A Sensational Start

10A NCAC 09 .1703 · Violation

Name of Operation: A SENSATIONAL START Facility ID: 73000252 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/13/2025 Number Present: 5 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 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 visit was to monitor your program for compliance with applicable childcare requirements for an Annual Compliance unannounced visit. You, Mrs. C Betts, assisted me with the visit. Your program currently operates with a Four-Star issued August 23rd, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent (89%) as of 2/13/25. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, sleeping, and eating lunch. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 1/15/25. The last shelter-in-place and lock down drills were on 12/23/24. The last playground inspection was completed on 1/15/25. Next one due by 2/28/25. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 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. Two children's file did not have the physical examination part was not filled out. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. At least one child did not have a immunization record. GS 110-91(1); .1721(a)(2) 1739 All records required shall be available during operating hours, for review by a representative of the Division. .1721(f)(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not have the plan printed out. .1714(c) 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. The shaken baby policy was not given to parent and or signed prior to employment. .1726(b)&(c) violations were cited during today’s visit; however, the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-27-25, 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 information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); (2) a copy of the child's immunization record; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. (7) All records required in this Chapter shall be available at the family child care home for review by the Division during the hours of operation listed on the child care license. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .1712 · Violation

Name of Operation: A SENSATIONAL START Facility ID: 73000252 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/13/2025 Number Present: 5 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 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 visit was to monitor your program for compliance with applicable childcare requirements for an Annual Compliance unannounced visit. You, Mrs. C Betts, assisted me with the visit. Your program currently operates with a Four-Star issued August 23rd, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent (89%) as of 2/13/25. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, sleeping, and eating lunch. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 1/15/25. The last shelter-in-place and lock down drills were on 12/23/24. The last playground inspection was completed on 1/15/25. Next one due by 2/28/25. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 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. Two children's file did not have the physical examination part was not filled out. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. At least one child did not have a immunization record. GS 110-91(1); .1721(a)(2) 1739 All records required shall be available during operating hours, for review by a representative of the Division. .1721(f)(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not have the plan printed out. .1714(c) 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. The shaken baby policy was not given to parent and or signed prior to employment. .1726(b)&(c) violations were cited during today’s visit; however, the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-27-25, 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 information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); (2) a copy of the child's immunization record; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. (7) All records required in this Chapter shall be available at the family child care home for review by the Division during the hours of operation listed on the child care license. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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: A SENSATIONAL START Facility ID: 73000252 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/13/2025 Number Present: 5 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 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 visit was to monitor your program for compliance with applicable childcare requirements for an Annual Compliance unannounced visit. You, Mrs. C Betts, assisted me with the visit. Your program currently operates with a Four-Star issued August 23rd, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent (89%) as of 2/13/25. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, sleeping, and eating lunch. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 1/15/25. The last shelter-in-place and lock down drills were on 12/23/24. The last playground inspection was completed on 1/15/25. Next one due by 2/28/25. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 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. Two children's file did not have the physical examination part was not filled out. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. At least one child did not have a immunization record. GS 110-91(1); .1721(a)(2) 1739 All records required shall be available during operating hours, for review by a representative of the Division. .1721(f)(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not have the plan printed out. .1714(c) 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. The shaken baby policy was not given to parent and or signed prior to employment. .1726(b)&(c) violations were cited during today’s visit; however, the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-27-25, 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 information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); (2) a copy of the child's immunization record; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. (7) All records required in this Chapter shall be available at the family child care home for review by the Division during the hours of operation listed on the child care license. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .1724 · Violation

