Tiny Tummies Home Daycare

10A NCAC 09 .1705 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: ANITA GRAHAM Operation Type: Family CC Home Case Number: Visit Date: 6/8/2026 Number Present: 6 Completed Date: 6/8/2026 Age: From 3 To 5 Total Minutes: 240 Time In: 10:35 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements during an unannounced Annual Compliance visit. This family child care home is operating with Four (4)-Star License which was issued on November 18, 2016. The last annual compliance visit occurred on June 11, 2025. Upon arrival, I was greeted by Ms. Daniel, who invited me in and I stated the purpose of my visit. We conducted a walk-through of the facility. The indoor and outdoor areas were monitored. Attendance was taken and observations made. I observed six (6) children in the indoor learning environment. The children were observed participating in morning routines and indoor free play, having lunch and resting. A full assessment of the child care requirements was completed today. Including supervision, staff/child ratio. The license was posted and all required records were made available. I monitored the provider’s file and a sampling of children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. **The provider and the additional care giver have not completed the required in-service training hours based on education specified in rule.** GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1831 A valid qualification letter was not on file and available for review at the facility. The qualifying letter for a family member was expired. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) The above violations must be corrected immediately and a corrective action letter sent to my office on or before June 22, 2026. The letter may be emailed to me at anita.c.graham@dhhs.nc.gov. Please include the name and ID number of your facility, address each of the violations cited during the visit using the item numbers assigned to it, and sign and date the document. If my office has not received the compliance letter by June 22, 2026, a follow-up visit may be required to ensure compliance. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed each of the items of non-compliance documented this date. TECHNICAL ASSISTANCE: ALL training hours must be complete within the time allowed. ALL qualifying criminal background checks/rechecks must be completed prior to hire and prior to the expiration of the previous background checks. A member of your household, R. Thomas has a CBC that has expired. This must be corrected immediately. RATED LICENSE: Your program has decided to pursue Pathway#2. Today we discussed the complete transition to this Pathway. We have reviewed Family and Community Engagement, CQI Continuous Quality Improvements, Education requirements. You are using Mother Goose, Experience Early Learning. You are working to secure the Approved Assessment tool offered by this curriculum. AGENCY NEWS AND UPDATES: Go to https://ncchildcare.ncdhhs.gov/ to check out the *’What’s New’ tab for the latest information from DCDEE and for *QRIS” Updates. Documents and forms for DCDEE licensure can also be accessed go to “Provider/Provider-Documents-and-Forms. RESOURCE LINKS: https://www.ncrlap.org/ https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ Thank you for your assistance. If you have any questions or concerns, please call me at 336-894-0609. You may also email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If you have questions or concerns, I may be reached at 336-894-0609 or anita.c.graham@dhhs.nc.gov. My mailing address is PO Box 665, Pleasant Garden, NC 27313. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or 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

G.S. 110-90 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: ANITA GRAHAM Operation Type: Family CC Home Case Number: Visit Date: 6/8/2026 Number Present: 6 Completed Date: 6/8/2026 Age: From 3 To 5 Total Minutes: 240 Time In: 10:35 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements during an unannounced Annual Compliance visit. This family child care home is operating with Four (4)-Star License which was issued on November 18, 2016. The last annual compliance visit occurred on June 11, 2025. Upon arrival, I was greeted by Ms. Daniel, who invited me in and I stated the purpose of my visit. We conducted a walk-through of the facility. The indoor and outdoor areas were monitored. Attendance was taken and observations made. I observed six (6) children in the indoor learning environment. The children were observed participating in morning routines and indoor free play, having lunch and resting. A full assessment of the child care requirements was completed today. Including supervision, staff/child ratio. The license was posted and all required records were made available. I monitored the provider’s file and a sampling of children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. **The provider and the additional care giver have not completed the required in-service training hours based on education specified in rule.** GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1831 A valid qualification letter was not on file and available for review at the facility. The qualifying letter for a family member was expired. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) The above violations must be corrected immediately and a corrective action letter sent to my office on or before June 22, 2026. The letter may be emailed to me at anita.c.graham@dhhs.nc.gov. Please include the name and ID number of your facility, address each of the violations cited during the visit using the item numbers assigned to it, and sign and date the document. If my office has not received the compliance letter by June 22, 2026, a follow-up visit may be required to ensure compliance. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed each of the items of non-compliance documented this date. TECHNICAL ASSISTANCE: ALL training hours must be complete within the time allowed. ALL qualifying criminal background checks/rechecks must be completed prior to hire and prior to the expiration of the previous background checks. A member of your household, R. Thomas has a CBC that has expired. This must be corrected immediately. RATED LICENSE: Your program has decided to pursue Pathway#2. Today we discussed the complete transition to this Pathway. We have reviewed Family and Community Engagement, CQI Continuous Quality Improvements, Education requirements. You are using Mother Goose, Experience Early Learning. You are working to secure the Approved Assessment tool offered by this curriculum. AGENCY NEWS AND UPDATES: Go to https://ncchildcare.ncdhhs.gov/ to check out the *’What’s New’ tab for the latest information from DCDEE and for *QRIS” Updates. Documents and forms for DCDEE licensure can also be accessed go to “Provider/Provider-Documents-and-Forms. RESOURCE LINKS: https://www.ncrlap.org/ https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ Thank you for your assistance. If you have any questions or concerns, please call me at 336-894-0609. You may also email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If you have questions or concerns, I may be reached at 336-894-0609 or anita.c.graham@dhhs.nc.gov. My mailing address is PO Box 665, Pleasant Garden, NC 27313. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or 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: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: ANITA GRAHAM Operation Type: Family CC Home Case Number: Visit Date: 6/8/2026 Number Present: 6 Completed Date: 6/8/2026 Age: From 3 To 5 Total Minutes: 240 Time In: 10:35 AM Time Out: 02:35 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance with applicable child care requirements during an unannounced Annual Compliance visit. This family child care home is operating with Four (4)-Star License which was issued on November 18, 2016. The last annual compliance visit occurred on June 11, 2025. Upon arrival, I was greeted by Ms. Daniel, who invited me in and I stated the purpose of my visit. We conducted a walk-through of the facility. The indoor and outdoor areas were monitored. Attendance was taken and observations made. I observed six (6) children in the indoor learning environment. The children were observed participating in morning routines and indoor free play, having lunch and resting. A full assessment of the child care requirements was completed today. Including supervision, staff/child ratio. The license was posted and all required records were made available. I monitored the provider’s file and a sampling of children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 1301 Operator did not complete the required number of on-going training hours as specified in rule. **The provider and the additional care giver have not completed the required in-service training hours based on education specified in rule.** GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1831 A valid qualification letter was not on file and available for review at the facility. The qualifying letter for a family member was expired. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) The above violations must be corrected immediately and a corrective action letter sent to my office on or before June 22, 2026. The letter may be emailed to me at anita.c.graham@dhhs.nc.gov. Please include the name and ID number of your facility, address each of the violations cited during the visit using the item numbers assigned to it, and sign and date the document. If my office has not received the compliance letter by June 22, 2026, a follow-up visit may be required to ensure compliance. You were provided with an opportunity to ask questions regarding childcare requirements. We discussed each of the items of non-compliance documented this date. TECHNICAL ASSISTANCE: ALL training hours must be complete within the time allowed. ALL qualifying criminal background checks/rechecks must be completed prior to hire and prior to the expiration of the previous background checks. A member of your household, R. Thomas has a CBC that has expired. This must be corrected immediately. RATED LICENSE: Your program has decided to pursue Pathway#2. Today we discussed the complete transition to this Pathway. We have reviewed Family and Community Engagement, CQI Continuous Quality Improvements, Education requirements. You are using Mother Goose, Experience Early Learning. You are working to secure the Approved Assessment tool offered by this curriculum. AGENCY NEWS AND UPDATES: Go to https://ncchildcare.ncdhhs.gov/ to check out the *’What’s New’ tab for the latest information from DCDEE and for *QRIS” Updates. Documents and forms for DCDEE licensure can also be accessed go to “Provider/Provider-Documents-and-Forms. RESOURCE LINKS: https://www.ncrlap.org/ https://www.childcarerrnc.org/special-projects/healthy-social-behaviors/ Thank you for your assistance. If you have any questions or concerns, please call me at 336-894-0609. You may also email me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If you have questions or concerns, I may be reached at 336-894-0609 or anita.c.graham@dhhs.nc.gov. My mailing address is PO Box 665, Pleasant Garden, NC 27313. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or 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 .1103 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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 .1719 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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 .1723 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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 .1729 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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. 110-105 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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 110-102 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 6/11/2025 Number Present: 3 Completed Date: 6/11/2025 Age: From 2 To 3 Total Minutes: 220 Time In: 09:00 AM Time Out: 12:40 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 unannounced annual compliance visit. You, Ms. Tamela Daniel, assisted me with the visit. A potential additional caregiver, B. Johnson, was also present. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was eighty eight percent (88%) as of 6/11/25. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed three (3) children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in music and free time. The caregiver was interacting and meeting the developmental needs for the children. A full assessment of the child care requirements was completed today. The last fire drill was conducted on 6/5/25. The last shelter and lock down drill were 6/4/25. The last Outdoor inspection was completed on 6/9/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current; liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Five violations were cited during today’s visit. Violation Number Comment Rule 911 Copy of each child's immunization record, including the operator's own preschool child(ren), was not on file. Two children's files did not have immunization records on file. GS 110-91(1); .1721(a)(2) 1101 Operator or other transportation provider did not have written permission from each child's parents or guardian to transport the child. One child did not have written permission from each child's parent to transport the child. .1723(5) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Five children's files did not have a signed statement that the summary of laws was given to them. GS 110-102 2030 Operator did not provide a written statement to parents regarding the smoking and tobacco restriction. The provider did not provide a written statement to any of the parents regarding the smoking and tobacco restriction. .1719(a)(11) 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. Five children's files did not have a signed copy of the shaken baby policy at time of enrollment. .1726(b)&(c) The violation(s) documented must be corrected immediately. On or before 6-25-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance General Statute § 110 102. Information for parents. The Secretary shall provide to each operator of a child care facility a summary of this Article for the parents, guardian, or full time custodian of each child receiving child care in the facility to be distributed by the operator. Operators of child care facilities shall provide a copy of the summary to each child's parent, guardian, or full time custodian before the child is enrolled in the child care facility. The child's parent, guardian, or full time custodian shall sign a statement attesting that he or she received a copy of the summary before the child's enrollment. (c)Completion of cardiopulmonary resuscitation (CPR) and First Aid training shall not be counted toward meeting annual on-going training requirements. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (11) notify the parent of each child enrolled in the facility, in writing, of the smoking and tobacco restriction; 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 .1729 ADDITIONAL CAREGIVER AND SUBSTITUTE PROVIDER QUALIFICATIONS An individual who provides care for five hours or more in a week during planned absences of the family child care home operator shall: (1) be 21 years old; (2) have a high school diploma or GED; (3) have completed a First Aid and cardiopulmonary resuscitation (CPR) course within 12 months prior to caring for children; (4) have completed a health questionnaire; (5) have proof of negative results of a tuberculosis test or screening completed within 12 months prior to the first day of providing care; (6) have submitted criminal background check forms as required in Rule .2703 of this Chapter; (7) have documentation of annual on-going training as described in Rule .1703(d) of this Section after the first year of employment; (8) have completed ITS-SIDS training, if licensed to care for infants; (9) have completed Recognizing and Responding to Suspicions of Child Maltreatment training; and (10) have documentation that the operator has reviewed the requirements found in this Chapter, including the Emergency Preparedness and Response Plan, and in G.S. Chapter 110, Article 7. While the individual provides care at a family child care home, copies of information required by Subparagraphs (1) through (10) of this Paragraph shall be on file in the home and available for review by the Division. An individual who provides care for less than five hours in a week during planned absences of the operator shall be literate and meet all requirements listed in Paragraph (a) of this Rule except the requirements for annual training and a high school diploma or GED. The operator shall conduct 16 hours of orientation with all caregivers, prior to the individual caring for children, including substitute providers, volunteers, and uncompensated providers, who are providing care. The orientation shall include an overview of the following topics, specifically focusing on the operation of the facility: (1) recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (2) review of the home's operational policies, including the written plan of care, safe sleep policy, the transportation policy, identification of building and premises safety issues, the emergency medical care plan, and the Emergency Preparedness and Response Plan; (3) adequate supervision of children in accordance with Rule .1711(a) of this Section; (4) information regarding prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (5) prevention and control of infectious diseases, including immunization; (6) firsthand observation of the home's daily operations; (7) instruction regarding assigned duties; (8) instruction in the maintenance of a safe and healthy environment; (9) instruction in the administration of medication to children in accordance with Rule .1720(b) of this Section; (10) review of the home's purposes and goals; (11) review of G.S. 110, Article 7 and 10A NCAC 09; (12) review of Section .2800 of this Chapter if the operator has a two- through five- star license at the time of employment; (13) an explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; (14) an explanation of the individual's obligation to cooperate with representatives of State and local government agencies during visits and investigations; (15) prevention of and response to emergencies due to food and allergic reactions; and (16) review of the home's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. The operator and individual providing care shall sign and date a statement that attests that this review was completed. This statement shall be kept on file in the home and available for review by the Division. An individual who provides care during unplanned absences of the operator, such as medical emergencies, shall be 18 years old and submit criminal records check forms as required in Rule .2703(j) of this Chapter. The children of an emergency caregiver shall not be counted in the licensed capacity for the first day of the emergency caregiver's service. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (5) have written permission from a parent to transport his or her child and notify the parent when and where the child is to be transported, and the name of the transportation provider. Parents may give standing permission, valid for up to 12 months, for transport of children to and from the home; 10A NCAC 09 .1726 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA The operator of a family child care home licensed to care for children up to five years of age shall develop and adopt policies to assist staff in preventing shaken baby syndrome and abusive head trauma. For purposes of this Rule, "staff" includes the operator, additional caregivers, substitute providers, and uncompensated providers. The policy shall include: 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. The acknowledgement shall contain the following and be maintained in the child's file for review by the Division: You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. Program Reminders Make sure all additional caregivers have all the required documentation in their file before hiring. Ensure all documents that require a signature by the parent and operator are signed. T. Daniel needs 3 more hours by 6/18/25. 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/online-trainings/ 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 .1703 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 3/25/2025 Number Present: 5 Completed Date: 3/25/2025 Age: From 1 To 3 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. Tamela Daniel, assisted me with the visit. An additional caregiver, Rudean Thomas, was also present, she is Ms. Daniel’s mother. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 3/25/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed 5 children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in morning snack, and free time. The caregivers were interacting and meeting the developmental needs for the children. A partial assessment of the child care requirements was completed today. The last fire drill was conducted on 3/11/25. The last shelter and lock down drill were 3/11/25. The last Outdoor inspection was completed on 3/11/25. Heath questionnaire was completed on 4/10/24 it is to be updated annually. This one is good until 4/10/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current, liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Seven violations were cited during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's first aid was not renewed before the expiration date of the certificate which was 1/20/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator did not complete the CPR course before the expiration date of the certificate which was 1/20/25. .1703(a)(3) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. For each child being transported the operator did not have identifying information. .1723(13) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The additional care givers ITS-SIDS expired 3/15/25. .1703(a)(4) 1997 Vehicle used for transportation did not have a fire extinguisher. The vehicle did not have a fire extinguisher. .1723(11) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. The operator did not have a certificate verifying that she took the required recognizing and responding to suspicions of child maltreatment training. .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. The EPR plan was not maintained on the template provided by the division of emergency management. 10A NCAC 09 .1714(c) & .1721(e)(1) The violation(s) documented must be corrected immediately. On or before 4-8-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and (5) Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 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. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: A written activity plan that shall: Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. 