Little Hands OF Love Preschool INC

10A NCAC 09 .0302 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 7/8/2026 Number Present: 57 Completed Date: 7/8/2026 Age: From 0 To 11 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s announced visit was to monitor your program for compliance with applicable child care requirements, including health and safety, to complete a rated license assessment. You, Lisa Donaldson Greene, Owner/Administrator, and Sherry Earwood, Assistant Director, assisted me with the visit today. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. The facility is approved for transportation. The last annual compliance visit was conducted February 6, 2026. The most recent sanitation inspection for your facility was conducted on March 17, 2026. A superior sanitation classification was issued with eight (8) demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted December 16, 2025, for daytime care only. The most recent monthly fire drill was conducted on June 29, 2026, at 9:40am and recorded. The most recent quarterly shelter in place emergency drill was conducted on June 29, 2026, at 10:00am and recorded. The facilities EPR Plan was updated on July 2, 2026. The most recent monthly playground inspection was completed on June 25, 2026, by Lisa Greene. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of July 3, 2026. The Secretary of State website was checked on July 7, 2026, and your business Little Hands of Love Inc is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I visited each indoor and outdoor space. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance with child care requirements. Children throughout the facility were participating in indoor free play, bottle feeding, hand washing, lunch, outdoor gross motor play, and nap time. A limited monitoring of staff files was conducted for the purpose of reviewing CPR/First Aid and special training. Supervision, staff/child ratio, storage of hazardous products, storage of medication, adequate/approved space, license posted, permit restrictions and program records were also monitored. You provided me with applicable program and staff records for review. The analysis date for the most recent lead water test was August 6, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On July 2, 2026, The Clean Classrooms for Carolina Kids™ team determined that the Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. The Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. Rated License Information: We discussed your application packet for the Curriculum and Instructional Quality Pathway #2 option during today’s visit The license is based on the QRIS Pathway to the Stars educational and programmatic requirements for Pathway #2. A three-star level is the goal that you would like to achieve for your facility. Your new Star License will be determined once all programmatic requirements and staff education have been verified. Once a new license has been issued by DCDEE, it will be mailed directly to you and must be posted upon receipt. At that time, please return the old license to me as it remains the property of the State of North Carolina. I reviewed with you the Pathway #2 Classroom & Instructional Quality Start Star Level Assessment for Child Care Centers during today’s visit. We discussed that you are not ready to submit the QRIS Pathway #2 rated license packet today and would need more time. We also discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their star education level. The following QRIS Pathway #2 documents were reviewed during today’s visit. •Application for Assessment for a Rated License for Centers was reviewed during today’s visit. •Family and Community Engagement Standards plan was reviewed with you. We discussed the plan and the strategies you plan to implement for the three-star level. This plan needed to be revised and resubmitted to me. •Staff Information and Education Worksheet was reviewed with you during today’s visit. We discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their education star level and education star level to be earned. •Continuous Quality Improvement Plan for your facility was reviewed with you, and suggestions of possible goals were offered. •Continuous Quality Improvement Plan/Professional Development Plans for your individual staff were reviewed with you, and suggestions of possible goals were offered. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On June 11, 2026, in Space #6, one child’s departure time was not documented. On June 24, 2026, in Space #5, one child’s departure time was not documented. On June 24, 2026, in Space in Space #6, one child’s departure time was not documented. On June 26, 2026, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2, on June 23, at 11:00am, 11:15am, 11:30am, 11:45am, and 12:00pm an infant nine months of age sleep positions were not documented. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. During the visit today, you submitted a compliance letter for the violation that was cited during today’s visit. The violation(s) documented must be corrected immediately. On or before July 22, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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 An unannounced visit may be made in the near future to verify correction of violations. Technical Assistance was provided on the following: -Documenting Arrival and Departure Times: This was a repeated violation. All children must be signed in and out each day for before and after school care as well as full day care. If the parent fails to sign the child in or out, it is the staff member’s responsibility to document the child’s arrival and departure times. I suggested that you designate one staff member to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Documenting Safe Sleep Positions: Per child care rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping. I suggested reviewing with all staff your safe sleep policy and document the review of the safe sleep policy and place it a file and have available for review. -Expired Qualifying Letters/Required Training Renewal Dates: I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review to care for children. I suggest reviewing all staff files and creating a list of when qualifying letters are due and posting this list for easy reference to ensure that the qualifying letters do not expire. I also suggested scheduling appoints for fingerprints six to eight weeks prior to the qualifying letter expiration date. I suggested utilizing the staff’s file checklist available on the DCDEE website under provider documents to help keep track of important due dates. The link to this document is http://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d. We discussed that this information must be updated on the facility’s ABCMS Portal System. Consultation: The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired, when their employment is terminated, and/or prior to when their qualifying letters are going to expire. