requirements for you to transition using Pathway Two, which is the Classroom and Instructional Quality Pathway. We reviewed each required form for Pathway Two. We reviewed the DCDEE Modernization Page, NCRLAP website, approved curriculum list. You are also going to review the Moodle training on DCDEE website to help you understand the new rule changes in section 3200. You are going to be working on collecting your documentation for Family and Community Engagement and working using an approved formative assessment and approved curriculum. You would like to transition to your new license in July 2026 REMINDERS: CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website, you have completed enrollment for the lead water test. You have completed all requirements for the lead paint and asbestos testing. WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 5/6/2025 Number Present: 4 Completed Date: 5/6/2025 Age: From 2 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM 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 this facility for compliance with applicable child care requirements for an unannounced annual compliance visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. You, N. Burgess, Operator was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. Four (4) children from age two-years-old to five-years-old were present. The children were observed engaging in free play with developmentally appropriate materials, engaging in gross-motor play in the outdoor learning environment. You were interacting with the children in a nurturing and caring manner. The children at the following for lunch: backed chicken, collard greens, apple sauce, bread, and milk. The last annual compliance visit was conducted on June 13, 2024. HOME OCCUPATION PERMIT: Your home occupancy permit was dated September 9, 2024- September 10, 2025. WELL WATER ANALYSIS: Ensure you complete another well water test by June 29, 2025. A well water analysis is due every two years. Maintain the results of the water test on file for review. TRANSPORTATION: All requirement for providing transportation were in compliance. HOUSEHOLD MEMEBERS: The following people live with you in the home: M. Parker, your mother, has a valid qualifying letter that expires on April 25, 2027, and E. Williams, your son, has a valid qualifying letter that expires on October 12, 2027. If there are changes in your household, please contact me and if anyone moves into your residence, please ensure they complete the CBC process and have a valid qualification letter on file prior to moving in. The center’s compliance history was reviewed with the operator. The program’s compliance history was 98% as of May 5, 2025. The violations documented today may affect your current compliance history score. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. There was not an emergency care plan available for review. .1713 1931 Telephone numbers for the fire department, law enforcement office, emergency medical service, and poison control were not posted in a location visible in the home. There were no emergency numbers posted and available for review. .1719(a )(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before May 20, 2025. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. TECHNICAL ASSISTANCE/REMINDERS: STAFF AND CHILDREN RECORD REQUIREMENTS: I reviewed your files and completed the Verification of Required Information for Operator and Additional Caregivers form and FCCH and Center Located in a Residence form. Children’s files were monitored during today’s visit. Your program records, children’s files, operator files, were well organized. EMERGENCY MEDICAL CARE (EMC) PLAN: There was not an EMC plan available for review. We discussed making sure to print a copy from the Division of Child Development and Early Education (DCDEE) website, https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH under the Provider Form Tab. During the visit you found your EMC and posted it on your information board in the caregiving space. This was corrected during the visit. EMERGENCY TELEPHONE NUMBERS: There were no emergency phone numbers posted in the caregiving space to refer to in case of an emergency. We discussed posting numbers such as police department, fire department, and the poison control number in case of an emergency. You can go to the DCDEE website, https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms#FCCH under the Provider Tab to print a form to use. ABCMS-CRIMINAL BACKGROUND CHECK: You have completed the ABCMS-Criminal Background Check (CBC) Moodle training. Please continue the process by connecting yours and any household members CBC letters to your ABCMS portal. I have emailed you the connection application instructions to you. If you have trouble please contact the following for assistance: 919.754.6000. REMINDERS: PROGRAM ASSESSMENT (ERS-3) UPDATE: Starting February 1, 2025, as part of QRIS Modernization, Session Law 2024-34 states that beginning on February 1, 2025, new child care facilities and child care facilities that choose to use program assessment to earn points toward their Two through Five Star Rated License shall be evaluated using the following, as applicable: • Infant/Toddler Environment Rating Scale, Third Edition (ITERS-3) • Early Childhood Environment Rating Scale, Third Edition (ECERS-3) • Family Child Care Environment Rating Scale, Third Edition (FCCERS-3) • School-Age Care Environment Rating Scale, Updated Edition (SACERS-U) The North Carolina Rated License Assessment Project (NCRLAP) has prepared many resources and trainings for child care facilities to use in planning for the new editions of the Environment Rating Scale. The NC Division of Child Development and Early Education is implementing the use of lower threshold scores to assist child care facilities in their shift to the new edition, matching the NC Child Care Commission’s on-going work regarding proposed QRIS rules. This intentional, collaborative planning will ensure a smooth transition regarding program assessment requirements. Hold Harmless remains effective until all new QRIS rules are effective. New child care facilities and child care facilities that choose to move forward with ERS-3 program assessment should work with their consultant to learn more about the changes and revised scores needed to earn points toward their Two through Five Star Rated License. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. According to the Clean Water for US Kids website, you last tested your water on February 6, 2025. You have also completed the lead paint testing and asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1720 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 3/18/2024 Number Present: 3 Completed Date: 3/18/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 11:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for a routine unannounced visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. N. Burgess, Operator, was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. Three (3) children were present. The children were observed engaging in free-play with developmentally appropriate materials, art activities, and napping. You were interacting with the children in a nurturing and caring manner. The children ate the following for lunch: chicken nuggets, french fries, bananas, and milk. The last annual compliance visit was conducted on July 7, 2023. HOME OCCUPATION PERMIT: Your home occupancy permit was dated for September 11, 2023-September 11, 2024. Th compliance history was reviewed with the operator. The program’s compliance history was 93% percent as of March 17, 2024. The violations documented today may affect your current compliance history score. The following were monitored: Supervision, Capacity, First Aid, CPR, ITS SIDS, CBC Qualification, General Health, Storage of Hazardous Substances, Administration of Medication, General Safety, General License Requirements, License Posted, Fire Safety, Program Records, and Sanitation. The following violation were documented today: Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). The permission to administer medication was signed on March 17, 2023, and needed to be resigned on or prior to September 17, 2023. 