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/online-trainings/ 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 .1714 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 3/25/2025 Number Present: 5 Completed Date: 3/25/2025 Age: From 1 To 3 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. Tamela Daniel, assisted me with the visit. An additional caregiver, Rudean Thomas, was also present, she is Ms. Daniel’s mother. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 3/25/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed 5 children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in morning snack, and free time. The caregivers were interacting and meeting the developmental needs for the children. A partial assessment of the child care requirements was completed today. The last fire drill was conducted on 3/11/25. The last shelter and lock down drill were 3/11/25. The last Outdoor inspection was completed on 3/11/25. Heath questionnaire was completed on 4/10/24 it is to be updated annually. This one is good until 4/10/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current, liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Seven violations were cited during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's first aid was not renewed before the expiration date of the certificate which was 1/20/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator did not complete the CPR course before the expiration date of the certificate which was 1/20/25. .1703(a)(3) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. For each child being transported the operator did not have identifying information. .1723(13) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The additional care givers ITS-SIDS expired 3/15/25. .1703(a)(4) 1997 Vehicle used for transportation did not have a fire extinguisher. The vehicle did not have a fire extinguisher. .1723(11) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. The operator did not have a certificate verifying that she took the required recognizing and responding to suspicions of child maltreatment training. .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. The EPR plan was not maintained on the template provided by the division of emergency management. 10A NCAC 09 .1714(c) & .1721(e)(1) The violation(s) documented must be corrected immediately. On or before 4-8-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and (5) Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 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. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: A written activity plan that shall: Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. 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/online-trainings/ 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 .1718 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 3/25/2025 Number Present: 5 Completed Date: 3/25/2025 Age: From 1 To 3 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. Tamela Daniel, assisted me with the visit. An additional caregiver, Rudean Thomas, was also present, she is Ms. Daniel’s mother. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 3/25/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed 5 children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in morning snack, and free time. The caregivers were interacting and meeting the developmental needs for the children. A partial assessment of the child care requirements was completed today. The last fire drill was conducted on 3/11/25. The last shelter and lock down drill were 3/11/25. The last Outdoor inspection was completed on 3/11/25. Heath questionnaire was completed on 4/10/24 it is to be updated annually. This one is good until 4/10/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current, liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Seven violations were cited during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's first aid was not renewed before the expiration date of the certificate which was 1/20/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator did not complete the CPR course before the expiration date of the certificate which was 1/20/25. .1703(a)(3) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. For each child being transported the operator did not have identifying information. .1723(13) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The additional care givers ITS-SIDS expired 3/15/25. .1703(a)(4) 1997 Vehicle used for transportation did not have a fire extinguisher. The vehicle did not have a fire extinguisher. .1723(11) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. The operator did not have a certificate verifying that she took the required recognizing and responding to suspicions of child maltreatment training. .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. The EPR plan was not maintained on the template provided by the division of emergency management. 10A NCAC 09 .1714(c) & .1721(e)(1) The violation(s) documented must be corrected immediately. On or before 4-8-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and (5) Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 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. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: A written activity plan that shall: Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. 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/online-trainings/ 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 .1723 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 3/25/2025 Number Present: 5 Completed Date: 3/25/2025 Age: From 1 To 3 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. Tamela Daniel, assisted me with the visit. An additional caregiver, Rudean Thomas, was also present, she is Ms. Daniel’s mother. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 3/25/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed 5 children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in morning snack, and free time. The caregivers were interacting and meeting the developmental needs for the children. A partial assessment of the child care requirements was completed today. The last fire drill was conducted on 3/11/25. The last shelter and lock down drill were 3/11/25. The last Outdoor inspection was completed on 3/11/25. Heath questionnaire was completed on 4/10/24 it is to be updated annually. This one is good until 4/10/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current, liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Seven violations were cited during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's first aid was not renewed before the expiration date of the certificate which was 1/20/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator did not complete the CPR course before the expiration date of the certificate which was 1/20/25. .1703(a)(3) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. For each child being transported the operator did not have identifying information. .1723(13) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The additional care givers ITS-SIDS expired 3/15/25. .1703(a)(4) 1997 Vehicle used for transportation did not have a fire extinguisher. The vehicle did not have a fire extinguisher. .1723(11) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. The operator did not have a certificate verifying that she took the required recognizing and responding to suspicions of child maltreatment training. .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. The EPR plan was not maintained on the template provided by the division of emergency management. 