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. -Safe Environment/Supervision During Naptime: I discussed with you and your staff and documented the visit summary during the last routine unannounced visit conducted on September 24, 2025, the naptime classroom environment child care rules requirement. I discussed with you and staff during the visit today that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0601 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 7/8/2026 Number Present: 57 Completed Date: 7/8/2026 Age: From 0 To 11 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s announced visit was to monitor your program for compliance with applicable child care requirements, including health and safety, to complete a rated license assessment. You, Lisa Donaldson Greene, Owner/Administrator, and Sherry Earwood, Assistant Director, assisted me with the visit today. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. The facility is approved for transportation. The last annual compliance visit was conducted February 6, 2026. The most recent sanitation inspection for your facility was conducted on March 17, 2026. A superior sanitation classification was issued with eight (8) demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted December 16, 2025, for daytime care only. The most recent monthly fire drill was conducted on June 29, 2026, at 9:40am and recorded. The most recent quarterly shelter in place emergency drill was conducted on June 29, 2026, at 10:00am and recorded. The facilities EPR Plan was updated on July 2, 2026. The most recent monthly playground inspection was completed on June 25, 2026, by Lisa Greene. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of July 3, 2026. The Secretary of State website was checked on July 7, 2026, and your business Little Hands of Love Inc is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I visited each indoor and outdoor space. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance with child care requirements. Children throughout the facility were participating in indoor free play, bottle feeding, hand washing, lunch, outdoor gross motor play, and nap time. A limited monitoring of staff files was conducted for the purpose of reviewing CPR/First Aid and special training. Supervision, staff/child ratio, storage of hazardous products, storage of medication, adequate/approved space, license posted, permit restrictions and program records were also monitored. You provided me with applicable program and staff records for review. The analysis date for the most recent lead water test was August 6, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On July 2, 2026, The Clean Classrooms for Carolina Kids™ team determined that the Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. The Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. Rated License Information: We discussed your application packet for the Curriculum and Instructional Quality Pathway #2 option during today’s visit The license is based on the QRIS Pathway to the Stars educational and programmatic requirements for Pathway #2. A three-star level is the goal that you would like to achieve for your facility. Your new Star License will be determined once all programmatic requirements and staff education have been verified. Once a new license has been issued by DCDEE, it will be mailed directly to you and must be posted upon receipt. At that time, please return the old license to me as it remains the property of the State of North Carolina. I reviewed with you the Pathway #2 Classroom & Instructional Quality Start Star Level Assessment for Child Care Centers during today’s visit. We discussed that you are not ready to submit the QRIS Pathway #2 rated license packet today and would need more time. We also discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their star education level. The following QRIS Pathway #2 documents were reviewed during today’s visit. •Application for Assessment for a Rated License for Centers was reviewed during today’s visit. •Family and Community Engagement Standards plan was reviewed with you. We discussed the plan and the strategies you plan to implement for the three-star level. This plan needed to be revised and resubmitted to me. •Staff Information and Education Worksheet was reviewed with you during today’s visit. We discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their education star level and education star level to be earned. •Continuous Quality Improvement Plan for your facility was reviewed with you, and suggestions of possible goals were offered. •Continuous Quality Improvement Plan/Professional Development Plans for your individual staff were reviewed with you, and suggestions of possible goals were offered. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On June 11, 2026, in Space #6, one child’s departure time was not documented. On June 24, 2026, in Space #5, one child’s departure time was not documented. On June 24, 2026, in Space in Space #6, one child’s departure time was not documented. On June 26, 2026, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2, on June 23, at 11:00am, 11:15am, 11:30am, 11:45am, and 12:00pm an infant nine months of age sleep positions were not documented. