10A NCAC 09 .0604 · Violation

Name of Operation: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 56 Completed Date: 6/12/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 09:55 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a routine unannounced visit. Upon my arrival, I was greeted by the owner, B. Dudley, and the administrator, P. Gunt. Ms. Gunt accompanied me as I completed a general walk-through of the facility which consisted of six (6) classrooms, the outdoor play areas, and the kitchen. A total of fifty-six (56) children were present during the visit. The children were observed during free choice, outdoor play and completing routine care tasks. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: This facility is currently operating with a five-star rated license issued on August 18, 2017. The NC Secretary of State website was reviewed on June 11, 2025, and Tom Thumb Academy, Inc., was listed as current and active. REQUIRED INSPECTIONS/DRILLS: The last annual fire inspection was completed on August 29, 2024, and the last annual sanitation inspection was completed on April 7, 2025, and received a “Superior” classification with six (6) demerits. The most recent documented monthly fire drill was conducted on May 9, 2025, the most recent documented quarterly lockdown drill/shelter-in-place drill was conducted on June 4, 2025, and the most recent documented monthly playground inspection was completed on May 12, 2025. During today’s visit, a partial assessment of the child care requirements was conducted. I observed all required postings, attendance logs, and safe sleep logs. I monitored program requirements, equipment and furnishings, staff/child ratios & supervision, storage and/or administering of medication, and the outdoor area & equipment. I also reviewed staff files for five (5) new staff members. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space #5. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip in a space accessible to children did not have safety covers 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. CeraVe topical ointment with an expiration date of 02/25 and Butt Paste topical ointment with an expiration date of 04/23 were administered to enrolled children after the expiration date. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member with a hire date of 5/12/25 did not have a medical report on file prior to the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member with a hire date of 5/12/25 did not have a TB test or screening on file prior to the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A staff member with a hire date of 5/12/25 did not have an Emergency Information Form on file prior to the first day of employment. .0701(a) COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 89%. COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By June 26, 2025, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 TECHNICAL ASSISTANCE/CONSULTATION: As a reminder, I recommend you develop a system that will help you capture the expiration dates on prescription and non-prescription medications including topical ointments and sunscreen to avoid usage after the expiration dates. You may want to ensure that your staff members are recording the correct expiration dates on the authorization forms. The Child Care Commission is tentatively scheduled to adopt the new rules for the Quality Rating and Improvement System (QRIS) Modernization, previously the star rated license assessment. Once the rules are adopted, the hold harmless for the rated license assessments will end and all programs will be required to transition. Before the new rules are adopted, please encourage all staff to create a WORKS account using their NCID credentials. The staff members should include administrators, lead teachers, teachers, program coordinators, and/or group leaders. Once the WORKS account is created, staff must submit their official transcripts. Providers without verifiable education may result in a reduction in stars at the facility. For more information, please visit the Division of Child Development and Early Education website at https://ncchildcare.ncdhhs.gov/, click on the What’s New tab, then scroll down and click on the QRIS Modernization tab, and review the listed information and videos. There is also a FAQ document. ABCMS/CRIMINAL BACKGROUND CHECK PROVIDER PORTAL: As stated in North Carolina General Statute 110-90.2 & .2703(r) child care operators are to notify the Division of Child Development and Early Education of any new child care providers working who were hired or moved into the child care facility within five (5) business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete the Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the referenced training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been granted, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five (5) business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 56 Completed Date: 6/12/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 09:55 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a routine unannounced visit. Upon my arrival, I was greeted by the owner, B. Dudley, and the administrator, P. Gunt. Ms. Gunt accompanied me as I completed a general walk-through of the facility which consisted of six (6) classrooms, the outdoor play areas, and the kitchen. A total of fifty-six (56) children were present during the visit. The children were observed during free choice, outdoor play and completing routine care tasks. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: This facility is currently operating with a five-star rated license issued on August 18, 2017. The NC Secretary of State website was reviewed on June 11, 2025, and Tom Thumb Academy, Inc., was listed as current and active. REQUIRED INSPECTIONS/DRILLS: The last annual fire inspection was completed on August 29, 2024, and the last annual sanitation inspection was completed on April 7, 2025, and received a “Superior” classification with six (6) demerits. The most recent documented monthly fire drill was conducted on May 9, 2025, the most recent documented quarterly lockdown drill/shelter-in-place drill was conducted on June 4, 2025, and the most recent documented monthly playground inspection was completed on May 12, 2025. During today’s visit, a partial assessment of the child care requirements was conducted. I observed all required postings, attendance logs, and safe sleep logs. I monitored program requirements, equipment and furnishings, staff/child ratios & supervision, storage and/or administering of medication, and the outdoor area & equipment. I also reviewed staff files for five (5) new staff members. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space #5. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip in a space accessible to children did not have safety covers 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. CeraVe topical ointment with an expiration date of 02/25 and Butt Paste topical ointment with an expiration date of 04/23 were administered to enrolled children after the expiration date. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member with a hire date of 5/12/25 did not have a medical report on file prior to the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member with a hire date of 5/12/25 did not have a TB test or screening on file prior to the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A staff member with a hire date of 5/12/25 did not have an Emergency Information Form on file prior to the first day of employment. .0701(a) COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 89%. COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By June 26, 2025, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 TECHNICAL ASSISTANCE/CONSULTATION: As a reminder, I recommend you develop a system that will help you capture the expiration dates on prescription and non-prescription medications including topical ointments and sunscreen to avoid usage after the expiration dates. You may want to ensure that your staff members are recording the correct expiration dates on the authorization forms. The Child Care Commission is tentatively scheduled to adopt the new rules for the Quality Rating and Improvement System (QRIS) Modernization, previously the star rated license assessment. Once the rules are adopted, the hold harmless for the rated license assessments will end and all programs will be required to transition. Before the new rules are adopted, please encourage all staff to create a WORKS account using their NCID credentials. The staff members should include administrators, lead teachers, teachers, program coordinators, and/or group leaders. Once the WORKS account is created, staff must submit their official transcripts. Providers without verifiable education may result in a reduction in stars at the facility. For more information, please visit the Division of Child Development and Early Education website at https://ncchildcare.ncdhhs.gov/, click on the What’s New tab, then scroll down and click on the QRIS Modernization tab, and review the listed information and videos. There is also a FAQ document. ABCMS/CRIMINAL BACKGROUND CHECK PROVIDER PORTAL: As stated in North Carolina General Statute 110-90.2 & .2703(r) child care operators are to notify the Division of Child Development and Early Education of any new child care providers working who were hired or moved into the child care facility within five (5) business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete the Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the referenced training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been granted, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five (5) business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 56 Completed Date: 6/12/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 09:55 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a routine unannounced visit. Upon my arrival, I was greeted by the owner, B. Dudley, and the administrator, P. Gunt. Ms. Gunt accompanied me as I completed a general walk-through of the facility which consisted of six (6) classrooms, the outdoor play areas, and the kitchen. A total of fifty-six (56) children were present during the visit. The children were observed during free choice, outdoor play and completing routine care tasks. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: This facility is currently operating with a five-star rated license issued on August 18, 2017. The NC Secretary of State website was reviewed on June 11, 2025, and Tom Thumb Academy, Inc., was listed as current and active. REQUIRED INSPECTIONS/DRILLS: The last annual fire inspection was completed on August 29, 2024, and the last annual sanitation inspection was completed on April 7, 2025, and received a “Superior” classification with six (6) demerits. The most recent documented monthly fire drill was conducted on May 9, 2025, the most recent documented quarterly lockdown drill/shelter-in-place drill was conducted on June 4, 2025, and the most recent documented monthly playground inspection was completed on May 12, 2025. During today’s visit, a partial assessment of the child care requirements was conducted. I observed all required postings, attendance logs, and safe sleep logs. I monitored program requirements, equipment and furnishings, staff/child ratios & supervision, storage and/or administering of medication, and the outdoor area & equipment. I also reviewed staff files for five (5) new staff members. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space #5. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip in a space accessible to children did not have safety covers 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. CeraVe topical ointment with an expiration date of 02/25 and Butt Paste topical ointment with an expiration date of 04/23 were administered to enrolled children after the expiration date. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member with a hire date of 5/12/25 did not have a medical report on file prior to the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member with a hire date of 5/12/25 did not have a TB test or screening on file prior to the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A staff member with a hire date of 5/12/25 did not have an Emergency Information Form on file prior to the first day of employment. .0701(a) COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 89%. COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By June 26, 2025, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 TECHNICAL ASSISTANCE/CONSULTATION: As a reminder, I recommend you develop a system that will help you capture the expiration dates on prescription and non-prescription medications including topical ointments and sunscreen to avoid usage after the expiration dates. You may want to ensure that your staff members are recording the correct expiration dates on the authorization forms. The Child Care Commission is tentatively scheduled to adopt the new rules for the Quality Rating and Improvement System (QRIS) Modernization, previously the star rated license assessment. Once the rules are adopted, the hold harmless for the rated license assessments will end and all programs will be required to transition. Before the new rules are adopted, please encourage all staff to create a WORKS account using their NCID credentials. The staff members should include administrators, lead teachers, teachers, program coordinators, and/or group leaders. Once the WORKS account is created, staff must submit their official transcripts. Providers without verifiable education may result in a reduction in stars at the facility. For more information, please visit the Division of Child Development and Early Education website at https://ncchildcare.ncdhhs.gov/, click on the What’s New tab, then scroll down and click on the QRIS Modernization tab, and review the listed information and videos. There is also a FAQ document. ABCMS/CRIMINAL BACKGROUND CHECK PROVIDER PORTAL: As stated in North Carolina General Statute 110-90.2 & .2703(r) child care operators are to notify the Division of Child Development and Early Education of any new child care providers working who were hired or moved into the child care facility within five (5) business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete the Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the referenced training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been granted, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five (5) business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. 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: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 6/12/2025 Number Present: 56 Completed Date: 6/12/2025 Age: From 0 To 5 Total Minutes: 215 Time In: 09:55 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during a routine unannounced visit. Upon my arrival, I was greeted by the owner, B. Dudley, and the administrator, P. Gunt. Ms. Gunt accompanied me as I completed a general walk-through of the facility which consisted of six (6) classrooms, the outdoor play areas, and the kitchen. A total of fifty-six (56) children were present during the visit. The children were observed during free choice, outdoor play and completing routine care tasks. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: This facility is currently operating with a five-star rated license issued on August 18, 2017. The NC Secretary of State website was reviewed on June 11, 2025, and Tom Thumb Academy, Inc., was listed as current and active. REQUIRED INSPECTIONS/DRILLS: The last annual fire inspection was completed on August 29, 2024, and the last annual sanitation inspection was completed on April 7, 2025, and received a “Superior” classification with six (6) demerits. The most recent documented monthly fire drill was conducted on May 9, 2025, the most recent documented quarterly lockdown drill/shelter-in-place drill was conducted on June 4, 2025, and the most recent documented monthly playground inspection was completed on May 12, 2025. During today’s visit, a partial assessment of the child care requirements was conducted. I observed all required postings, attendance logs, and safe sleep logs. I monitored program requirements, equipment and furnishings, staff/child ratios & supervision, storage and/or administering of medication, and the outdoor area & equipment. I also reviewed staff files for five (5) new staff members. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space #5. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. A power strip in a space accessible to children did not have safety covers 10A NCAC 09 .0604(c) 843 A drug or medicine was administered after its expiration date. CeraVe topical ointment with an expiration date of 02/25 and Butt Paste topical ointment with an expiration date of 04/23 were administered to enrolled children after the expiration date. 10A NCAC 09 .0803(1)(d) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member with a hire date of 5/12/25 did not have a medical report on file prior to the first day of employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member with a hire date of 5/12/25 did not have a TB test or screening on file prior to the first day of employment. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. A staff member with a hire date of 5/12/25 did not have an Emergency Information Form on file prior to the first day of employment. .0701(a) COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 89%. COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By June 26, 2025, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 TECHNICAL ASSISTANCE/CONSULTATION: As a reminder, I recommend you develop a system that will help you capture the expiration dates on prescription and non-prescription medications including topical ointments and sunscreen to avoid usage after the expiration dates. You may want to ensure that your staff members are recording the correct expiration dates on the authorization forms. The Child Care Commission is tentatively scheduled to adopt the new rules for the Quality Rating and Improvement System (QRIS) Modernization, previously the star rated license assessment. Once the rules are adopted, the hold harmless for the rated license assessments will end and all programs will be required to transition. Before the new rules are adopted, please encourage all staff to create a WORKS account using their NCID credentials. The staff members should include administrators, lead teachers, teachers, program coordinators, and/or group leaders. Once the WORKS account is created, staff must submit their official transcripts. Providers without verifiable education may result in a reduction in stars at the facility. For more information, please visit the Division of Child Development and Early Education website at https://ncchildcare.ncdhhs.gov/, click on the What’s New tab, then scroll down and click on the QRIS Modernization tab, and review the listed information and videos. There is also a FAQ document. ABCMS/CRIMINAL BACKGROUND CHECK PROVIDER PORTAL: As stated in North Carolina General Statute 110-90.2 & .2703(r) child care operators are to notify the Division of Child Development and Early Education of any new child care providers working who were hired or moved into the child care facility within five (5) business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete the Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the referenced training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been granted, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five (5) business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance, please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 12/10/2024 Number Present: 59 Completed Date: 12/10/2024 Age: From 0 To 5 Total Minutes: 175 Time In: 12:50 PM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements after a violation for enhanced staff/child ratios was cited during an annual compliance visit conducted on December 2, 2024. Upon my arrival, I was greeted by a staff member, G. Stewart. Ms. Stewart stated that the administrator, P. Gunt, was present. Limited monitoring of the child care requirements occurred during today’s visit. The license was posted. I was unaccompanied as I completed a general walk-through of the facility. A total of fifty-nine (59) children were present during today’s visit. I observed the children resting during naptime. Today’s snack was in compliance with the Meal Pattern requirements. B. Dudley, the owner, arrived shortly afterwards and assisted with the visit. Ms. Dudley submitted the compliance verification letter during the visit. The following items cited during the annual compliance visit were monitored for compliance during today’s visit: Item #428-Activity plans were current and posted in all the classroom during today’s visit. An additional violation was not documented. Item#812- All electrical outlets were observed covered with plastic covers. An additional violation was not documented. Item #1756-All enhanced staff/child ratios were maintained during today’s visit. An additional violation was not documented. Staff files were also monitored during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. An employee with a hire date of 10-9-24 did not have a completed medical report on file until 12-4-24. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. An employee with a hire date of 10-9-24 did not have a completed TB test and/or screening with negative results on file until 12-6-24. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. An employee with a hire date of 9-3-24 did not complete First Aid training within 90 days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. An employee with a hire date of 9-3-24 did not complete CPR training within 90 days of employment. .1102(d) COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By December 24, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 TECHNICAL ASSISTANCE/CONSULTATION: During today’s visit, you were reminded that three (3) staff members must obtain their ongoing training hours by December 14, 2024. You stated that you have CPR and First Aid training scheduled for December 12, 2024, and I reminded you that this training cannot be counted towards ongoing training hours. Failure to obtain the number of hours or submit the documentation for hours may result in additional violations being documented. I recommend you submit the verification of the remaining hours to me electronically to ensure it reaches me on time. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 12/2/2024 Number Present: 63 Completed Date: 12/2/2024 Age: From 0 To 11 Total Minutes: 175 Time In: 10:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. The annual compliance monitoring checklist for Child Care Centers was used to note requirements monitored today. Upon my arrival, I was greeted by the administrator, P. Gunt. I was unaccompanied as I completed a general walk-through of the facility which consisted of six (6) classrooms, the outdoor play areas, and the kitchen. A total of sixty-three (63) children were present during today’s visit. I observed the children participating in free choice play and having lunch. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: This facility currently operates with a five-star rated license issued August 18, 2017. The NC Secretary of State website was reviewed on December 2, 2024, and Tom Thumb Academy Inc was listed as current and active. REQUIRED INSPECTIONS/DRILLS: The last annual compliance visit was completed December 14, 2023. The most recent annual fire inspection was completed on August 29, 2024. The most recent annual sanitation inspection was completed on October 7, 2024, and received a Superior classification with eight (8) demerits. The last documented monthly fire drill was conducted on November 11, 2024, the last documented quarterly lockdown drill/shelter-in-place drill was conducted on September 27, 2024, and the last documented monthly playground inspection was completed on November 13, 2024. During today’s visit, a full assessment of Child Care Requirements was conducted. I observed all required postings, attendance logs, and safe sleep logs. I also monitored program requirements, equipment and furnishings, staff/child ratios & supervision, storage and/or administering of medication, and the outdoor area & equipment. I also reviewed a sample of the children’s records. The director did not complete the staff/training worksheets; therefore, staff files were not monitored during today’s visit. This facility does not provide transportation. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 3, a current activity plan was not posted. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 3, an electrical outlet, not in use, was uncovered. 10A NCAC 09 .0604(c) 1756 Enhanced staff/child ratios and group sizes were not met. In space 3, a caregiver left one (1) caregiver alone to provide care for fourteen (14) children. Staff/child ratios for this group of children is 1:10. 10A NCAC 09 .2818 COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 93%. COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By December 16, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 Violations pertaining to staff/child ratios are particularly serious as these types of violations have a direct impact on the safety of the children while in your care and must be corrected immediately. Due to the violation cited during today’s visit, a follow-up visit will occur in the near future to ensure compliance has been maintained. TECHNICAL ASSISTANCE/CONSULTATION: As a reminder, I explained to you that staff files are reviewed during an annual compliance visit as well as other compliance monitoring visits. Therefore, it is important to update your staff and training worksheets as you hire/dismiss employees, complete ongoing training, and meet other child care requirements. The staff and training worksheet form is accessible to you on the Division of Child Development and Early Education (DCDEE) website at https://ncchildcare.ncdhhs.gov/. To access the form, you must click on the “Provider tab” and scroll down to the “Provider forms and documents” section, where you will be able to find the form titled Staff and Training Worksheet. This form is available in a PDF format where you can type in it and save it to your computer for edits in the future. ANNUAL LICENSE FEES: Invoices have been emailed to the facility addresses on file as of November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .2818 · Violation

Name of Operation: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 12/2/2024 Number Present: 63 Completed Date: 12/2/2024 Age: From 0 To 11 Total Minutes: 175 Time In: 10:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. The annual compliance monitoring checklist for Child Care Centers was used to note requirements monitored today. Upon my arrival, I was greeted by the administrator, P. Gunt. I was unaccompanied as I completed a general walk-through of the facility which consisted of six (6) classrooms, the outdoor play areas, and the kitchen. A total of sixty-three (63) children were present during today’s visit. I observed the children participating in free choice play and having lunch. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: This facility currently operates with a five-star rated license issued August 18, 2017. The NC Secretary of State website was reviewed on December 2, 2024, and Tom Thumb Academy Inc was listed as current and active. REQUIRED INSPECTIONS/DRILLS: The last annual compliance visit was completed December 14, 2023. The most recent annual fire inspection was completed on August 29, 2024. The most recent annual sanitation inspection was completed on October 7, 2024, and received a Superior classification with eight (8) demerits. The last documented monthly fire drill was conducted on November 11, 2024, the last documented quarterly lockdown drill/shelter-in-place drill was conducted on September 27, 2024, and the last documented monthly playground inspection was completed on November 13, 2024. During today’s visit, a full assessment of Child Care Requirements was conducted. I observed all required postings, attendance logs, and safe sleep logs. I also monitored program requirements, equipment and furnishings, staff/child ratios & supervision, storage and/or administering of medication, and the outdoor area & equipment. I also reviewed a sample of the children’s records. The director did not complete the staff/training worksheets; therefore, staff files were not monitored during today’s visit. This facility does not provide transportation. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 3, a current activity plan was not posted. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 3, an electrical outlet, not in use, was uncovered. 10A NCAC 09 .0604(c) 1756 Enhanced staff/child ratios and group sizes were not met. In space 3, a caregiver left one (1) caregiver alone to provide care for fourteen (14) children. Staff/child ratios for this group of children is 1:10. 