10A NCAC 09 .1714(c) & .1721(e)(1) The violation(s) documented must be corrected immediately. On or before 4-8-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and (5) Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 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. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: A written activity plan that shall: Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. 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/online-trainings/ 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: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: GILETTE PARKER Operation Type: Family CC Home Case Number: Visit Date: 3/25/2025 Number Present: 5 Completed Date: 3/25/2025 Age: From 1 To 3 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Ms. Tamela Daniel, assisted me with the visit. An additional caregiver, Rudean Thomas, was also present, she is Ms. Daniel’s mother. This family child care home is operating with four star rated license issued on 10/30/2019. Restrictions to the license include serving no more than three infants under the age one. The home's compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 3/25/25. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed 5 children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. The children at the facility were participating in morning snack, and free time. The caregivers were interacting and meeting the developmental needs for the children. A partial assessment of the child care requirements was completed today. The last fire drill was conducted on 3/11/25. The last shelter and lock down drill were 3/11/25. The last Outdoor inspection was completed on 3/11/25. Heath questionnaire was completed on 4/10/24 it is to be updated annually. This one is good until 4/10/25. Transportation The provider has gotten a new vehicle since the last visit. Vehicle safety inspections were current, liability insurance was current. Progressive insurance valid until 6/20/25. The safety inspection is valid through 2/2026. Seven violations were cited during today’s visit. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. The operator's first aid was not renewed before the expiration date of the certificate which was 1/20/25. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. The operator did not complete the CPR course before the expiration date of the certificate which was 1/20/25. .1703(a)(3) 1103 For each child being transported, the operator or other transportation provider did not have identifying information, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a )(3) in the vehicle whenever children were transported. For each child being transported the operator did not have identifying information. .1723(13) 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The additional care givers ITS-SIDS expired 3/15/25. .1703(a)(4) 1997 Vehicle used for transportation did not have a fire extinguisher. The vehicle did not have a fire extinguisher. .1723(11) 2019 Operator did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within the required time frame. The operator did not have a certificate verifying that she took the required recognizing and responding to suspicions of child maltreatment training. .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. The EPR plan was not maintained on the template provided by the division of emergency management. 10A NCAC 09 .1714(c) & .1721(e)(1) The violation(s) documented must be corrected immediately. On or before 4-8-25, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Also, please provide information regarding how the facility will maintain compliance in the future. 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 The provider and I discussed the following items to ensure compliance 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; (4) Renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training; and (5) Complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of licensure. This training shall count toward requirements set forth in Paragraph (d) of this Rule. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/. 10A NCAC 09 .1723 TRANSPORTATION REQUIREMENTS To assure the safety of children whenever they are transported, the operator, or any other transportation provider, shall: (11) have a First Aid kit and fire extinguisher located in the vehicle used to transport children; (12) never leave children in a vehicle unattended by an adult; (13) have identifying information in the vehicle about each child being transported, including the child's name, photograph, emergency contact information, and a copy of the emergency medical care information form required by Rule .1721(a)(3) of this Section; 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE 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. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS The family child care home operator (operator or operators) shall provide the following on a daily basis for all children in care: A written activity plan that shall: Include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at https://www.ncchildcare.ncdhhs.gov//pdf_forms/nc_foundations.pdf: emotional and social development; health and physical development; approaches to play and learning; language development and communication; and cognitive development. You were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all of the licensing requirements that apply to your program. It is your responsibility to maintain compliance with all of the applicable laws and rules at all times. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ , on the home page under the ‘Services’ tab. 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/online-trainings/ 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 .1705 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: BOON TROTT Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 6 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance Visit at this family child care home. Upon arrival, I was invited in by the provider, Tamala Daniel, who was caring for 6 children with the additional caregiver, Rudean Thomas. She is Ms. Daniel’s mother. Children were having an outdoor time on the balcony playing with the toys and materials. There were play equipment set up on the balcony as well as in the playground. . I conducted a walk-through of the indoor and outdoor learning areas. I observed the children playing outside, eating lunch, and resting. I reviewed program records, staff and children’s files. This program does not administer medication as a policy. Transportation requirements were also monitored. Ms. Daniel stated she transports only the school age children during the school year. She is approved to transport children provided you have the parent’s permission and the children’s emergency and identifying information on the vehicle. I observed the following violations. Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator temperature was 48 degrees. 