10A NCAC 09 .1720(b)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. HOUSEHOLD MEMEBERS: The following people live with you in the home: M. Parker, your mother, has a valid qualifying letter that expires on April 25, 2027, and E. Williams, your son, has a valid qualifying letter that expires on October 12, 2027. TECHNICAL ASSISTANCE/CONSULTATION: MEDICATION: You have a child who uses an epi pen. The epi pen will expire in April 2024, please remember the epi pen will need to be replaced with an epi pen that has not expired. The Permission to administer medication was signed on March 17, 2023, and needed to be resigned on or prior to September 17, 2023. Permission to administer emergency medication needs to be updated and signed every six (6) months. Please have the parent fill out a new permission to administer medication and file the permission form in the child’s folder. You may want to put an alarm on your phone reminding you to renew the permission to administer medication form every six (6) months. CPR/FIRST AID: Ensure you renew your CPR and First Aid certification on or before March 27, 2025. Once completed, maintain a copy of your CPR and First Aid card on file for review. Ensure the training is completed by an agency that is approved by DCDEE, Division of Child Development and Early Education. WELL WATER ANALYSIS: Ensure you complete another well water test by June 29, 2025. A well water analysis is due every two years. Maintain the results of the water test on file for review. ON-GOING TRAINING HOURS: On-going training hours were not monitored today but will be monitored during the annual compliance visit. Maintain certificates on file for review and complete the On-going training log reflecting what training was completed. You are required to complete at least 8 hours of on-going training each year. TRANSPORTATION: You stated you wanted to start providing transportation. We discussed the following rule requirements: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (1-15) and I printed you a copy of the rule. We also discussed making sure that all children you will be providing transportation for have permission to provide transportation forms on file, their enrollment application and each form has a picture of the child attached to it. The vehicle you will be using to provide transportation is a 2012 Chrysler Town and Country. You currently have a valid NC driver’s license which will expire on November 28, 2024, your car insurance will expire in June 2024, and your NC vehicle registration will expire in January 2025. You had a first aid kit in the vehicle, and all seatbelts were in working order. The tire tread was more than 2/32 of an inch. You will need to put a fire extinguisher in the vehicle; once you have a fire extinguisher and permission to provide transportation forms for each child on file, you may begin to provide transportation. RESOURCES: COHORT THREE (3): Please be aware that your facility is in Cohort three (3) for resuming the NC Start Rated License. Your preparation year will be July 1, 2025, through June 30, 2026. Your year will be July 1, 2026, through June 30, 2027. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). We discussed you contacting The Down East Partnership for Children at 252-985-4300 to request help for you to prepare for the ERS assessment. THREE (3) MONTH SELF-STUDY: We discussed you completing your three (3) month self-study and we reviewed the following items and they were left with you during the visit: What is the Self-Study Process and Why is it Part of the NC Star Rated License for FCCH, The Self-Study Process for NC’s Family Child Care Homes-Key Points, and the Self-Study Process for NC’s Family Child Care Homes-Self-study Planning Form. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a family child care home provided. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. The Clean Water for Carolina Kids program is expanding 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. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities and FCCH’s are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. Child care rule 10A NCAC 09 .1725(a) for FCCH’s - to assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. This rule became effective January 1, 2024; therefore, water samples must be collected by the operator and tested within 12 months of the effective date of this rule. This means that lead in water testing must be completed by January 1, 2025. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1723 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 3/18/2024 Number Present: 3 Completed Date: 3/18/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 11:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for a routine unannounced visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. N. Burgess, Operator, was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. Three (3) children were present. The children were observed engaging in free-play with developmentally appropriate materials, art activities, and napping. You were interacting with the children in a nurturing and caring manner. The children ate the following for lunch: chicken nuggets, french fries, bananas, and milk. The last annual compliance visit was conducted on July 7, 2023. HOME OCCUPATION PERMIT: Your home occupancy permit was dated for September 11, 2023-September 11, 2024. Th compliance history was reviewed with the operator. The program’s compliance history was 93% percent as of March 17, 2024. The violations documented today may affect your current compliance history score. The following were monitored: Supervision, Capacity, First Aid, CPR, ITS SIDS, CBC Qualification, General Health, Storage of Hazardous Substances, Administration of Medication, General Safety, General License Requirements, License Posted, Fire Safety, Program Records, and Sanitation. The following violation were documented today: Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). The permission to administer medication was signed on March 17, 2023, and needed to be resigned on or prior to September 17, 2023. 