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. During the visit today, you submitted a compliance letter for the violation that was cited during today’s visit. The violation(s) documented must be corrected immediately. On or before July 22, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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 An unannounced visit may be made in the near future to verify correction of violations. Technical Assistance was provided on the following: -Documenting Arrival and Departure Times: This was a repeated violation. All children must be signed in and out each day for before and after school care as well as full day care. If the parent fails to sign the child in or out, it is the staff member’s responsibility to document the child’s arrival and departure times. I suggested that you designate one staff member to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Documenting Safe Sleep Positions: Per child care rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping. I suggested reviewing with all staff your safe sleep policy and document the review of the safe sleep policy and place it a file and have available for review. -Expired Qualifying Letters/Required Training Renewal Dates: I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review to care for children. I suggest reviewing all staff files and creating a list of when qualifying letters are due and posting this list for easy reference to ensure that the qualifying letters do not expire. I also suggested scheduling appoints for fingerprints six to eight weeks prior to the qualifying letter expiration date. I suggested utilizing the staff’s file checklist available on the DCDEE website under provider documents to help keep track of important due dates. The link to this document is http://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d. We discussed that this information must be updated on the facility’s ABCMS Portal System. Consultation: The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired, when their employment is terminated, and/or prior to when their qualifying letters are going to expire. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. -Safe Environment/Supervision During Naptime: I discussed with you and your staff and documented the visit summary during the last routine unannounced visit conducted on September 24, 2025, the naptime classroom environment child care rules requirement. I discussed with you and staff during the visit today that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0606 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 7/8/2026 Number Present: 57 Completed Date: 7/8/2026 Age: From 0 To 11 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s announced visit was to monitor your program for compliance with applicable child care requirements, including health and safety, to complete a rated license assessment. You, Lisa Donaldson Greene, Owner/Administrator, and Sherry Earwood, Assistant Director, assisted me with the visit today. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. The facility is approved for transportation. The last annual compliance visit was conducted February 6, 2026. The most recent sanitation inspection for your facility was conducted on March 17, 2026. A superior sanitation classification was issued with eight (8) demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted December 16, 2025, for daytime care only. The most recent monthly fire drill was conducted on June 29, 2026, at 9:40am and recorded. The most recent quarterly shelter in place emergency drill was conducted on June 29, 2026, at 10:00am and recorded. The facilities EPR Plan was updated on July 2, 2026. The most recent monthly playground inspection was completed on June 25, 2026, by Lisa Greene. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of July 3, 2026. The Secretary of State website was checked on July 7, 2026, and your business Little Hands of Love Inc is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I visited each indoor and outdoor space. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance with child care requirements. Children throughout the facility were participating in indoor free play, bottle feeding, hand washing, lunch, outdoor gross motor play, and nap time. A limited monitoring of staff files was conducted for the purpose of reviewing CPR/First Aid and special training. Supervision, staff/child ratio, storage of hazardous products, storage of medication, adequate/approved space, license posted, permit restrictions and program records were also monitored. You provided me with applicable program and staff records for review. The analysis date for the most recent lead water test was August 6, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On July 2, 2026, The Clean Classrooms for Carolina Kids™ team determined that the Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. The Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. Rated License Information: We discussed your application packet for the Curriculum and Instructional Quality Pathway #2 option during today’s visit The license is based on the QRIS Pathway to the Stars educational and programmatic requirements for Pathway #2. A three-star level is the goal that you would like to achieve for your facility. Your new Star License will be determined once all programmatic requirements and staff education have been verified. Once a new license has been issued by DCDEE, it will be mailed directly to you and must be posted upon receipt. At that time, please return the old license to me as it remains the property of the State of North Carolina. I reviewed with you the Pathway #2 Classroom & Instructional Quality Start Star Level Assessment for Child Care Centers during today’s visit. We discussed that you are not ready to submit the QRIS Pathway #2 rated license packet today and would need more time. We also discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their star education level. The following QRIS Pathway #2 documents were reviewed during today’s visit. •Application for Assessment for a Rated License for Centers was reviewed during today’s visit. •Family and Community Engagement Standards plan was reviewed with you. We discussed the plan and the strategies you plan to implement for the three-star level. This plan needed to be revised and resubmitted to me. •Staff Information and Education Worksheet was reviewed with you during today’s visit. We discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their education star level and education star level to be earned. •Continuous Quality Improvement Plan for your facility was reviewed with you, and suggestions of possible goals were offered. •Continuous Quality Improvement Plan/Professional Development Plans for your individual staff were reviewed with you, and suggestions of possible goals were offered. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On June 11, 2026, in Space #6, one child’s departure time was not documented. On June 24, 2026, in Space #5, one child’s departure time was not documented. On June 24, 2026, in Space in Space #6, one child’s departure time was not documented. On June 26, 2026, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2, on June 23, at 11:00am, 11:15am, 11:30am, 11:45am, and 12:00pm an infant nine months of age sleep positions were not documented. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. During the visit today, you submitted a compliance letter for the violation that was cited during today’s visit. The violation(s) documented must be corrected immediately. On or before July 22, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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 An unannounced visit may be made in the near future to verify correction of violations. Technical Assistance was provided on the following: -Documenting Arrival and Departure Times: This was a repeated violation. All children must be signed in and out each day for before and after school care as well as full day care. If the parent fails to sign the child in or out, it is the staff member’s responsibility to document the child’s arrival and departure times. I suggested that you designate one staff member to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Documenting Safe Sleep Positions: Per child care rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping. I suggested reviewing with all staff your safe sleep policy and document the review of the safe sleep policy and place it a file and have available for review. -Expired Qualifying Letters/Required Training Renewal Dates: I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review to care for children. I suggest reviewing all staff files and creating a list of when qualifying letters are due and posting this list for easy reference to ensure that the qualifying letters do not expire. I also suggested scheduling appoints for fingerprints six to eight weeks prior to the qualifying letter expiration date. I suggested utilizing the staff’s file checklist available on the DCDEE website under provider documents to help keep track of important due dates. The link to this document is http://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d. We discussed that this information must be updated on the facility’s ABCMS Portal System. Consultation: The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired, when their employment is terminated, and/or prior to when their qualifying letters are going to expire. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. -Safe Environment/Supervision During Naptime: I discussed with you and your staff and documented the visit summary during the last routine unannounced visit conducted on September 24, 2025, the naptime classroom environment child care rules requirement. I discussed with you and staff during the visit today that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .1801 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 7/8/2026 Number Present: 57 Completed Date: 7/8/2026 Age: From 0 To 11 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s announced visit was to monitor your program for compliance with applicable child care requirements, including health and safety, to complete a rated license assessment. You, Lisa Donaldson Greene, Owner/Administrator, and Sherry Earwood, Assistant Director, assisted me with the visit today. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. The facility is approved for transportation. The last annual compliance visit was conducted February 6, 2026. The most recent sanitation inspection for your facility was conducted on March 17, 2026. A superior sanitation classification was issued with eight (8) demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted December 16, 2025, for daytime care only. The most recent monthly fire drill was conducted on June 29, 2026, at 9:40am and recorded. The most recent quarterly shelter in place emergency drill was conducted on June 29, 2026, at 10:00am and recorded. The facilities EPR Plan was updated on July 2, 2026. The most recent monthly playground inspection was completed on June 25, 2026, by Lisa Greene. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of July 3, 2026. The Secretary of State website was checked on July 7, 2026, and your business Little Hands of Love Inc is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I visited each indoor and outdoor space. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance with child care requirements. Children throughout the facility were participating in indoor free play, bottle feeding, hand washing, lunch, outdoor gross motor play, and nap time. A limited monitoring of staff files was conducted for the purpose of reviewing CPR/First Aid and special training. Supervision, staff/child ratio, storage of hazardous products, storage of medication, adequate/approved space, license posted, permit restrictions and program records were also monitored. You provided me with applicable program and staff records for review. The analysis date for the most recent lead water test was August 6, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On July 2, 2026, The Clean Classrooms for Carolina Kids™ team determined that the Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. The Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. Rated License Information: We discussed your application packet for the Curriculum and Instructional Quality Pathway #2 option during today’s visit The license is based on the QRIS Pathway to the Stars educational and programmatic requirements for Pathway #2. A three-star level is the goal that you would like to achieve for your facility. Your new Star License will be determined once all programmatic requirements and staff education have been verified. Once a new license has been issued by DCDEE, it will be mailed directly to you and must be posted upon receipt. At that time, please return the old license to me as it