Name of Operation: A SENSATIONAL START Facility ID: 73000252 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/13/2025 Number Present: 5 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 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 visit was to monitor your program for compliance with applicable childcare requirements for an Annual Compliance unannounced visit. You, Mrs. C Betts, assisted me with the visit. Your program currently operates with a Four-Star issued August 23rd, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent (89%) as of 2/13/25. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, sleeping, and eating lunch. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 1/15/25. The last shelter-in-place and lock down drills were on 12/23/24. The last playground inspection was completed on 1/15/25. Next one due by 2/28/25. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 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. Two children's file did not have the physical examination part was not filled out. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. At least one child did not have a immunization record. GS 110-91(1); .1721(a)(2) 1739 All records required shall be available during operating hours, for review by a representative of the Division. .1721(f)(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not have the plan printed out. .1714(c) 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. The shaken baby policy was not given to parent and or signed prior to employment. .1726(b)&(c) violations were cited during today’s visit; however, the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-27-25, 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 information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); (2) a copy of the child's immunization record; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. (7) All records required in this Chapter shall be available at the family child care home for review by the Division during the hours of operation listed on the child care license. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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 .1726 · Violation

Name of Operation: A SENSATIONAL START Facility ID: 73000252 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/13/2025 Number Present: 5 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 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 visit was to monitor your program for compliance with applicable childcare requirements for an Annual Compliance unannounced visit. You, Mrs. C Betts, assisted me with the visit. Your program currently operates with a Four-Star issued August 23rd, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent (89%) as of 2/13/25. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, sleeping, and eating lunch. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 1/15/25. The last shelter-in-place and lock down drills were on 12/23/24. The last playground inspection was completed on 1/15/25. Next one due by 2/28/25. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 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. Two children's file did not have the physical examination part was not filled out. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. At least one child did not have a immunization record. GS 110-91(1); .1721(a)(2) 1739 All records required shall be available during operating hours, for review by a representative of the Division. .1721(f)(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not have the plan printed out. .1714(c) 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. The shaken baby policy was not given to parent and or signed prior to employment. .1726(b)&(c) violations were cited during today’s visit; however, the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-27-25, 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 information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); (2) a copy of the child's immunization record; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. (7) All records required in this Chapter shall be available at the family child care home for review by the Division during the hours of operation listed on the child care license. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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: A SENSATIONAL START Facility ID: 73000252 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/13/2025 Number Present: 5 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 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 visit was to monitor your program for compliance with applicable childcare requirements for an Annual Compliance unannounced visit. You, Mrs. C Betts, assisted me with the visit. Your program currently operates with a Four-Star issued August 23rd, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent (89%) as of 2/13/25. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, sleeping, and eating lunch. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 1/15/25. The last shelter-in-place and lock down drills were on 12/23/24. The last playground inspection was completed on 1/15/25. Next one due by 2/28/25. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 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. Two children's file did not have the physical examination part was not filled out. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. At least one child did not have a immunization record. GS 110-91(1); .1721(a)(2) 1739 All records required shall be available during operating hours, for review by a representative of the Division. .1721(f)(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not have the plan printed out. .1714(c) 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. The shaken baby policy was not given to parent and or signed prior to employment. .1726(b)&(c) violations were cited during today’s visit; however, the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-27-25, 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 information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); (2) a copy of the child's immunization record; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. (7) All records required in this Chapter shall be available at the family child care home for review by the Division during the hours of operation listed on the child care license. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: A SENSATIONAL START Facility ID: 73000252 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/13/2025 Number Present: 5 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 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 visit was to monitor your program for compliance with applicable childcare requirements for an Annual Compliance unannounced visit. You, Mrs. C Betts, assisted me with the visit. Your program currently operates with a Four-Star issued August 23rd, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent (89%) as of 2/13/25. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, sleeping, and eating lunch. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 1/15/25. The last shelter-in-place and lock down drills were on 12/23/24. The last playground inspection was completed on 1/15/25. Next one due by 2/28/25. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 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. Two children's file did not have the physical examination part was not filled out. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. At least one child did not have a immunization record. GS 110-91(1); .1721(a)(2) 1739 All records required shall be available during operating hours, for review by a representative of the Division. .1721(f)(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not have the plan printed out. .1714(c) 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. The shaken baby policy was not given to parent and or signed prior to employment. .1726(b)&(c) violations were cited during today’s visit; however, the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-27-25, 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 information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); (2) a copy of the child's immunization record; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. (7) All records required in this Chapter shall be available at the family child care home for review by the Division during the hours of operation listed on the child care license. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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: A SENSATIONAL START Facility ID: 73000252 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/13/2025 Number Present: 5 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 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 visit was to monitor your program for compliance with applicable childcare requirements for an Annual Compliance unannounced visit. You, Mrs. C Betts, assisted me with the visit. Your program currently operates with a Four-Star issued August 23rd, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent (89%) as of 2/13/25. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, sleeping, and eating lunch. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 1/15/25. The last shelter-in-place and lock down drills were on 12/23/24. The last playground inspection was completed on 1/15/25. Next one due by 2/28/25. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 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. Two children's file did not have the physical examination part was not filled out. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. At least one child did not have a immunization record. GS 110-91(1); .1721(a)(2) 1739 All records required shall be available during operating hours, for review by a representative of the Division. .1721(f)(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not have the plan printed out. .1714(c) 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. The shaken baby policy was not given to parent and or signed prior to employment. .1726(b)&(c) violations were cited during today’s visit; however, the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-27-25, 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 information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); (2) a copy of the child's immunization record; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. (7) All records required in this Chapter shall be available at the family child care home for review by the Division during the hours of operation listed on the child care license. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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: A SENSATIONAL START Facility ID: 73000252 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 2/13/2025 Number Present: 5 Completed Date: 2/13/2025 Age: From 0 To 3 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 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 visit was to monitor your program for compliance with applicable childcare requirements for an Annual Compliance unannounced visit. You, Mrs. C Betts, assisted me with the visit. Your program currently operates with a Four-Star issued August 23rd, 2025. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty nine percent (89%) as of 2/13/25. 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. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed five (5) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the family child care home were engaging in free play, sleeping, and eating lunch. The caregiver was interacting and meeting the developmental needs of the children. The following items were observed in compliance during today's visit: license posted, and restrictions followed, summary of law posted, attendance taken daily, emergency medical care plan, emergency numbers posted, first aid poster posted, daily schedule, activity plan, storage of hazardous materials and substances, CPR/First Aid and SIDS training completed as required, and Criminal Record Checks completed as required. The last fire drill was conducted on 1/15/25. The last shelter-in-place and lock down drills were on 12/23/24. The last playground inspection was completed on 1/15/25. Next one due by 2/28/25. All staff and children’s files were monitored during today’s visit. A checklist was used to note the requirements I monitored today. Violation Number Comment Rule 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. Two children's file did not have the physical examination part was not filled out. GS 110-91(1); 10A NCAC 09.1721(a)(1) 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. At