10A NCAC 09 .1720(b)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. HOUSEHOLD MEMEBERS: The following people live with you in the home: M. Parker, your mother, has a valid qualifying letter that expires on April 25, 2027, and E. Williams, your son, has a valid qualifying letter that expires on October 12, 2027. TECHNICAL ASSISTANCE/CONSULTATION: MEDICATION: You have a child who uses an epi pen. The epi pen will expire in April 2024, please remember the epi pen will need to be replaced with an epi pen that has not expired. The Permission to administer medication was signed on March 17, 2023, and needed to be resigned on or prior to September 17, 2023. Permission to administer emergency medication needs to be updated and signed every six (6) months. Please have the parent fill out a new permission to administer medication and file the permission form in the child’s folder. You may want to put an alarm on your phone reminding you to renew the permission to administer medication form every six (6) months. CPR/FIRST AID: Ensure you renew your CPR and First Aid certification on or before March 27, 2025. Once completed, maintain a copy of your CPR and First Aid card on file for review. Ensure the training is completed by an agency that is approved by DCDEE, Division of Child Development and Early Education. WELL WATER ANALYSIS: Ensure you complete another well water test by June 29, 2025. A well water analysis is due every two years. Maintain the results of the water test on file for review. ON-GOING TRAINING HOURS: On-going training hours were not monitored today but will be monitored during the annual compliance visit. Maintain certificates on file for review and complete the On-going training log reflecting what training was completed. You are required to complete at least 8 hours of on-going training each year. TRANSPORTATION: You stated you wanted to start providing transportation. We discussed the following rule requirements: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (1-15) and I printed you a copy of the rule. We also discussed making sure that all children you will be providing transportation for have permission to provide transportation forms on file, their enrollment application and each form has a picture of the child attached to it. The vehicle you will be using to provide transportation is a 2012 Chrysler Town and Country. You currently have a valid NC driver’s license which will expire on November 28, 2024, your car insurance will expire in June 2024, and your NC vehicle registration will expire in January 2025. You had a first aid kit in the vehicle, and all seatbelts were in working order. The tire tread was more than 2/32 of an inch. You will need to put a fire extinguisher in the vehicle; once you have a fire extinguisher and permission to provide transportation forms for each child on file, you may begin to provide transportation. RESOURCES: COHORT THREE (3): Please be aware that your facility is in Cohort three (3) for resuming the NC Start Rated License. Your preparation year will be July 1, 2025, through June 30, 2026. Your year will be July 1, 2026, through June 30, 2027. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). We discussed you contacting The Down East Partnership for Children at 252-985-4300 to request help for you to prepare for the ERS assessment. THREE (3) MONTH SELF-STUDY: We discussed you completing your three (3) month self-study and we reviewed the following items and they were left with you during the visit: What is the Self-Study Process and Why is it Part of the NC Star Rated License for FCCH, The Self-Study Process for NC’s Family Child Care Homes-Key Points, and the Self-Study Process for NC’s Family Child Care Homes-Self-study Planning Form. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a family child care home provided. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. The Clean Water for Carolina Kids program is expanding 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. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities and FCCH’s are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. Child care rule 10A NCAC 09 .1725(a) for FCCH’s - to assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. This rule became effective January 1, 2024; therefore, water samples must be collected by the operator and tested within 12 months of the effective date of this rule. This means that lead in water testing must be completed by January 1, 2025. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1725 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 3/18/2024 Number Present: 3 Completed Date: 3/18/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 11:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for a routine unannounced visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. N. Burgess, Operator, was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. Three (3) children were present. The children were observed engaging in free-play with developmentally appropriate materials, art activities, and napping. You were interacting with the children in a nurturing and caring manner. The children ate the following for lunch: chicken nuggets, french fries, bananas, and milk. The last annual compliance visit was conducted on July 7, 2023. HOME OCCUPATION PERMIT: Your home occupancy permit was dated for September 11, 2023-September 11, 2024. Th compliance history was reviewed with the operator. The program’s compliance history was 93% percent as of March 17, 2024. The violations documented today may affect your current compliance history score. The following were monitored: Supervision, Capacity, First Aid, CPR, ITS SIDS, CBC Qualification, General Health, Storage of Hazardous Substances, Administration of Medication, General Safety, General License Requirements, License Posted, Fire Safety, Program Records, and Sanitation. The following violation were documented today: Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). The permission to administer medication was signed on March 17, 2023, and needed to be resigned on or prior to September 17, 2023. 10A NCAC 09 .1720(b)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. HOUSEHOLD MEMEBERS: The following people live with you in the home: M. Parker, your mother, has a valid qualifying letter that expires on April 25, 2027, and E. Williams, your son, has a valid qualifying letter that expires on October 12, 2027. TECHNICAL ASSISTANCE/CONSULTATION: MEDICATION: You have a child who uses an epi pen. The epi pen will expire in April 2024, please remember the epi pen will need to be replaced with an epi pen that has not expired. The Permission to administer medication was signed on March 17, 2023, and needed to be resigned on or prior to September 17, 2023. Permission to administer emergency medication needs to be updated and signed every six (6) months. Please have the parent fill out a new permission to administer medication and file the permission form in the child’s folder. You may want to put an alarm on your phone reminding you to renew the permission to administer medication form every six (6) months. CPR/FIRST AID: Ensure you renew your CPR and First Aid certification on or before March 27, 2025. Once completed, maintain a copy of your CPR and First Aid card on file for review. Ensure the training is completed by an agency that is approved by DCDEE, Division of Child Development and Early Education. WELL WATER ANALYSIS: Ensure you complete another well water test by June 29, 2025. A well water analysis is due every two years. Maintain the results of the water test on file for review. ON-GOING TRAINING HOURS: On-going training hours were not monitored today but will be monitored during the annual compliance visit. Maintain certificates on file for review and complete the On-going training log reflecting what training was completed. You