10A NCAC 09 .1725(a)(10) 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. A child's medical report was on file, but the health care professional part was not completed. GS 110-91(1); 10A NCAC 09.1721(a)(1) 920 Records were not made available for review. Other than the CBC, DPR/First Aid, and ITS-SIDS training records, the additional caregiver's records were not available for review. G.S. 110-91(9) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The provider completed 9.5 hours of on-going training. She requires 15 hours annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1960 The written schedule and/or activity plan did not show blocks of time that was developmentally appropriate to the ages of children in care. The provider did not have an activity plan. .1718(a)(7)(B) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 7/2/2024. My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position Technical Assistance >Rated License Assessment (RLA) You are in Cohort 2. The preparation year for Chohort begins July 2024, and the rated license assessment year begins in July 2025 . If applicable, submit any new education to Workforce in a timely manner. If you want to be assessed for Family Child Care Environment Rating Scale (FCCERS) as a practice run during the preparation year, please reach out to me. After the FCCERS, If you like the score, you can keep the score. If not, you may complete the FCCERS assessment again. >Self-Study and Self-Assessment: You must complete Self-Study and Self-Assessment to score 2 points or higher in Program Standard component of the license, you must provide a documentation of completed using the Family Child Care Rating Scale over a 3-month time period. For details, visit www.ncrlap.org. >Visit www.ncrlap.org to access the Environment Rating Scale (ERS) training videos, frequently asked questions, additional notes, and more. For technical assistance pertaining to the ERS assessment, reach out to the Partnership or CCSA for technical assistance. The training taken on the website is counted toward annual on-going training hours. >Additional Caregiver and/or Substitutes record requirements is child care rule # .1729. You may access the rules by going to the DCDEE Website, https://ncchildcare.ncdhhs.gov/. Go to the Provider tab and hover over it. In the drop-down box Click on Child Care Rules. Scroll down to the North Carolina Child Care Rules and Law section. Click on Chapter 9- Child Care Rules for the current rules. >File Checklist for Additional Caregivers/Substitutes may be found on the website, https://ncchildcare.ncdhhs.gov/. Other Information Weighted blankets or vests: 1.Blankets of any type are prohibited for children aged 0 to 12 months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically state no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. 2.Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use for children 13 months or older. 3.If the use of a weighted blanket or vest is something a facility wants to consider using, you’d need to contact me prior to use to ensure compliance with applicable requirements. I reviewed today’s visit with Ms. Daniiel and provided her with an opportunity to ask me questions regarding the visit and interpretation and implementation of child care requirements. Thank you for the visit and for working on maintaining your files organized. You may reach me at boon.trott@dhhs.nc.gov or 336-706-2871 if you have any questions or concerns. My mailing address is P.O, Box 1374, Mebane, NC 27302. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or 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 .1725 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: BOON TROTT Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 6 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance Visit at this family child care home. Upon arrival, I was invited in by the provider, Tamala Daniel, who was caring for 6 children with the additional caregiver, Rudean Thomas. She is Ms. Daniel’s mother. Children were having an outdoor time on the balcony playing with the toys and materials. There were play equipment set up on the balcony as well as in the playground. . I conducted a walk-through of the indoor and outdoor learning areas. I observed the children playing outside, eating lunch, and resting. I reviewed program records, staff and children’s files. This program does not administer medication as a policy. Transportation requirements were also monitored. Ms. Daniel stated she transports only the school age children during the school year. She is approved to transport children provided you have the parent’s permission and the children’s emergency and identifying information on the vehicle. I observed the following violations. Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator temperature was 48 degrees. 10A NCAC 09 .1725(a)(10) 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. A child's medical report was on file, but the health care professional part was not completed. GS 110-91(1); 10A NCAC 09.1721(a)(1) 920 Records were not made available for review. Other than the CBC, DPR/First Aid, and ITS-SIDS training records, the additional caregiver's records were not available for review. G.S. 110-91(9) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The provider completed 9.5 hours of on-going training. She requires 15 hours annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1960 The written schedule and/or activity plan did not show blocks of time that was developmentally appropriate to the ages of children in care. The provider did not have an activity plan. .1718(a)(7)(B) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 7/2/2024. My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position Technical Assistance >Rated License Assessment (RLA) You are in Cohort 2. The preparation year for Chohort begins July 2024, and the rated license assessment year begins in July 2025 . If applicable, submit any new education to Workforce in a timely manner. If you want to be assessed for Family Child Care Environment Rating Scale (FCCERS) as a practice run during the preparation year, please reach out to me. After the FCCERS, If you like the score, you can keep the score. If not, you may complete the FCCERS assessment again. >Self-Study and Self-Assessment: You must complete Self-Study and Self-Assessment to score 2 points or higher in Program Standard component of the license, you must provide a documentation of completed using the Family Child Care Rating Scale over a 3-month time period. For details, visit www.ncrlap.org. >Visit www.ncrlap.org to access the Environment Rating Scale (ERS) training videos, frequently asked questions, additional notes, and more. For technical assistance pertaining to the ERS assessment, reach out to the Partnership or CCSA for technical assistance. The training taken on the website is counted toward annual on-going training hours. >Additional Caregiver and/or Substitutes record requirements is child care rule # .1729. You may access the rules by going to the DCDEE Website, https://ncchildcare.ncdhhs.gov/. Go to the Provider tab and hover over it. In the drop-down box Click on Child Care Rules. Scroll down to the North Carolina Child Care Rules and Law section. Click on Chapter 9- Child Care Rules for the current rules. >File Checklist for Additional Caregivers/Substitutes may be found on the website, https://ncchildcare.ncdhhs.gov/. Other Information Weighted blankets or vests: 1.Blankets of any type are prohibited for children aged 0 to 12 months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically state no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. 2.Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use for children 13 months or older. 3.If the use of a weighted blanket or vest is something a facility wants to consider using, you’d need to contact me prior to use to ensure compliance with applicable requirements. I reviewed today’s visit with Ms. Daniiel and provided her with an opportunity to ask me questions regarding the visit and interpretation and implementation of child care requirements. Thank you for the visit and for working on maintaining your files organized. You may reach me at boon.trott@dhhs.nc.gov or 336-706-2871 if you have any questions or concerns. My mailing address is P.O, Box 1374, Mebane, NC 27302. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or 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: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: BOON TROTT Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 6 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance Visit at this family child care home. Upon arrival, I was invited in by the provider, Tamala Daniel, who was caring for 6 children with the additional caregiver, Rudean Thomas. She is Ms. Daniel’s mother. Children were having an outdoor time on the balcony playing with the toys and materials. There were play equipment set up on the balcony as well as in the playground. . I conducted a walk-through of the indoor and outdoor learning areas. I observed the children playing outside, eating lunch, and resting. I reviewed program records, staff and children’s files. This program does not administer medication as a policy. Transportation requirements were also monitored. Ms. Daniel stated she transports only the school age children during the school year. She is approved to transport children provided you have the parent’s permission and the children’s emergency and identifying information on the vehicle. I observed the following violations. Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator temperature was 48 degrees. 10A NCAC 09 .1725(a)(10) 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. A child's medical report was on file, but the health care professional part was not completed. GS 110-91(1); 10A NCAC 09.1721(a)(1) 920 Records were not made available for review. Other than the CBC, DPR/First Aid, and ITS-SIDS training records, the additional caregiver's records were not available for review. G.S. 110-91(9) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The provider completed 9.5 hours of on-going training. She requires 15 hours annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1960 The written schedule and/or activity plan did not show blocks of time that was developmentally appropriate to the ages of children in care. The provider did not have an activity plan. .1718(a)(7)(B) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 7/2/2024. My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position Technical Assistance >Rated License Assessment (RLA) You are in Cohort 2. The preparation year for Chohort begins July 2024, and the rated license assessment year begins in July 2025 . If applicable, submit any new education to Workforce in a timely manner. If you want to be assessed for Family Child Care Environment Rating Scale (FCCERS) as a practice run during the preparation year, please reach out to me. After the FCCERS, If you like the score, you can keep the score. If not, you may complete the FCCERS assessment again. >Self-Study and Self-Assessment: You must complete Self-Study and Self-Assessment to score 2 points or higher in Program Standard component of the license, you must provide a documentation of completed using the Family Child Care Rating Scale over a 3-month time period. For details, visit www.ncrlap.org. >Visit www.ncrlap.org to access the Environment Rating Scale (ERS) training videos, frequently asked questions, additional notes, and more. For technical assistance pertaining to the ERS assessment, reach out to the Partnership or CCSA for technical assistance. The training taken on the website is counted toward annual on-going training hours. >Additional Caregiver and/or Substitutes record requirements is child care rule # .1729. You may access the rules by going to the DCDEE Website, https://ncchildcare.ncdhhs.gov/. Go to the Provider tab and hover over it. In the drop-down box Click on Child Care Rules. Scroll down to the North Carolina Child Care Rules and Law section. Click on Chapter 9- Child Care Rules for the current rules. >File Checklist for Additional Caregivers/Substitutes may be found on the website, https://ncchildcare.ncdhhs.gov/. Other Information Weighted blankets or vests: 1.Blankets of any type are prohibited for children aged 0 to 12 months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically state no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. 2.Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use for children 13 months or older. 3.If the use of a weighted blanket or vest is something a facility wants to consider using, you’d need to contact me prior to use to ensure compliance with applicable requirements. I reviewed today’s visit with Ms. Daniiel and provided her with an opportunity to ask me questions regarding the visit and interpretation and implementation of child care requirements. Thank you for the visit and for working on maintaining your files organized. You may reach me at boon.trott@dhhs.nc.gov or 336-706-2871 if you have any questions or concerns. My mailing address is P.O, Box 1374, Mebane, NC 27302. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or 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

G.S. 110-91 · Violation

Name of Operation: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: BOON TROTT Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 6 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance Visit at this family child care home. Upon arrival, I was invited in by the provider, Tamala Daniel, who was caring for 6 children with the additional caregiver, Rudean Thomas. She is Ms. Daniel’s mother. Children were having an outdoor time on the balcony playing with the toys and materials. There were play equipment set up on the balcony as well as in the playground. . I conducted a walk-through of the indoor and outdoor learning areas. I observed the children playing outside, eating lunch, and resting. I reviewed program records, staff and children’s files. This program does not administer medication as a policy. Transportation requirements were also monitored. Ms. Daniel stated she transports only the school age children during the school year. She is approved to transport children provided you have the parent’s permission and the children’s emergency and identifying information on the vehicle. I observed the following violations. Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator temperature was 48 degrees. 10A NCAC 09 .1725(a)(10) 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. A child's medical report was on file, but the health care professional part was not completed. GS 110-91(1); 10A NCAC 09.1721(a)(1) 920 Records were not made available for review. Other than the CBC, DPR/First Aid, and ITS-SIDS training records, the additional caregiver's records were not available for review. G.S. 110-91(9) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The provider completed 9.5 hours of on-going training. She requires 15 hours annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1960 The written schedule and/or activity plan did not show blocks of time that was developmentally appropriate to the ages of children in care. The provider did not have an activity plan. .1718(a)(7)(B) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 7/2/2024. My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position Technical Assistance >Rated License Assessment (RLA) You are in Cohort 2. The preparation year for Chohort begins July 2024, and the rated license assessment year begins in July 2025 . If applicable, submit any new education to Workforce in a timely manner. If you want to be assessed for Family Child Care Environment Rating Scale (FCCERS) as a practice run during the preparation year, please reach out to me. After the FCCERS, If you like the score, you can keep the score. If not, you may complete the FCCERS assessment again. >Self-Study and Self-Assessment: You must complete Self-Study and Self-Assessment to score 2 points or