least one child did not have a immunization record. GS 110-91(1); .1721(a)(2) 1739 All records required shall be available during operating hours, for review by a representative of the Division. .1721(f)(7) 1857 The operator did not develop an Emergency Preparedness and Response Plan within four months of completing the Emergency Preparedness and Response in Child Care training and/or the Plan was not completed on the template provided by the Division. The operator did not have the plan printed out. .1714(c) 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. The shaken baby policy was not given to parent and or signed prior to employment. .1726(b)&(c) violations were cited during today’s visit; however, the provider did ask questions about the topics below to ensure the facility stays in compliance. The violation(s) documented must be corrected immediately. On or before 2-27-25, 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 information submitted by you is considered legal documentation. 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. 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: Gilette Parker, Child Care Consultant (202 Edinburgh Street) Stem, NC 27581 Gilette.parker@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance 10A NCAC 09 .1724 SAFE SLEEP PRACTICES The operator shall post a copy of the safe sleep policy and poster about safe sleep practices in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA A copy of the policy shall be given and explained to the parents of children up to five years of age on or before the first day the child receives care at the home. The operator shall obtain the parent's signature. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (i) The family child care home operator and staff members shall complete a professional development plan within one year of employment and at least thereafter. The plan shall: (1) document the individual's professional development goals; (2) be appropriate for the ages of children in their care; (3) include the continuing education, coursework or training needed to meet the individual's planned goals; (4) be completed by the operator and staff member in a collaborative manner; and (5) be maintained in their personnel file. Sample professional development plan templates may be found on the Division's website at http://ncchildcare.nc.gov/providers/pv_provideforms.asp. Another form may be used other than the sample templates provided by the Division as long as the form includes the information set forth in this Rule. 10A NCAC 09 .1712 WRITTEN PLAN OF CARE Each family child care home operator (operator or operators) who intends to complete routine tasks while children are in care shall develop and adopt a written plan of care for completing routine tasks. For purposes of this Rule, routine tasks includes running errands, meeting personal and family demands, attending classes, and attending medical appointments. 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS The family child care home operator shall maintain the following health records for each enrolled child, including his or her own child(ren) who are not school-age: (1) a copy of the child's health assessment as required by G.S. 110-91(1); (2) a copy of the child's immunization record; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (6) Records may be maintained in a paper format or an electronic format, provided that all required signatures are preserved in a paper format, PDF, or other graphic format. (7) All records required in this Chapter shall be available at the family child care home for review by the Division during the hours of operation listed on the child care license. 10A NCAC 09 .1724 SAFE SLEEP PRACTICES Each operator licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (8) specifies how the operator shall document compliance with visually checking on sleeping infants aged 12 months or younger; Agency Information The North Carolina Child Care Rules and Laws are on the Division’s website. Please visit the Division’s website at https://ncchildcare.ncdhhs.gov/ for more information. It is your responsibility to be familiar with and in compliance with these rules and laws. RESOURCES The Health and Safety Trainings are offered on the DCDEE Moodle format. On the Division’s website look under the “SERVICES” tab for “DCDEE Moodle.” These training courses are free, and participants will receive training certificates when completed. Childcare programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Additional resource links https://www.fns.usda.gov/cacfp https://www.childcareaware.org/ https://www.naeyc.org/ https://nrckids.org/CFOC https://www.preventchildabusenc.org/new-recognizing-responding-online-course/. Thank you for your cooperation during today’s visit. If you need assistance, I can be reached at gilette.parker@dhhs.nc.gov or by phone at 919-939-7519. My supervisor Kaye Adkins can be reached at kaye.adkins@dhhs.nc.gov if you have questions. 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: A SENSATIONAL START Facility ID: 73000252 Consultant: MARCIA HUMPHREY Operation Type: Family CC Home Case Number: Visit Date: 7/29/2024 Number Present: 6 Completed Date: 7/29/2024 Age: From 1 To 9 Total Minutes: 150 Time In: 09:30 AM Time Out: 11:00 AM Time In: 03:00 PM Time Out: 04:00 PM List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete the second temporary time period visit. Gilette Parker, Child Care Licensing Consultant accompanied me during today's visit. The provider Mrs. Charlotte Betts was present and assisted us during today's visit. We observed six children present upon our arrival (two school age children and four pre-school age children). We observed the provider engaged in different activities with the children and consoling a toddler with today being her first time in child care. The temporary license was issued to this family child care home on 2/22/24 and expires on 8/22/24. The Verification of Required Information for Operator and Additional Caregiver form was completed during today's visit. The fire drill and outdoor play inspection were observed and current during the walk-through. The provider does provide transportation, the two vehicles were looked at and the transportation guidelines were discussed in detail during the first Temporary Time Period visit conducted on 4/22/24. The license was posted along with the NC Summary of the Law, Emergency Number and Emergency Procedures. A first aid reference sheet was available. The daily schedule and activity plan were also posted and available for review. Attendance records have been maintained since opening. Keep this information on file for at least one year. COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 94%. The following violations were cited: Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The current well water test expired on 5/17/23, instead of 5/17/24. 