are required to complete at least 8 hours of on-going training each year. TRANSPORTATION: You stated you wanted to start providing transportation. We discussed the following rule requirements: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (1-15) and I printed you a copy of the rule. We also discussed making sure that all children you will be providing transportation for have permission to provide transportation forms on file, their enrollment application and each form has a picture of the child attached to it. The vehicle you will be using to provide transportation is a 2012 Chrysler Town and Country. You currently have a valid NC driver’s license which will expire on November 28, 2024, your car insurance will expire in June 2024, and your NC vehicle registration will expire in January 2025. You had a first aid kit in the vehicle, and all seatbelts were in working order. The tire tread was more than 2/32 of an inch. You will need to put a fire extinguisher in the vehicle; once you have a fire extinguisher and permission to provide transportation forms for each child on file, you may begin to provide transportation. RESOURCES: COHORT THREE (3): Please be aware that your facility is in Cohort three (3) for resuming the NC Start Rated License. Your preparation year will be July 1, 2025, through June 30, 2026. Your year will be July 1, 2026, through June 30, 2027. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). We discussed you contacting The Down East Partnership for Children at 252-985-4300 to request help for you to prepare for the ERS assessment. THREE (3) MONTH SELF-STUDY: We discussed you completing your three (3) month self-study and we reviewed the following items and they were left with you during the visit: What is the Self-Study Process and Why is it Part of the NC Star Rated License for FCCH, The Self-Study Process for NC’s Family Child Care Homes-Key Points, and the Self-Study Process for NC’s Family Child Care Homes-Self-study Planning Form. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a family child care home provided. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. The Clean Water for Carolina Kids program is expanding 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. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities and FCCH’s are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. Child care rule 10A NCAC 09 .1725(a) for FCCH’s - to assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. This rule became effective January 1, 2024; therefore, water samples must be collected by the operator and tested within 12 months of the effective date of this rule. This means that lead in water testing must be completed by January 1, 2025. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 3/18/2024 Number Present: 3 Completed Date: 3/18/2024 Age: From 1 To 4 Total Minutes: 130 Time In: 11:00 AM Time Out: 01:10 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements for a routine unannounced visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. N. Burgess, Operator, was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. Three (3) children were present. The children were observed engaging in free-play with developmentally appropriate materials, art activities, and napping. You were interacting with the children in a nurturing and caring manner. The children ate the following for lunch: chicken nuggets, french fries, bananas, and milk. The last annual compliance visit was conducted on July 7, 2023. HOME OCCUPATION PERMIT: Your home occupancy permit was dated for September 11, 2023-September 11, 2024. Th compliance history was reviewed with the operator. The program’s compliance history was 93% percent as of March 17, 2024. The violations documented today may affect your current compliance history score. The following were monitored: Supervision, Capacity, First Aid, CPR, ITS SIDS, CBC Qualification, General Health, Storage of Hazardous Substances, Administration of Medication, General Safety, General License Requirements, License Posted, Fire Safety, Program Records, and Sanitation. The following violation were documented today: Violation Number Comment Rule 1406 Authorization for up to 6 months to administer prescription or over-the-counter medication, when needed, for chronic medical conditions and for allergic reactions was not in writing and did not contain information required by rule 10 NCAC 09 .1720(c)(6)(A-I). The permission to administer medication was signed on March 17, 2023, and needed to be resigned on or prior to September 17, 2023. 10A NCAC 09 .1720(b)(4) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 1, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. HOUSEHOLD MEMEBERS: The following people live with you in the home: M. Parker, your mother, has a valid qualifying letter that expires on April 25, 2027, and E. Williams, your son, has a valid qualifying letter that expires on October 12, 2027. TECHNICAL ASSISTANCE/CONSULTATION: MEDICATION: You have a child who uses an epi pen. The epi pen will expire in April 2024, please remember the epi pen will need to be replaced with an epi pen that has not expired. The Permission to administer medication was signed on March 17, 2023, and needed to be resigned on or prior to September 17, 2023. Permission to administer emergency medication needs to be updated and signed every six (6) months. Please have the parent fill out a new permission to administer medication and file the permission form in the child’s folder. You may want to put an alarm on your phone reminding you to renew the permission to administer medication form every six (6) months. CPR/FIRST AID: Ensure you renew your CPR and First Aid certification on or before March 27, 2025. Once completed, maintain a copy of your CPR and First Aid card on file for review. Ensure the training is completed by an agency that is approved by DCDEE, Division of Child Development and Early Education. WELL WATER ANALYSIS: Ensure you complete another well water test by June 29, 2025. A well water analysis is due every two years. Maintain the results of the water test on file for review. ON-GOING TRAINING HOURS: On-going training hours were not monitored today but will be monitored during the annual compliance visit. Maintain certificates on file for review and complete the On-going training log reflecting what training was completed. You are required to complete at least 8 hours of on-going training each year. TRANSPORTATION: You stated you wanted to start providing transportation. We discussed the following rule requirements: 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS (1-15) and I printed you a copy of the rule. We also discussed making sure that all children you will be providing transportation for have permission to provide transportation forms on file, their enrollment application and each form has a picture of the child attached to it. The vehicle you will be using to provide transportation is a 2012 Chrysler Town and Country. You currently have a valid NC driver’s license which will expire on November 28, 2024, your car insurance will expire in June 2024, and your NC vehicle registration will expire in January 2025. You had a first aid kit in the vehicle, and all seatbelts were in working order. The tire tread was more than 2/32 of an inch. You will need to put a fire extinguisher in the vehicle; once you have a fire extinguisher and permission to provide transportation forms for each child on file, you may begin to provide transportation. RESOURCES: COHORT THREE (3): Please be aware that your facility is in Cohort three (3) for resuming the NC Start Rated License. Your preparation year will be July 1, 2025, through June 30, 2026. Your year will be July 1, 2026, through June 30, 2027. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). We discussed you contacting The Down East Partnership for Children at 252-985-4300 to request help for you to prepare for the ERS assessment. THREE (3) MONTH SELF-STUDY: We discussed you completing your three (3) month self-study and we reviewed the following items and they were left with you during the visit: What is the Self-Study Process and Why is it Part of the NC Star Rated License for FCCH, The Self-Study Process for NC’s Family Child Care Homes-Key Points, and the Self-Study Process for NC’s Family Child Care Homes-Self-study Planning Form. CLEAN WATER FOR US KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a family child care home provided. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. The Clean Water for Carolina Kids program is expanding 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. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities and FCCH’s are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Family child care homes are required to test water for lead once. Child care rule 10A NCAC 09 .1725(a) for FCCH’s - to assure the health of children through proper sanitation, the family child care home operator shall: (2) collect and submit samples of water from each water outlet used for drinking or food preparation for lead analysis to the local health department or a laboratory certified to analyze for lead in drinking water by the North Carolina State Laboratory of Public Health. Results of the analysis shall be on file in the home. This rule became effective January 1, 2024; therefore, water samples must be collected by the operator and tested within 12 months of the effective date of this rule. This means that lead in water testing must be completed by January 1, 2025. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 1707 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 7/27/2023 Number Present: 3 Completed Date: 7/27/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 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 this facility for compliance with applicable child care requirements for an unannounced annual compliance visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. You, N. Burgess, Operator was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. The last annual compliance visit was conducted on August 31, 2022. The program’s compliance history was 92% percent as of July 26, 2023. Three (3) children from ages one (1) to three (3) years were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, singing during group time. Staff interacted with children in a positive and nurturing manner. You stated transportation is not provided. I used the Family Child Care Home Checklist and the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance for this facility. Any violations of the child care requirements observed today were discussed with you and documented on the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented. Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. There was not a fire extinguisher on the premises. 10A NCAC 09. 1707(4) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. There was file with the enrollment date of October 4, 2022, the health assessment was on file past the 30 days of enrollment. The health assessment was dated for for December 28, 2022. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The was not a receipt of the operational policies available for review for a child with the enrollment date of October 4, 2022. 10A NCAC 09. 1715(b) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. There was not a receipt of the shaken baby syndrome and abusive head trauma policy available for review, for a child with the enrollment date of October 4, 2022. .1726(b)&(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 10, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. CHILDREN RECORDS: All three (3) children’s records were reviewed today. The following items were not incompliance in one (1) child’s file with the enrollment date of October 4, 2022, there was a medical report with a date the of December 28, 2022. All medical reports must be on file within 30 days of enrollment. This file was also missing receipt of operational policies. The receipt of operational policies must be on file on the first day of enrollment. A receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file, this must be on file on the first day of the child’s enrollment. You may want to use the Children’s File Checklist for FCCH located on the Division of Child Development and Early Education (DCDEE) website https://ncchildcare.ncdhhs.gov/, under the Provider Tab, and click provider documents and forms. OPERATOR and PROGRAM RECORDS: Your file was well organized and incompliance. As a reminder your annual on-going training hours are due by August 31, 2023. You had .50 on-going training hours brought forward. You can contact Down East Partnership for Children at www.depc.org for their training calendar. Your program records were also found to be incompliance. BUILDING/HOME REQUIREMENTS (FIRE EXTINGUSIHER): You did not have your fire extinguisher on the premises today, you stated the fire extinguisher was receiving maintenance and would be returned today. At least one 5lbs. 2A:10B:C type of fire extinguisher must be readily accessible for every 2500 square feet of floor space in the home. You may want to consider having a backup fire extinguisher available. HOME OCCUPATION PERMIT: Your home occupancy permit will be due to be renewed prior to September 12, 2023. WELL WATER ANALYSIS: Your well water analysis report was negative on June 29, 2023. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): Your EPR plan will be due to be reviewed and updated (if necessary) on or before August 12, 2023, in the NC Risk Management Portal at https://rmp.nc.gov/portal/ . If changes are made, please print off a new plan and if changes are not made, you may print of the Plan Completion and Maintenance page, which shows the date the plan was reviewed. EMERGENCY MEDICAL CARE PLAN (EMC): Your EMC plan will need to be reviewed on or before December 12, 2023. COHORT THREE (3): You had questions about what cohort you were in for the Star Rated License Renewal. We discussed the following items since your family child care home is in cohort three (3). Updating DCDEE WORKS with any additional education you may have completed. We also discussed you completing the three (3) month self-study during your preparation year. You expressed you did not want to go through the environment rating scale. If you change your mind, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You may also contact Down East Partnership for Children for technical assistance in preparing for the environment rating scales. RESOURCES: WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed trainings. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 1715 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 7/27/2023 Number Present: 3 Completed Date: 7/27/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 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 this facility for compliance with applicable child care requirements for an unannounced annual compliance visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. You, N. Burgess, Operator was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. The last annual compliance visit was conducted on August 31, 2022. The program’s compliance history was 92% percent as of July 26, 2023. Three (3) children from ages one (1) to three (3) years were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, singing during group time. Staff interacted with children in a positive and nurturing manner. You stated transportation is not provided. I used the Family Child Care Home Checklist and the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance for this facility. Any violations of the child care requirements observed today were discussed with you and documented on the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented. Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. There was not a fire extinguisher on the premises. 10A NCAC 09. 1707(4) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. There was file with the enrollment date of October 4, 2022, the health assessment was on file past the 30 days of enrollment. The health assessment was dated for for December 28, 2022. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The was not a receipt of the operational policies available for review for a child with the enrollment date of October 4, 2022. 10A NCAC 09. 1715(b) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. There was not a receipt of the shaken baby syndrome and abusive head trauma policy available for review, for a child with the enrollment date of October 4, 2022. .1726(b)&(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 10, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. CHILDREN RECORDS: All three (3) children’s records were reviewed today. The following items were not incompliance in one (1) child’s file with the enrollment date of October 4, 2022, there was a medical report with a date the of December 28, 2022. All medical reports must be on file within 30 days of enrollment. This file was also missing receipt of operational policies. The receipt of operational policies must be on file on the first day of enrollment. A receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file, this must be on file on the first day of the child’s enrollment. You may want to use the Children’s File Checklist for FCCH located on the Division of Child Development and Early Education (DCDEE) website https://ncchildcare.ncdhhs.gov/, under the Provider Tab, and click provider documents and forms. OPERATOR and PROGRAM RECORDS: Your file was well organized and incompliance. As a reminder your annual on-going training hours are due by August 31, 2023. You had .50 on-going training hours brought forward. You can contact Down East Partnership for Children at www.depc.org for their training calendar. Your program records were also found to be incompliance. BUILDING/HOME REQUIREMENTS (FIRE EXTINGUSIHER): You did not have your fire extinguisher on the premises today, you stated the fire extinguisher was receiving maintenance and would be returned today. At least one 5lbs. 2A:10B:C type of fire extinguisher must be readily accessible for every 2500 square feet of floor space in the home. You may want to consider having a backup fire extinguisher available. HOME OCCUPATION PERMIT: Your home occupancy permit will be due to be renewed prior to September 12, 2023. WELL WATER ANALYSIS: Your well water analysis report was negative on June 29, 2023. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): Your EPR plan will be due to be reviewed and updated (if necessary) on or before August 12, 2023, in the NC Risk Management Portal at https://rmp.nc.gov/portal/ . If changes are made, please print off a new plan and if changes are not made, you may print of the Plan Completion and Maintenance page, which shows the date the plan was reviewed. EMERGENCY MEDICAL CARE PLAN (EMC): Your EMC plan will need to be reviewed on or before December 12, 2023. COHORT THREE (3): You had questions about what cohort you were in for the Star Rated License Renewal. We discussed the following items since your family child care home is in cohort three (3). Updating DCDEE WORKS with any additional education you may have completed. We also discussed you completing the three (3) month self-study during your preparation year. You expressed you did not want to go through the environment rating scale. If you change your mind, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You may also contact Down East Partnership for Children for technical assistance in preparing for the environment rating scales. RESOURCES: WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed trainings. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 7/27/2023 Number Present: 3 Completed Date: 7/27/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 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 this facility for compliance with applicable child care requirements for an unannounced annual compliance visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. You, N. Burgess, Operator was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. The last annual compliance visit was conducted on August 31, 2022. The program’s compliance history was 92% percent as of July 26, 2023. Three (3) children from ages one (1) to three (3) years were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, singing during group time. Staff interacted with children in a positive and nurturing manner. You stated transportation is not provided. I used the Family Child Care Home Checklist and the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance for this facility. Any violations of the child care requirements observed today were discussed with you and documented on the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented. Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. There was not a fire extinguisher on the premises. 10A NCAC 09. 1707(4) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. There was file with the enrollment date of October 4, 2022, the health assessment was on file past the 30 days of enrollment. The health assessment was dated for for December 28, 2022. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The was not a receipt of the operational policies available for review for a child with the enrollment date of October 4, 2022. 10A NCAC 09. 