higher in Program Standard component of the license, you must provide a documentation of completed using the Family Child Care Rating Scale over a 3-month time period. For details, visit www.ncrlap.org. >Visit www.ncrlap.org to access the Environment Rating Scale (ERS) training videos, frequently asked questions, additional notes, and more. For technical assistance pertaining to the ERS assessment, reach out to the Partnership or CCSA for technical assistance. The training taken on the website is counted toward annual on-going training hours. >Additional Caregiver and/or Substitutes record requirements is child care rule # .1729. You may access the rules by going to the DCDEE Website, https://ncchildcare.ncdhhs.gov/. Go to the Provider tab and hover over it. In the drop-down box Click on Child Care Rules. Scroll down to the North Carolina Child Care Rules and Law section. Click on Chapter 9- Child Care Rules for the current rules. >File Checklist for Additional Caregivers/Substitutes may be found on the website, https://ncchildcare.ncdhhs.gov/. Other Information Weighted blankets or vests: 1.Blankets of any type are prohibited for children aged 0 to 12 months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically state no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. 2.Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use for children 13 months or older. 3.If the use of a weighted blanket or vest is something a facility wants to consider using, you’d need to contact me prior to use to ensure compliance with applicable requirements. I reviewed today’s visit with Ms. Daniiel and provided her with an opportunity to ask me questions regarding the visit and interpretation and implementation of child care requirements. Thank you for the visit and for working on maintaining your files organized. You may reach me at boon.trott@dhhs.nc.gov or 336-706-2871 if you have any questions or concerns. My mailing address is P.O, Box 1374, Mebane, NC 27302. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or 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: TINY TUMMIES HOME DAYCARE Facility ID: 73000225 Consultant: BOON TROTT Operation Type: Family CC Home Case Number: Visit Date: 6/18/2024 Number Present: 6 Completed Date: 6/18/2024 Age: From 1 To 5 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during an Annual Compliance Visit at this family child care home. Upon arrival, I was invited in by the provider, Tamala Daniel, who was caring for 6 children with the additional caregiver, Rudean Thomas. She is Ms. Daniel’s mother. Children were having an outdoor time on the balcony playing with the toys and materials. There were play equipment set up on the balcony as well as in the playground. . I conducted a walk-through of the indoor and outdoor learning areas. I observed the children playing outside, eating lunch, and resting. I reviewed program records, staff and children’s files. This program does not administer medication as a policy. Transportation requirements were also monitored. Ms. Daniel stated she transports only the school age children during the school year. She is approved to transport children provided you have the parent’s permission and the children’s emergency and identifying information on the vehicle. I observed the following violations. Violation Number Comment Rule 810 Refrigerator was not maintained at a temperature of 45 degrees Fahrenheit or below and/or was not monitored by a refrigerator thermometer. The refrigerator temperature was 48 degrees. 10A NCAC 09 .1725(a)(10) 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. A child's medical report was on file, but the health care professional part was not completed. GS 110-91(1); 10A NCAC 09.1721(a)(1) 920 Records were not made available for review. Other than the CBC, DPR/First Aid, and ITS-SIDS training records, the additional caregiver's records were not available for review. G.S. 110-91(9) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The provider completed 9.5 hours of on-going training. She requires 15 hours annually. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1960 The written schedule and/or activity plan did not show blocks of time that was developmentally appropriate to the ages of children in care. The provider did not have an activity plan. .1718(a)(7)(B) The above violations must be corrected immediately. I must receive a compliance statement/ letter by email or mail by 7/2/2024. My email address is boon.trott@dhhs.nc.gov, and the mailing address is PO Box 1374, Mebane, NC 27302. In the letter, include the following information: 1. Your facility ID# and Name 2. Visit date 3. Violation item number(s) 4. How and when the violation was corrected (Be specific) 5. Your signature/name and position Technical Assistance >Rated License Assessment (RLA) You are in Cohort 2. The preparation year for Chohort begins July 2024, and the rated license assessment year begins in July 2025 . If applicable, submit any new education to Workforce in a timely manner. If you want to be assessed for Family Child Care Environment Rating Scale (FCCERS) as a practice run during the preparation year, please reach out to me. After the FCCERS, If you like the score, you can keep the score. If not, you may complete the FCCERS assessment again. >Self-Study and Self-Assessment: You must complete Self-Study and Self-Assessment to score 2 points or higher in Program Standard component of the license, you must provide a documentation of completed using the Family Child Care Rating Scale over a 3-month time period. For details, visit www.ncrlap.org. >Visit www.ncrlap.org to access the Environment Rating Scale (ERS) training videos, frequently asked questions, additional notes, and more. For technical assistance pertaining to the ERS assessment, reach out to the Partnership or CCSA for technical assistance. The training taken on the website is counted toward annual on-going training hours. >Additional Caregiver and/or Substitutes record requirements is child care rule # .1729. You may access the rules by going to the DCDEE Website, https://ncchildcare.ncdhhs.gov/. Go to the Provider tab and hover over it. In the drop-down box Click on Child Care Rules. Scroll down to the North Carolina Child Care Rules and Law section. Click on Chapter 9- Child Care Rules for the current rules. >File Checklist for Additional Caregivers/Substitutes may be found on the website, https://ncchildcare.ncdhhs.gov/. Other Information Weighted blankets or vests: 1.Blankets of any type are prohibited for children aged 0 to 12 months, per .0606(a)(2) Safe Sleep Policy. The current child care rules specifically state no blankets or other items can be used/placed with a sleeping infant aged 12 months or younger. 2.Weighted blankets or vests can potentially restrict a child’s movement; therefore, they are prohibited for use unless a therapist requests and approves the use. A therapist can only approve the use for children 13 months or older. 3.If the use of a weighted blanket or vest is something a facility wants to consider using, you’d need to contact me prior to use to ensure compliance with applicable requirements. I reviewed today’s visit with Ms. Daniiel and provided her with an opportunity to ask me questions regarding the visit and interpretation and implementation of child care requirements. Thank you for the visit and for working on maintaining your files organized. You may reach me at boon.trott@dhhs.nc.gov or 336-706-2871 if you have any questions or concerns. My mailing address is P.O, Box 1374, Mebane, NC 27302. The contact information for my supervisor, Kaye Adkins, is 336-580-2527 or 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