10A NCAC 09 .1725(a)(1) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. This was not completed within the required timeframe of 5/22/24. .1703(a)(5) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. This was not completed in the timeframe of 6/22/24. 10A NCAC 09 .1714(c) & .1721(e)(1) In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by August 12, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I informed Mrs. Betts that it is important to complete all necessary trainings within the required timeframe. The Recognizing and Responding to Child Maltreatment was due on 5/22/24, this training can be found on DCDEE Moodle. I have attached below the link: https://www.preventchildabusenc.org/recognizing-responding-online-course/ In addition, I discussed with Mrs. Betts that she is past due with having placed the necessary information into the Risk Management Portal for the Emergency Preparedness and Response (EPR), it was due on 6/22/24. I informed Mrs. Betts that it may be necessary for her to complete this training again and be refreshed on information. This EPR training can be taken with the local resource and referral agency (if you decide this please let me know). We discussed the completion of a new well water test. Mrs. Betts stated that she will get this updated (send me the paperwork) and moving forward we have discussed it is to be re-tested every two years. RATED LICENSE: I discussed the Environmental Rating Scale (ERS) and the rated license process with Mrs. Betts during today's visit and she informed us that she does not want to have the ERS completed at this time. I reviewed the education information that is currently in WORKS and verified that Mrs. Betts has her AAS degree in ECE. Mrs. Betts is still working on completing her 3 months reflective-self study. I informed her that I would need it by August 2, 2024 to review. Once received and reviewed I informed Mrs. Betts she will receive 2 points in Program Standards. In regards to the Quality Point, Mrs. Betts has decided to choose the option of serving NMT two infants under the age of one. I informed Mrs. Betts that based on the following it appears that her family child care home will have the following: *Education Component-7 points (A.A.S in ECE + 28 years of ECE experience) *Program Standards-2 points (once reflective-self documentation has been received and reviewed) *Quality-1 point (serving NMT two infants under the age of one) Total: 10 points and 4 Stars in the two component system If you have any additional questions or concerns I can be reached at (919) 259-5860 or by email at marcia.humphrey@dhhs.nc.gov. My Licensing supervisor can also be reached by email at Kaye.Adkins@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 .1714 · Violation

Name of Operation: A SENSATIONAL START Facility ID: 73000252 Consultant: MARCIA HUMPHREY Operation Type: Family CC Home Case Number: Visit Date: 7/29/2024 Number Present: 6 Completed Date: 7/29/2024 Age: From 1 To 9 Total Minutes: 150 Time In: 09:30 AM Time Out: 11:00 AM Time In: 03:00 PM Time Out: 04:00 PM List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete the second temporary time period visit. Gilette Parker, Child Care Licensing Consultant accompanied me during today's visit. The provider Mrs. Charlotte Betts was present and assisted us during today's visit. We observed six children present upon our arrival (two school age children and four pre-school age children). We observed the provider engaged in different activities with the children and consoling a toddler with today being her first time in child care. The temporary license was issued to this family child care home on 2/22/24 and expires on 8/22/24. The Verification of Required Information for Operator and Additional Caregiver form was completed during today's visit. The fire drill and outdoor play inspection were observed and current during the walk-through. The provider does provide transportation, the two vehicles were looked at and the transportation guidelines were discussed in detail during the first Temporary Time Period visit conducted on 4/22/24. The license was posted along with the NC Summary of the Law, Emergency Number and Emergency Procedures. A first aid reference sheet was available. The daily schedule and activity plan were also posted and available for review. Attendance records have been maintained since opening. Keep this information on file for at least one year. COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 94%. The following violations were cited: Violation Number Comment Rule 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The current well water test expired on 5/17/23, instead of 5/17/24. 10A NCAC 09 .1725(a)(1) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. This was not completed within the required timeframe of 5/22/24. .1703(a)(5) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. This was not completed in the timeframe of 6/22/24. 