1715(b) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. There was not a receipt of the shaken baby syndrome and abusive head trauma policy available for review, for a child with the enrollment date of October 4, 2022. .1726(b)&(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 10, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. CHILDREN RECORDS: All three (3) children’s records were reviewed today. The following items were not incompliance in one (1) child’s file with the enrollment date of October 4, 2022, there was a medical report with a date the of December 28, 2022. All medical reports must be on file within 30 days of enrollment. This file was also missing receipt of operational policies. The receipt of operational policies must be on file on the first day of enrollment. A receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file, this must be on file on the first day of the child’s enrollment. You may want to use the Children’s File Checklist for FCCH located on the Division of Child Development and Early Education (DCDEE) website https://ncchildcare.ncdhhs.gov/, under the Provider Tab, and click provider documents and forms. OPERATOR and PROGRAM RECORDS: Your file was well organized and incompliance. As a reminder your annual on-going training hours are due by August 31, 2023. You had .50 on-going training hours brought forward. You can contact Down East Partnership for Children at www.depc.org for their training calendar. Your program records were also found to be incompliance. BUILDING/HOME REQUIREMENTS (FIRE EXTINGUSIHER): You did not have your fire extinguisher on the premises today, you stated the fire extinguisher was receiving maintenance and would be returned today. At least one 5lbs. 2A:10B:C type of fire extinguisher must be readily accessible for every 2500 square feet of floor space in the home. You may want to consider having a backup fire extinguisher available. HOME OCCUPATION PERMIT: Your home occupancy permit will be due to be renewed prior to September 12, 2023. WELL WATER ANALYSIS: Your well water analysis report was negative on June 29, 2023. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): Your EPR plan will be due to be reviewed and updated (if necessary) on or before August 12, 2023, in the NC Risk Management Portal at https://rmp.nc.gov/portal/ . If changes are made, please print off a new plan and if changes are not made, you may print of the Plan Completion and Maintenance page, which shows the date the plan was reviewed. EMERGENCY MEDICAL CARE PLAN (EMC): Your EMC plan will need to be reviewed on or before December 12, 2023. COHORT THREE (3): You had questions about what cohort you were in for the Star Rated License Renewal. We discussed the following items since your family child care home is in cohort three (3). Updating DCDEE WORKS with any additional education you may have completed. We also discussed you completing the three (3) month self-study during your preparation year. You expressed you did not want to go through the environment rating scale. If you change your mind, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You may also contact Down East Partnership for Children for technical assistance in preparing for the environment rating scales. RESOURCES: WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed trainings. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 7/27/2023 Number Present: 3 Completed Date: 7/27/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 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 this facility for compliance with applicable child care requirements for an unannounced annual compliance visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. You, N. Burgess, Operator was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. The last annual compliance visit was conducted on August 31, 2022. The program’s compliance history was 92% percent as of July 26, 2023. Three (3) children from ages one (1) to three (3) years were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, singing during group time. Staff interacted with children in a positive and nurturing manner. You stated transportation is not provided. I used the Family Child Care Home Checklist and the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance for this facility. Any violations of the child care requirements observed today were discussed with you and documented on the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented. Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. There was not a fire extinguisher on the premises. 10A NCAC 09. 1707(4) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. There was file with the enrollment date of October 4, 2022, the health assessment was on file past the 30 days of enrollment. The health assessment was dated for for December 28, 2022. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The was not a receipt of the operational policies available for review for a child with the enrollment date of October 4, 2022. 10A NCAC 09. 1715(b) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. There was not a receipt of the shaken baby syndrome and abusive head trauma policy available for review, for a child with the enrollment date of October 4, 2022. .1726(b)&(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 10, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. CHILDREN RECORDS: All three (3) children’s records were reviewed today. The following items were not incompliance in one (1) child’s file with the enrollment date of October 4, 2022, there was a medical report with a date the of December 28, 2022. All medical reports must be on file within 30 days of enrollment. This file was also missing receipt of operational policies. The receipt of operational policies must be on file on the first day of enrollment. A receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file, this must be on file on the first day of the child’s enrollment. You may want to use the Children’s File Checklist for FCCH located on the Division of Child Development and Early Education (DCDEE) website https://ncchildcare.ncdhhs.gov/, under the Provider Tab, and click provider documents and forms. OPERATOR and PROGRAM RECORDS: Your file was well organized and incompliance. As a reminder your annual on-going training hours are due by August 31, 2023. You had .50 on-going training hours brought forward. You can contact Down East Partnership for Children at www.depc.org for their training calendar. Your program records were also found to be incompliance. BUILDING/HOME REQUIREMENTS (FIRE EXTINGUSIHER): You did not have your fire extinguisher on the premises today, you stated the fire extinguisher was receiving maintenance and would be returned today. At least one 5lbs. 2A:10B:C type of fire extinguisher must be readily accessible for every 2500 square feet of floor space in the home. You may want to consider having a backup fire extinguisher available. HOME OCCUPATION PERMIT: Your home occupancy permit will be due to be renewed prior to September 12, 2023. WELL WATER ANALYSIS: Your well water analysis report was negative on June 29, 2023. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): Your EPR plan will be due to be reviewed and updated (if necessary) on or before August 12, 2023, in the NC Risk Management Portal at https://rmp.nc.gov/portal/ . If changes are made, please print off a new plan and if changes are not made, you may print of the Plan Completion and Maintenance page, which shows the date the plan was reviewed. EMERGENCY MEDICAL CARE PLAN (EMC): Your EMC plan will need to be reviewed on or before December 12, 2023. COHORT THREE (3): You had questions about what cohort you were in for the Star Rated License Renewal. We discussed the following items since your family child care home is in cohort three (3). Updating DCDEE WORKS with any additional education you may have completed. We also discussed you completing the three (3) month self-study during your preparation year. You expressed you did not want to go through the environment rating scale. If you change your mind, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You may also contact Down East Partnership for Children for technical assistance in preparing for the environment rating scales. RESOURCES: WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed trainings. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: AMAZING GRACE CHILDCARE Facility ID: 33000504 Consultant: ANGELA NIEVES Operation Type: Family CC Home Case Number: Visit Date: 7/27/2023 Number Present: 3 Completed Date: 7/27/2023 Age: From 1 To 3 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 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 this facility for compliance with applicable child care requirements for an unannounced annual compliance visit. The entire home is licensed for child care and must meet the applicable child care requirements. Although you designated space to be used for child care in a specified section of your home, the license is issued for the entire location. Any monitoring visit conducted may include spaces other than those you designated for child care. You, N. Burgess, Operator was present and available to assist with today’s visit. Your program currently operates with a four-star license issued March 18, 2022, earning 7 points in the education component, 2 points in the program standards component and 1 quality point for no more than two infants under one year of age. The last annual compliance visit was conducted on August 31, 2022. The program’s compliance history was 92% percent as of July 26, 2023. Three (3) children from ages one (1) to three (3) years were present during the visit. Children were observed during free play, playing with developmentally appropriate materials, singing during group time. Staff interacted with children in a positive and nurturing manner. You stated transportation is not provided. I used the Family Child Care Home Checklist and the Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance for this facility. Any violations of the child care requirements observed today were discussed with you and documented on the visit summary report and reviewed with you at the conclusion of the visit. The following violations were documented. Violation Number Comment Rule 306 At least one 5 lb 2-A:10-B:C type fire extinguisher was not readily accessible for every 2500 square feet of floor space in the home. There was not a fire extinguisher on the premises. 10A NCAC 09. 1707(4) 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. There was file with the enrollment date of October 4, 2022, the health assessment was on file past the 30 days of enrollment. The health assessment was dated for for December 28, 2022. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1828 The Family Child Care Home operator did not discuss the operational policies with parents on or before the child's first day of attendance. The was not a receipt of the operational policies available for review for a child with the enrollment date of October 4, 2022. 10A NCAC 09. 1715(b) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. There was not a receipt of the shaken baby syndrome and abusive head trauma policy available for review, for a child with the enrollment date of October 4, 2022. .1726(b)&(c) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4)(d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 10, 2023. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. OWNER/FACILITY PROFILE INFORMATION: You, N. Burgess, are listed as the Sole Proprietor on the Family Child Care Home’s License and you stated during today’s visit, this ownership remains the same. Prior to changing the facility name and/or ownership (i.e., forming a corporation), please contact me to discuss procedures. Failure to comply may affect your Family Child Care Home License. You verified the mailing address, phone number, and email address listed on the facility profile are correct. Please contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov if changes occur to ensure information is updated in the system. CHILDREN RECORDS: All three (3) children’s records were reviewed today. The following items were not incompliance in one (1) child’s file with the enrollment date of October 4, 2022, there was a medical report with a date the of December 28, 2022. All medical reports must be on file within 30 days of enrollment. This file was also missing receipt of operational policies. The receipt of operational policies must be on file on the first day of enrollment. A receipt of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not on file, this must be on file on the first day of the child’s enrollment. You may want to use the Children’s File Checklist for FCCH located on the Division of Child Development and Early Education (DCDEE) website https://ncchildcare.ncdhhs.gov/, under the Provider Tab, and click provider documents and forms. OPERATOR and PROGRAM RECORDS: Your file was well organized and incompliance. As a reminder your annual on-going training hours are due by August 31, 2023. You had .50 on-going training hours brought forward. You can contact Down East Partnership for Children at www.depc.org for their training calendar. Your program records were also found to be incompliance. BUILDING/HOME REQUIREMENTS (FIRE EXTINGUSIHER): You did not have your fire extinguisher on the premises today, you stated the fire extinguisher was receiving maintenance and would be returned today. At least one 5lbs. 2A:10B:C type of fire extinguisher must be readily accessible for every 2500 square feet of floor space in the home. You may want to consider having a backup fire extinguisher available. HOME OCCUPATION PERMIT: Your home occupancy permit will be due to be renewed prior to September 12, 2023. WELL WATER ANALYSIS: Your well water analysis report was negative on June 29, 2023. EMERGENCY PREPAREDNESS AND RESPONSE PLAN (EPR): Your EPR plan will be due to be reviewed and updated (if necessary) on or before August 12, 2023, in the NC Risk Management Portal at https://rmp.nc.gov/portal/ . If changes are made, please print off a new plan and if changes are not made, you may print of the Plan Completion and Maintenance page, which shows the date the plan was reviewed. EMERGENCY MEDICAL CARE PLAN (EMC): Your EMC plan will need to be reviewed on or before December 12, 2023. COHORT THREE (3): You had questions about what cohort you were in for the Star Rated License Renewal. We discussed the following items since your family child care home is in cohort three (3). Updating DCDEE WORKS with any additional education you may have completed. We also discussed you completing the three (3) month self-study during your preparation year. You expressed you did not want to go through the environment rating scale. If you change your mind, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You may also contact Down East Partnership for Children for technical assistance in preparing for the environment rating scales. RESOURCES: WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed trainings. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. EARLY CHILDHOOD EQUIVALENCY EXAM NOW ON DCDEE MOODLE: The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. To take the exam, go to DCDEE Moodle and select Early Childhood Professional Development/Child Care and Development Fund (CCDF)/North Carolina Early Childhood Equivalency Exam: https://www.dcdee.moodle.nc.gov/login/index.php CONTACT INFORMATION: If you have any questions about today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times