10A NCAC 09 .2818 COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 93%. COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By December 16, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 Violations pertaining to staff/child ratios are particularly serious as these types of violations have a direct impact on the safety of the children while in your care and must be corrected immediately. Due to the violation cited during today’s visit, a follow-up visit will occur in the near future to ensure compliance has been maintained. TECHNICAL ASSISTANCE/CONSULTATION: As a reminder, I explained to you that staff files are reviewed during an annual compliance visit as well as other compliance monitoring visits. Therefore, it is important to update your staff and training worksheets as you hire/dismiss employees, complete ongoing training, and meet other child care requirements. The staff and training worksheet form is accessible to you on the Division of Child Development and Early Education (DCDEE) website at https://ncchildcare.ncdhhs.gov/. To access the form, you must click on the “Provider tab” and scroll down to the “Provider forms and documents” section, where you will be able to find the form titled Staff and Training Worksheet. This form is available in a PDF format where you can type in it and save it to your computer for edits in the future. ANNUAL LICENSE FEES: Invoices have been emailed to the facility addresses on file as of November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. 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: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 12/2/2024 Number Present: 63 Completed Date: 12/2/2024 Age: From 0 To 11 Total Minutes: 175 Time In: 10:20 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor applicable child care requirements during your annual compliance visit. The annual compliance monitoring checklist for Child Care Centers was used to note requirements monitored today. Upon my arrival, I was greeted by the administrator, P. Gunt. I was unaccompanied as I completed a general walk-through of the facility which consisted of six (6) classrooms, the outdoor play areas, and the kitchen. A total of sixty-three (63) children were present during today’s visit. I observed the children participating in free choice play and having lunch. Today’s lunch was in compliance with the Meal Pattern requirements. LICENSE STATUS: This facility currently operates with a five-star rated license issued August 18, 2017. The NC Secretary of State website was reviewed on December 2, 2024, and Tom Thumb Academy Inc was listed as current and active. REQUIRED INSPECTIONS/DRILLS: The last annual compliance visit was completed December 14, 2023. The most recent annual fire inspection was completed on August 29, 2024. The most recent annual sanitation inspection was completed on October 7, 2024, and received a Superior classification with eight (8) demerits. The last documented monthly fire drill was conducted on November 11, 2024, the last documented quarterly lockdown drill/shelter-in-place drill was conducted on September 27, 2024, and the last documented monthly playground inspection was completed on November 13, 2024. During today’s visit, a full assessment of Child Care Requirements was conducted. I observed all required postings, attendance logs, and safe sleep logs. I also monitored program requirements, equipment and furnishings, staff/child ratios & supervision, storage and/or administering of medication, and the outdoor area & equipment. I also reviewed a sample of the children’s records. The director did not complete the staff/training worksheets; therefore, staff files were not monitored during today’s visit. This facility does not provide transportation. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 3, a current activity plan was not posted. GS 110-91(12); .0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space 3, an electrical outlet, not in use, was uncovered. 10A NCAC 09 .0604(c) 1756 Enhanced staff/child ratios and group sizes were not met. In space 3, a caregiver left one (1) caregiver alone to provide care for fourteen (14) children. Staff/child ratios for this group of children is 1:10. 10A NCAC 09 .2818 COMPLIANCE HISTORY: Prior to today’s visit, the 18-month compliance history for this facility was 93%. COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By December 16, 2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 Violations pertaining to staff/child ratios are particularly serious as these types of violations have a direct impact on the safety of the children while in your care and must be corrected immediately. Due to the violation cited during today’s visit, a follow-up visit will occur in the near future to ensure compliance has been maintained. TECHNICAL ASSISTANCE/CONSULTATION: As a reminder, I explained to you that staff files are reviewed during an annual compliance visit as well as other compliance monitoring visits. Therefore, it is important to update your staff and training worksheets as you hire/dismiss employees, complete ongoing training, and meet other child care requirements. The staff and training worksheet form is accessible to you on the Division of Child Development and Early Education (DCDEE) website at https://ncchildcare.ncdhhs.gov/. To access the form, you must click on the “Provider tab” and scroll down to the “Provider forms and documents” section, where you will be able to find the form titled Staff and Training Worksheet. This form is available in a PDF format where you can type in it and save it to your computer for edits in the future. ANNUAL LICENSE FEES: Invoices have been emailed to the facility addresses on file as of November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. You may also contact Licensing Supervisor, Teraesa Leak at teraesa.leak@dhhs.nc.gov or by phone at 919-971-7765. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: TANYA HERRING Operation Type: Center Case Number: Visit Date: 10/2/2024 Number Present: 66 Completed Date: 10/2/2024 Age: From 0 To 4 Total Minutes: 130 Time In: 12:35 PM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a routine unannounced visit. Upon my arrival, I was greeted by a staff member, L. Downs, who stated she would notify the administrator of my presence. The Administrator, P. Gunt accompanied me as I completed a general walk-through of the facility. I observed six (6) classrooms, the playground area, and the kitchen. There were sixty-six (66) children present during today’s visit. The children were observed completing routine care tasks and resting during naptime. LICENSE STATUS: This center currently operates with a five-star rated license issued on August 18, 2017. REQUIRED INSPECTIONS/DRILLS: The most recent annual fire inspection was completed on August 29, 2024. The most recent annual sanitation inspection was completed on September 30, 2024, and received a Provisional classification with thirty-eight (38) demerits. The last documented monthly fire drill was conducted on September 24, 2024, the last documented quarterly lockdown drill/shelter-in-place drill was conducted on September 27, 2024, and the last documented monthly playground inspection was completed on August 29, 2024. During today’s visit, a partial assessment of child care requirements was conducted. I monitored the required postings, attendance logs, and safe sleep logs. I also monitored program records, equipment and furnishings, staff/child ratios & supervision, and outdoor area & equipment. This facility does not provide transportation; therefore, transportation requirements were not monitored. The following violations were observed and documented during today’s visit: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The center received a “Provisional” sanitation inspection on September 30, 2024. 10A NCAC 09 .0304(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. An expired epi-pen and diaper cream were not returned back to the parent or discarded within 72 hours. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were located in two (2) spaces designated for children ages one-year old and under. .0604(q) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented monthly playground inspection was completed on August 29, 2024. .0605(q) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An authorization form to administer Vaseline was not on file for one child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) COMPLIANCE HISTORY: Prior to today’s visit the 18-month compliance history was 98%. COMPLIANCE LETTER: All violations must be corrected immediately. A compliance letter is due to me within two (2) weeks of today’s visit. By October 16,2024, please send me a letter addressing each violation, how the violations were corrected, and how compliance will be maintained in the future. In your letter, be sure to include your facility name, facility ID number and each item number for the violation cited. You may submit the letter to me electronically at tanya.herring@dhhs.nc.gov. If you elect to mail your letter, please ensure that you allow sufficient time so that the letter reaches me on time. My mailing address is: Tanya Herring 2201 Mail Service Center Raleigh, NC 27699-2200 TECHNICAL ASSISTANCE: During today’s visit, the Environmental Health Specialist, J. Royal, was present to provide guidance to the administrator on the arrangement of a diapering system to avoid sanitation violations in the near future. In addition, Mr. Royal wanted to ensure that the recommended placement for the diapering system would be efficient for the caregivers and would not prohibit the caregivers from being able to adequate supervise the children at all times. Mr. Royal stated that a return visit would be conducted within seven (7) days to follow up on the current sanitation status. ADMINISTERING MEDICATION: During today’s visit, I observed diaper cream that was not returned back to the parent or discarded after the course of treatment, an expired epi-pen, and a missing authorization form to administer Vaseline for one (1) child. All medications, including topical ointment, require an authorization to administer medication form. Authorization forms are good for a period of twelve (12) months, so please be sure to review all medications and authorization forms on a regular basis. This will prevent you from having expired medications, and authorization forms which are especially important when it comes to administering an emergency medication needed for a chronic condition such as allergies, asthma, and seizures. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired must be returned to the child’s parents or discarded within 72 hours. CRIMINAL BACKGROUND CHECK SYSTEM: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. ABCMS allows administrators to see the real-time background check status of staff members, run printable report of the staff roster to assist with compliance visits, and see new background check applicants and add to the staff roster. To get started, complete the ABCMS Child Care Provider Portal training in Moodle. It is a video tutorial followed by a few questions. The administrator stated her email address changed and provided a current email address. Thank you for your time today. If you have any questions, please contact me at tanya.herring@dhhs.nc.gov or at 910-624-4171. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: PAULA DAVIS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 55 Completed Date: 12/14/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during your annual compliance visit. Patricia Glunt greeted me upon arrival and assisted with the visit. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, daily schedules, activity plans, summary of NC Child Care Law and staff/child ratios were posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. Files for new staff members and files for a percentage of existing staff were reviewed and the information on the Staff and Training Worksheet was verified. A sample of children's records were reviewed during the visit and the worksheets were completed. The last outdoor inspection was documented as conducted on 11-27-23. A fire drill was documented as conducted on 11-27-23 at 9:00 am with an evacuation time of sixty seconds. A shelter in place drill was documented as conducted on 10-9-23 at 11:20 am. A sanitation inspection was last completed on 6-1-23 with eleven demerits and a superior classification. The children were observed playing outside, playing in the classrooms and participating in routines during the visit. The children had ham and cheese, cucumbers, pineapple, bread and milk for lunch. A three-star child care license with four points in education, two points in program and one quality point was issued to you on 1-10-20. Based on the information provided and on observations made during the visit, you continue to meet the requirements previously met to obtain a license. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 10-14-22. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet in the hallway was not being used and was not covered. 10A NCAC 09 .0604(c) Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all 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 childcare law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Based on the date of the previous fire inspection (10-14-22), the fire inspection had to be completed by 10-14-23. At the time of today's visit a fire inspection had not been completed, therefore a violation was documented. Please send the completed inspection to me with one week of receipt. Please refer to child care requirement 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) for further clarification. Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 12-28-23. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of further assistance. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: TOM THUMB ACADEMY INC Facility ID: 82000163 Consultant: PAULA DAVIS Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 55 Completed Date: 12/14/2023 Age: From 0 To 5 Total Minutes: 135 Time In: 09:30 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to monitor compliance of applicable child care requirements during your annual compliance visit. Patricia Glunt greeted me upon arrival and assisted with the visit. I monitored the indoor and outdoor environments for compliance with child care requirements. Staff/child ratios, supervision, use of space and capacity were monitored for compliance. The permit, sanitation, evacuation, safe arrival and departure procedures, first aid chart, menus, daily schedules, activity plans, summary of NC Child Care Law and staff/child ratios were posted at the time of the visit. The storage of medication and hazardous products was also monitored for compliance. Files for new staff members and files for a percentage of existing staff were reviewed and the information on the Staff and Training Worksheet was verified. A sample of children's records were reviewed during the visit and the worksheets were completed. The last outdoor inspection was documented as conducted on 11-27-23. A fire drill was documented as conducted on 11-27-23 at 9:00 am with an evacuation time of sixty seconds. A shelter in place drill was documented as conducted on 10-9-23 at 11:20 am. A sanitation inspection was last completed on 6-1-23 with eleven demerits and a superior classification. The children were observed playing outside, playing in the classrooms and participating in routines during the visit. The children had ham and cheese, cucumbers, pineapple, bread and milk for lunch. A three-star child care license with four points in education, two points in program and one quality point was issued to you on 1-10-20. Based on the information provided and on observations made during the visit, you continue to meet the requirements previously met to obtain a license. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was completed on 10-14-22. 10A NCAC 09 .0304(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet in the hallway was not being used and was not covered. 10A NCAC 09 .0604(c) Child care licensing requirements are established to ensure a safe and healthy child care environment. Therefore, it is important for you to be knowledgeable of all 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 childcare law and rules. I explained that you have access to the on-line version of the Child Care Rule Book, as well as a hard copy of the rules. I recommended that you visit the Division of Child Development's website (www.ncchildcare.nc.gov) on a regular basis to find out what's new in childcare. You could also find any needed Child Care forms by going on the web site and clicking on the "Provider" tab and then clicking on the "Provider Documents" tab. Based on the date of the previous fire inspection (10-14-22), the fire inspection had to be completed by 10-14-23. At the time of today's visit a fire inspection had not been completed, therefore a violation was documented. Please send the completed inspection to me with one week of receipt. Please refer to child care requirement 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) for further clarification. Please send me a written statement describing how and when the above violation was corrected. The written statement must be received no later than 12-28-23. Please note that if your letter is mailed, a hand written signature is required. As an alternative, compliance letters can now be submitted via email. I recommend emailing your letter to reduce the time needed to ensure my receipt of your information; however, if you do not have access to email, please ensure that your letter is mailed in a timely fashion and that you allow for any possible delays in the mail service. Please contact me if you have questions pertaining to your compliance letter or if you will not be able to meet the two week timeframe for submission of your compliance letter. Please contact me at 919-819-9302 or at paula.davis@dhhs.nc.gov if I can be of further assistance. 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