10A NCAC 09 .1714(c) & .1721(e)(1) In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by August 12, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers TECHNICAL ASSISTANCE: I informed Mrs. Betts that it is important to complete all necessary trainings within the required timeframe. The Recognizing and Responding to Child Maltreatment was due on 5/22/24, this training can be found on DCDEE Moodle. I have attached below the link: https://www.preventchildabusenc.org/recognizing-responding-online-course/ In addition, I discussed with Mrs. Betts that she is past due with having placed the necessary information into the Risk Management Portal for the Emergency Preparedness and Response (EPR), it was due on 6/22/24. I informed Mrs. Betts that it may be necessary for her to complete this training again and be refreshed on information. This EPR training can be taken with the local resource and referral agency (if you decide this please let me know). We discussed the completion of a new well water test. Mrs. Betts stated that she will get this updated (send me the paperwork) and moving forward we have discussed it is to be re-tested every two years. RATED LICENSE: I discussed the Environmental Rating Scale (ERS) and the rated license process with Mrs. Betts during today's visit and she informed us that she does not want to have the ERS completed at this time. I reviewed the education information that is currently in WORKS and verified that Mrs. Betts has her AAS degree in ECE. Mrs. Betts is still working on completing her 3 months reflective-self study. I informed her that I would need it by August 2, 2024 to review. Once received and reviewed I informed Mrs. Betts she will receive 2 points in Program Standards. In regards to the Quality Point, Mrs. Betts has decided to choose the option of serving NMT two infants under the age of one. I informed Mrs. Betts that based on the following it appears that her family child care home will have the following: *Education Component-7 points (A.A.S in ECE + 28 years of ECE experience) *Program Standards-2 points (once reflective-self documentation has been received and reviewed) *Quality-1 point (serving NMT two infants under the age of one) Total: 10 points and 4 Stars in the two component system If you have any additional questions or concerns I can be reached at (919) 259-5860 or by email at marcia.humphrey@dhhs.nc.gov. My Licensing supervisor can also be reached by email at Kaye.Adkins@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 .1714 · Violation

Name of Operation: A SENSATIONAL START Facility ID: 73000252 Consultant: MARCIA HUMPHREY Operation Type: Family CC Home Case Number: Visit Date: 4/22/2024 Number Present: 2 Completed Date: 4/22/2024 Age: From 2 To 3 Total Minutes: 105 Time In: 10:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete the first temporary time period visit. The provider Mrs. Charlotte Betts was present and assisted me during today's visit. I completed a general walk through of the daycare space, bathroom and outdoor play area. I observed two children involved in different free play activity with the caregiver upon arrival. The temporary license was issued to this family child care home on 2/22/24 and expires on 8/22/24. The Verification of Required Information for Operator and Additional Caregiver form was completed during today's visit. The fire drill and outdoor play inspection was completed on 3/28/24. The provider completed the EPR training on June 24, 2021. I informed Mrs. Betts that she has until June 22, 24 to have this completed in the Risk Management Portal and to go ahead and complete either a shelter-in-place or lockdown drill. The providers two vehicles have been approved for transportation. I discussed with Mrs. Betts the importance of making sure to have each child's identifying information and picture when transporting. The license was posted along with the NC Summary of the Law. A first aid reference sheet was available, and the daily schedule was posted. Attendance records have been maintained since opening. Keep this information on file for at least one year. The provider and children's records were reviewed during today's visit. The following violations were cited: Violation Number Comment Rule 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. This was not available for review for one child currently enrolled in care. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. This was not available for review for one child currently enrolled in care. .1712(a) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. This was not available for review for one child currently enrolled in care. .1721(a)(3) Comments: In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by May 6, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers RATED LICENSE INFORMATION I briefly discussed with Mrs. Betts the rated license process. I informed her that it is very important that she gets all necessary paperwork (original transcript unopened) sent to the WORKS department. This information will be needed in order to know how many points you will receive in the Education Component prior to your Temporary License expiring. Mrs. Betts has an AAS degree in ECE-Applied Science which was verified on the wall in the daycare space during today's visit. I also briefly talked with Mrs. Betts regarding the Environmental Rating Scale Assessment, at this time the provider has decided that she is not interested in completing the assessment. Mrs. Betts has begun working on her reflective self-study. This would need to be completed by July 22, 2024. TECHNICAL ASSISTANCE I discussed in detail with Mrs. Betts the following information: *The importance of making sure all necessary paperwork has been received by parents/guardians within the required timeframe. *Emergency Preparedness and Response (EPR)-Again the provider has completed this training in 2021 and needs to update the Risk Management portal by June 22, 24. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review *Annual in-service training hours are due by 2/22/25. I would recommend that you complete your training three months prior to the above date. CAPACITY INCREASE UPDATE: An increase in capacity requires a new permit be issued. FCCH Operators interested in an increase in their capacity will need to provide a written request to their consultant with verification there are no local zoning ordinances or homeowner association bylaws/covenants that prohibit the increase. Also, according to the Department of Insurance (DOI), an increase in capacity will affect the residential occupancy group for a FCCH. Currently a family child care home meets a R3 (residential three) occupancy as defined in the NC Building Codes. We have learned that increasing the capacity using option two or three in statute would change the residential occupancy from an R3 to a R4 (residential four) occupancy. To assist FCCH Operators with their decision about an increased capacity, DOI has provided the following guidance for transitioning from an R3 to an R4 occupancy. The requirements include but are not limited to the following: 1) Building permit (application submitted at local inspection office) 2) Building Inspection and Fire Inspection (building inspection form will be revised to include FCCH) 3) Fire Alarm System that will notify a professional offsite monitoring service (acceptable alternate method would be a Honeywell Home System, ADT Security, SimpliSafe, CPI Security and Brinks Home, etc.) 4) Carbon Monoxide Detectors 5) Portable Fire Extinguishers (type 2-A: 10-B-C) placed every forty (40 ft) feet within the child care area. 6) Minimum of two means of egress (exits) required (this does not include windows), one exit is required to be a ramp or the exit must be at grade. 7) Exits must having lighting. 8) Interior walls and ceilings must be made of noncombustible material (ex: no plaster or gypsum wallboard or wood paneling) Thank you for your assistance during today's visit. Feel free to contact me with questions or concerns. I may be reached via email marcia.humphrey@dhhs.nc.gov. In addition, my Licensing Supervisor Kaye Adkins can be reached at kaye.adkins@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: A SENSATIONAL START Facility ID: 73000252 Consultant: MARCIA HUMPHREY Operation Type: Family CC Home Case Number: Visit Date: 4/22/2024 Number Present: 2 Completed Date: 4/22/2024 Age: From 2 To 3 Total Minutes: 105 Time In: 10:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete the first temporary time period visit. The provider Mrs. Charlotte Betts was present and assisted me during today's visit. I completed a general walk through of the daycare space, bathroom and outdoor play area. I observed two children involved in different free play activity with the caregiver upon arrival. The temporary license was issued to this family child care home on 2/22/24 and expires on 8/22/24. The Verification of Required Information for Operator and Additional Caregiver form was completed during today's visit. The fire drill and outdoor play inspection was completed on 3/28/24. The provider completed the EPR training on June 24, 2021. I informed Mrs. Betts that she has until June 22, 24 to have this completed in the Risk Management Portal and to go ahead and complete either a shelter-in-place or lockdown drill. The providers two vehicles have been approved for transportation. I discussed with Mrs. Betts the importance of making sure to have each child's identifying information and picture when transporting. The license was posted along with the NC Summary of the Law. A first aid reference sheet was available, and the daily schedule was posted. Attendance records have been maintained since opening. Keep this information on file for at least one year. The provider and children's records were reviewed during today's visit. The following violations were cited: Violation Number Comment Rule 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. This was not available for review for one child currently enrolled in care. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. This was not available for review for one child currently enrolled in care. .1712(a) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. This was not available for review for one child currently enrolled in care. .1721(a)(3) Comments: In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by May 6, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers RATED LICENSE INFORMATION I briefly discussed with Mrs. Betts the rated license process. I informed her that it is very important that she gets all necessary paperwork (original transcript unopened) sent to the WORKS department. This information will be needed in order to know how many points you will receive in the Education Component prior to your Temporary License expiring. Mrs. Betts has an AAS degree in ECE-Applied Science which was verified on the wall in the daycare space during today's visit. I also briefly talked with Mrs. Betts regarding the Environmental Rating Scale Assessment, at this time the provider has decided that she is not interested in completing the assessment. Mrs. Betts has begun working on her reflective self-study. This would need to be completed by July 22, 2024. TECHNICAL ASSISTANCE I discussed in detail with Mrs. Betts the following information: *The importance of making sure all necessary paperwork has been received by parents/guardians within the required timeframe. *Emergency Preparedness and Response (EPR)-Again the provider has completed this training in 2021 and needs to update the Risk Management portal by June 22, 24. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review *Annual in-service training hours are due by 2/22/25. I would recommend that you complete your training three months prior to the above date. CAPACITY INCREASE UPDATE: An increase in capacity requires a new permit be issued. FCCH Operators interested in an increase in their capacity will need to provide a written request to their consultant with verification there are no local zoning ordinances or homeowner association bylaws/covenants that prohibit the increase. Also, according to the Department of Insurance (DOI), an increase in capacity will affect the residential occupancy group for a FCCH. Currently a family child care home meets a R3 (residential three) occupancy as defined in the NC Building Codes. We have learned that increasing the capacity using option two or three in statute would change the residential occupancy from an R3 to a R4 (residential four) occupancy. To assist FCCH Operators with their decision about an increased capacity, DOI has provided the following guidance for transitioning from an R3 to an R4 occupancy. The requirements include but are not limited to the following: 1) Building permit (application submitted at local inspection office) 2) Building Inspection and Fire Inspection (building inspection form will be revised to include FCCH) 3) Fire Alarm System that will notify a professional offsite monitoring service (acceptable alternate method would be a Honeywell Home System, ADT Security, SimpliSafe, CPI Security and Brinks Home, etc.) 4) Carbon Monoxide Detectors 5) Portable Fire Extinguishers (type 2-A: 10-B-C) placed every forty (40 ft) feet within the child care area. 6) Minimum of two means of egress (exits) required (this does not include windows), one exit is required to be a ramp or the exit must be at grade. 7) Exits must having lighting. 8) Interior walls and ceilings must be made of noncombustible material (ex: no plaster or gypsum wallboard or wood paneling) Thank you for your assistance during today's visit. Feel free to contact me with questions or concerns. I may be reached via email marcia.humphrey@dhhs.nc.gov. In addition, my Licensing Supervisor Kaye Adkins can be reached at kaye.adkins@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: A SENSATIONAL START Facility ID: 73000252 Consultant: MARCIA HUMPHREY Operation Type: Family CC Home Case Number: Visit Date: 4/22/2024 Number Present: 2 Completed Date: 4/22/2024 Age: From 2 To 3 Total Minutes: 105 Time In: 10:45 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to complete the first temporary time period visit. The provider Mrs. Charlotte Betts was present and assisted me during today's visit. I completed a general walk through of the daycare space, bathroom and outdoor play area. I observed two children involved in different free play activity with the caregiver upon arrival. The temporary license was issued to this family child care home on 2/22/24 and expires on 8/22/24. The Verification of Required Information for Operator and Additional Caregiver form was completed during today's visit. The fire drill and outdoor play inspection was completed on 3/28/24. The provider completed the EPR training on June 24, 2021. I informed Mrs. Betts that she has until June 22, 24 to have this completed in the Risk Management Portal and to go ahead and complete either a shelter-in-place or lockdown drill. The providers two vehicles have been approved for transportation. I discussed with Mrs. Betts the importance of making sure to have each child's identifying information and picture when transporting. The license was posted along with the NC Summary of the Law. A first aid reference sheet was available, and the daily schedule was posted. Attendance records have been maintained since opening. Keep this information on file for at least one year. The provider and children's records were reviewed during today's visit. The following violations were cited: Violation Number Comment Rule 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. This was not available for review for one child currently enrolled in care. GS 110-91(1); 10A NCAC 09.1721(a)(1) 1712 Operator did not develop and adopt a written plan of care for completing routine tasks to ensure routine tasks did not interfere with the care of children during hours of operation. This was not available for review for one child currently enrolled in care. .1712(a) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. This was not available for review for one child currently enrolled in care. .1721(a)(3) Comments: In order to comply with NC Child Care Laws and Rules any violation cited must be corrected IMMEDIATELY. A Compliance letter must be sent by May 6, 2024. The letter must address each violation cited. Please send to my email address Marcia.Humphrey@dhhs.nc.gov and be sure to include the following: *Facility Name *Facility ID number *Each Item numbers RATED LICENSE INFORMATION I briefly discussed with Mrs. Betts the rated license process. I informed her that it is very important that she gets all necessary paperwork (original transcript unopened) sent to the WORKS department. This information will be needed in order to know how many points you will receive in the Education Component prior to your Temporary License expiring. Mrs. Betts has an AAS degree in ECE-Applied Science which was verified on the wall in the daycare space during today's visit. I also briefly talked with Mrs. Betts regarding the Environmental Rating Scale Assessment, at this time the provider has decided that she is not interested in completing the assessment. Mrs. Betts has begun working on her reflective self-study. This would need to be completed by July 22, 2024. TECHNICAL ASSISTANCE I discussed in detail with Mrs. Betts the following information: *The importance of making sure all necessary paperwork has been received by parents/guardians within the required timeframe. *Emergency Preparedness and Response (EPR)-Again the provider has completed this training in 2021 and needs to update the Risk Management portal by June 22, 24. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the family child care home shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/# completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review *Annual in-service training hours are due by 2/22/25. I would recommend that you complete your training three months prior to the above date. CAPACITY INCREASE UPDATE: An increase in capacity requires a new permit be issued. FCCH Operators interested in an increase in their capacity will need to provide a written request to their consultant with verification there are no local zoning ordinances or homeowner association bylaws/covenants that prohibit the increase. Also, according to the Department of Insurance (DOI), an increase in capacity will affect the residential occupancy group for a FCCH. Currently a family child care home meets a R3 (residential three) occupancy as defined in the NC Building Codes. We have learned that increasing the capacity using option two or three in statute would change the residential occupancy from an R3 to a R4 (residential four) occupancy. To assist FCCH Operators with their decision about an increased capacity, DOI has provided the following guidance for transitioning from an R3 to an R4 occupancy. The requirements include but are not limited to the following: 1) Building permit (application submitted at local inspection office) 2) Building Inspection and Fire Inspection (building inspection form will be revised to include FCCH) 3) Fire Alarm System that will notify a professional offsite monitoring service (acceptable alternate method would be a Honeywell Home System, ADT Security, SimpliSafe, CPI Security and Brinks Home, etc.) 4) Carbon Monoxide Detectors 5) Portable Fire Extinguishers (type 2-A: 10-B-C) placed every forty (40 ft) feet within the child care area. 6) Minimum of two means of egress (exits) required (this does not include windows), one exit is required to be a ramp or the exit must be at grade. 7) Exits must having lighting. 8) Interior walls and ceilings must be made of noncombustible material (ex: no plaster or gypsum wallboard or wood paneling) Thank you for your assistance during today's visit. Feel free to contact me with questions or concerns. I may be reached via email marcia.humphrey@dhhs.nc.gov. In addition, my Licensing Supervisor Kaye Adkins can be reached at kaye.adkins@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