remains the property of the State of North Carolina. I reviewed with you the Pathway #2 Classroom & Instructional Quality Start Star Level Assessment for Child Care Centers during today’s visit. We discussed that you are not ready to submit the QRIS Pathway #2 rated license packet today and would need more time. We also discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their star education level. The following QRIS Pathway #2 documents were reviewed during today’s visit. •Application for Assessment for a Rated License for Centers was reviewed during today’s visit. •Family and Community Engagement Standards plan was reviewed with you. We discussed the plan and the strategies you plan to implement for the three-star level. This plan needed to be revised and resubmitted to me. •Staff Information and Education Worksheet was reviewed with you during today’s visit. We discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their education star level and education star level to be earned. •Continuous Quality Improvement Plan for your facility was reviewed with you, and suggestions of possible goals were offered. •Continuous Quality Improvement Plan/Professional Development Plans for your individual staff were reviewed with you, and suggestions of possible goals were offered. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On June 11, 2026, in Space #6, one child’s departure time was not documented. On June 24, 2026, in Space #5, one child’s departure time was not documented. On June 24, 2026, in Space in Space #6, one child’s departure time was not documented. On June 26, 2026, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2, on June 23, at 11:00am, 11:15am, 11:30am, 11:45am, and 12:00pm an infant nine months of age sleep positions were not documented. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. During the visit today, you submitted a compliance letter for the violation that was cited during today’s visit. The violation(s) documented must be corrected immediately. On or before July 22, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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 An unannounced visit may be made in the near future to verify correction of violations. Technical Assistance was provided on the following: -Documenting Arrival and Departure Times: This was a repeated violation. All children must be signed in and out each day for before and after school care as well as full day care. If the parent fails to sign the child in or out, it is the staff member’s responsibility to document the child’s arrival and departure times. I suggested that you designate one staff member to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Documenting Safe Sleep Positions: Per child care rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping. I suggested reviewing with all staff your safe sleep policy and document the review of the safe sleep policy and place it a file and have available for review. -Expired Qualifying Letters/Required Training Renewal Dates: I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review to care for children. I suggest reviewing all staff files and creating a list of when qualifying letters are due and posting this list for easy reference to ensure that the qualifying letters do not expire. I also suggested scheduling appoints for fingerprints six to eight weeks prior to the qualifying letter expiration date. I suggested utilizing the staff’s file checklist available on the DCDEE website under provider documents to help keep track of important due dates. The link to this document is http://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d. We discussed that this information must be updated on the facility’s ABCMS Portal System. Consultation: The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired, when their employment is terminated, and/or prior to when their qualifying letters are going to expire. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. -Safe Environment/Supervision During Naptime: I discussed with you and your staff and documented the visit summary during the last routine unannounced visit conducted on September 24, 2025, the naptime classroom environment child care rules requirement. I discussed with you and staff during the visit today that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 7/8/2026 Number Present: 57 Completed Date: 7/8/2026 Age: From 0 To 11 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s announced visit was to monitor your program for compliance with applicable child care requirements, including health and safety, to complete a rated license assessment. You, Lisa Donaldson Greene, Owner/Administrator, and Sherry Earwood, Assistant Director, assisted me with the visit today. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. The facility is approved for transportation. The last annual compliance visit was conducted February 6, 2026. The most recent sanitation inspection for your facility was conducted on March 17, 2026. A superior sanitation classification was issued with eight (8) demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted December 16, 2025, for daytime care only. The most recent monthly fire drill was conducted on June 29, 2026, at 9:40am and recorded. The most recent quarterly shelter in place emergency drill was conducted on June 29, 2026, at 10:00am and recorded. The facilities EPR Plan was updated on July 2, 2026. The most recent monthly playground inspection was completed on June 25, 2026, by Lisa Greene. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of July 3, 2026. The Secretary of State website was checked on July 7, 2026, and your business Little Hands of Love Inc is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I visited each indoor and outdoor space. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance with child care requirements. Children throughout the facility were participating in indoor free play, bottle feeding, hand washing, lunch, outdoor gross motor play, and nap time. A limited monitoring of staff files was conducted for the purpose of reviewing CPR/First Aid and special training. Supervision, staff/child ratio, storage of hazardous products, storage of medication, adequate/approved space, license posted, permit restrictions and program records were also monitored. You provided me with applicable program and staff records for review. The analysis date for the most recent lead water test was August 6, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On July 2, 2026, The Clean Classrooms for Carolina Kids™ team determined that the Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. The Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. Rated License Information: We discussed your application packet for the Curriculum and Instructional Quality Pathway #2 option during today’s visit The license is based on the QRIS Pathway to the Stars educational and programmatic requirements for Pathway #2. A three-star level is the goal that you would like to achieve for your facility. Your new Star License will be determined once all programmatic requirements and staff education have been verified. Once a new license has been issued by DCDEE, it will be mailed directly to you and must be posted upon receipt. At that time, please return the old license to me as it remains the property of the State of North Carolina. I reviewed with you the Pathway #2 Classroom & Instructional Quality Start Star Level Assessment for Child Care Centers during today’s visit. We discussed that you are not ready to submit the QRIS Pathway #2 rated license packet today and would need more time. We also discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their star education level. The following QRIS Pathway #2 documents were reviewed during today’s visit. •Application for Assessment for a Rated License for Centers was reviewed during today’s visit. •Family and Community Engagement Standards plan was reviewed with you. We discussed the plan and the strategies you plan to implement for the three-star level. This plan needed to be revised and resubmitted to me. •Staff Information and Education Worksheet was reviewed with you during today’s visit. We discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their education star level and education star level to be earned. •Continuous Quality Improvement Plan for your facility was reviewed with you, and suggestions of possible goals were offered. •Continuous Quality Improvement Plan/Professional Development Plans for your individual staff were reviewed with you, and suggestions of possible goals were offered. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On June 11, 2026, in Space #6, one child’s departure time was not documented. On June 24, 2026, in Space #5, one child’s departure time was not documented. On June 24, 2026, in Space in Space #6, one child’s departure time was not documented. On June 26, 2026, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2, on June 23, at 11:00am, 11:15am, 11:30am, 11:45am, and 12:00pm an infant nine months of age sleep positions were not documented. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. During the visit today, you submitted a compliance letter for the violation that was cited during today’s visit. The violation(s) documented must be corrected immediately. On or before July 22, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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 An unannounced visit may be made in the near future to verify correction of violations. Technical Assistance was provided on the following: -Documenting Arrival and Departure Times: This was a repeated violation. All children must be signed in and out each day for before and after school care as well as full day care. If the parent fails to sign the child in or out, it is the staff member’s responsibility to document the child’s arrival and departure times. I suggested that you designate one staff member to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Documenting Safe Sleep Positions: Per child care rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping. I suggested reviewing with all staff your safe sleep policy and document the review of the safe sleep policy and place it a file and have available for review. -Expired Qualifying Letters/Required Training Renewal Dates: I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review to care for children. I suggest reviewing all staff files and creating a list of when qualifying letters are due and posting this list for easy reference to ensure that the qualifying letters do not expire. I also suggested scheduling appoints for fingerprints six to eight weeks prior to the qualifying letter expiration date. I suggested utilizing the staff’s file checklist available on the DCDEE website under provider documents to help keep track of important due dates. The link to this document is http://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d. We discussed that this information must be updated on the facility’s ABCMS Portal System. Consultation: The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired, when their employment is terminated, and/or prior to when their qualifying letters are going to expire. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. -Safe Environment/Supervision During Naptime: I discussed with you and your staff and documented the visit summary during the last routine unannounced visit conducted on September 24, 2025, the naptime classroom environment child care rules requirement. I discussed with you and staff during the visit today that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 7/8/2026 Number Present: 57 Completed Date: 7/8/2026 Age: From 0 To 11 Total Minutes: 355 Time In: 09:20 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s announced visit was to monitor your program for compliance with applicable child care requirements, including health and safety, to complete a rated license assessment. You, Lisa Donaldson Greene, Owner/Administrator, and Sherry Earwood, Assistant Director, assisted me with the visit today. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. The facility is approved for transportation. The last annual compliance visit was conducted February 6, 2026. The most recent sanitation inspection for your facility was conducted on March 17, 2026. A superior sanitation classification was issued with eight (8) demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted December 16, 2025, for daytime care only. The most recent monthly fire drill was conducted on June 29, 2026, at 9:40am and recorded. The most recent quarterly shelter in place emergency drill was conducted on June 29, 2026, at 10:00am and recorded. The facilities EPR Plan was updated on July 2, 2026. The most recent monthly playground inspection was completed on June 25, 2026, by Lisa Greene. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of July 3, 2026. The Secretary of State website was checked on July 7, 2026, and your business Little Hands of Love Inc is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I visited each indoor and outdoor space. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environments and found supervision and staff/child ratios to be in compliance with child care requirements. Children throughout the facility were participating in indoor free play, bottle feeding, hand washing, lunch, outdoor gross motor play, and nap time. A limited monitoring of staff files was conducted for the purpose of reviewing CPR/First Aid and special training. Supervision, staff/child ratio, storage of hazardous products, storage of medication, adequate/approved space, license posted, permit restrictions and program records were also monitored. You provided me with applicable program and staff records for review. The analysis date for the most recent lead water test was August 6, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On July 2, 2026, The Clean Classrooms for Carolina Kids™ team determined that the Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004. The Clean Classrooms for Carolina Kids™ team determined that LITTLE HANDS OF LOVE PRESCHOOL INC was exempt from asbestos inspection requirements. The facility provided the appropriate documentation to show all buildings were built after 1988 to meet the building age exemption criteria per 10A NCAC 41C .1003. No additional action is required by the facility. Rated License Information: We discussed your application packet for the Curriculum and Instructional Quality Pathway #2 option during today’s visit The license is based on the QRIS Pathway to the Stars educational and programmatic requirements for Pathway #2. A three-star level is the goal that you would like to achieve for your facility. Your new Star License will be determined once all programmatic requirements and staff education have been verified. Once a new license has been issued by DCDEE, it will be mailed directly to you and must be posted upon receipt. At that time, please return the old license to me as it remains the property of the State of North Carolina. I reviewed with you the Pathway #2 Classroom & Instructional Quality Start Star Level Assessment for Child Care Centers during today’s visit. We discussed that you are not ready to submit the QRIS Pathway #2 rated license packet today and would need more time. We also discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their star education level. The following QRIS Pathway #2 documents were reviewed during today’s visit. •Application for Assessment for a Rated License for Centers was reviewed during today’s visit. •Family and Community Engagement Standards plan was reviewed with you. We discussed the plan and the strategies you plan to implement for the three-star level. This plan needed to be revised and resubmitted to me. •Staff Information and Education Worksheet was reviewed with you during today’s visit. We discussed that three of your staff are currently in college coursework for the summer semester and their education will need to be evaluated by DCDEE WORKS to determine their education star level and education star level to be earned. •Continuous Quality Improvement Plan for your facility was reviewed with you, and suggestions of possible goals were offered. •Continuous Quality Improvement Plan/Professional Development Plans for your individual staff were reviewed with you, and suggestions of possible goals were offered. The following violations were observed: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. On June 11, 2026, in Space #6, one child’s departure time was not documented. On June 24, 2026, in Space #5, one child’s departure time was not documented. On June 24, 2026, in Space in Space #6, one child’s departure time was not documented. On June 26, 2026, nine children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2, on June 23, at 11:00am, 11:15am, 11:30am, 11:45am, and 12:00pm an infant nine months of age sleep positions were not documented. .0606(g) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. On staff member, C. Simpson, employed on March 20, 2023, did not have on file and available for review a current criminal background check qualifying letter prior to the February 15, 2026, expiration date. G.S. 110-90.2(b) & (d) & .2703(e) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. During the visit today, you submitted a compliance letter for the violation that was cited during today’s visit. The violation(s) documented must be corrected immediately. On or before July 22, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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 An unannounced visit may be made in the near future to verify correction of violations. Technical Assistance was provided on the following: -Documenting Arrival and Departure Times: This was a repeated violation. All children must be signed in and out each day for before and after school care as well as full day care. If the parent fails to sign the child in or out, it is the staff member’s responsibility to document the child’s arrival and departure times. I suggested that you designate one staff member to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. Documenting Safe Sleep Positions: Per child care rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping. I suggested reviewing with all staff your safe sleep policy and document the review of the safe sleep policy and place it a file and have available for review. -Expired Qualifying Letters/Required Training Renewal Dates: I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review to care for children. I suggest reviewing all staff files and creating a list of when qualifying letters are due and posting this list for easy reference to ensure that the qualifying letters do not expire. I also suggested scheduling appoints for fingerprints six to eight weeks prior to the qualifying letter expiration date. I suggested utilizing the staff’s file checklist available on the DCDEE website under provider documents to help keep track of important due dates. The link to this document is http://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/File_Checklist-Staff-center.pdf?ver=9Q2ny2jo2dIJ3TEnCfon4A%3d%3d. We discussed that this information must be updated on the facility’s ABCMS Portal System. Consultation: The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired, when their employment is terminated, and/or prior to when their qualifying letters are going to expire. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. -Safe Environment/Supervision During Naptime: I discussed with you and your staff and documented the visit summary during the last routine unannounced visit conducted on September 24, 2025, the naptime classroom environment child care rules requirement. I discussed with you and staff during the visit today that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 62 Completed Date: 2/6/2026 Age: From 0 To 11 Total Minutes: 375 Time In: 09:30 AM Time Out: 03:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. You, Lisa Donaldson Greene, Owner/Administrator, assisted me with the visit today. The Secretary of State website was checked on February 4, 2026, and your business Little Hands of Love Inc., is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space The last annual compliance visit was conducted on February 11, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of February 4, 2026. The most recent sanitation inspection for your facility was conducted on March 14, 2025. A superior sanitation classification was issued with six (6) demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on December 16, 2025, for daytime care only. The most recent fire drill was conducted on January 23, 2026, at 10:00am and recorded. The most recent lockdown emergency drill was conducted on December 29, 2025, at 9:30am and recorded. The most recent playground safety inspection was conducted on January 13, 2026. By Lisa Greene. You stated two (2) new staff have been hired since your most recent annual compliance visit that was conducted on January 11, 2025. The Secretary of State website was checked on February 4, 2026, and your business Little Hands of Love Inc., is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. I visited each indoor and outdoor space. A walk-through of the facility was completed today; all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in indoor free play, diapering routines, bottle feeding, lunch, naptime and afternoon snack time. Lunch consisted of a bologna on wheat bread, pickles, carrots with ranch dressing, and milk. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was August 6, 2024. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On February 4, 2026, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility had no results available for review for lead-based paint or asbestos testing. Lead water testing must be completed every three years. You stated you had lead based paint testing in January 2026, through Cleveland County Environmental Health. I discussed contacting the Clean Classrooms for Carolina Kids and ask them to guide you on what documents you needed to send to be reviewed based on the age of when the building was built to be exempt for lead based paint and asbestos testing. You provided me with applicable program, staff, and children’s records for review. Files for two (2) new staff, and one (1) existing staff, and applicable records for all staff were reviewed. All staff were listed on the ABCMS Provider Portal roster for this facility. A sample of seven (7) children’s records were reviewed. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In Space #6, a blue tote with Barbie’s materials had protruding broken edges around the rim of the tote that could cause injury to children. .0601(c) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In Space #2, one infant 10 months of age and enrolled on June 10, 2025, did not have documented their sleep position and no staff initial on the documentation available for review on January 6, 2026, sleep check chart for the times 11:00am through 12:30pm. One infant eight months of age and enrolled on September 2, 2025, not have documented their sleep position and no staff initial on the documentation available for review on January 19, 2026, sleep check chart for the times 12:00pm and 12:15pm. .0606(g) 1821 The EPR Plan did not include the date of the last revision of the plan. The emergency preparedness and response plan expired on January 8, 2025. .0607(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space #6, one child five years and ten months of age and enrolled on July 10, 2025, had a medical action plan that had expired on January 19, 2026. In Space #5, one child three years and 10 months of age and enrolled on August 8, 2022, had a medical action plan that had expired on September 22, 2024. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #6, one child five years and 10 months of age and enrolled on July 10, 2023, had documentation available for review of expired permission to administer medication that had expired on January 18, 2026. Staff stated the medication had not been administered to the child. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance was provided on the following: Broken Storage Containers: I suggested conducting a daily safety check of materials and equipment in each classroom for hazards. I also suggested replacing broken storage containers immediately to ensure the safety of children. This violation was corrected during the visit. Documenting Safe Sleep Positions: I suggested that you discuss requirements for safe sleep checks as well as sudden infant death syndrome with all staff, especially all staff who work in the classroom for infants. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks prior to filing. Create a system for enhancing your filing system for safe sleep checks so that records do not become misplaced. I suggested determining how safe sleep checks will be turned in to administrative staff and create a plan to review safe sleep checks weekly and prior to filing. Medical Action Plans- I suggested that you review the Medical Action Plans for each applicable child monthly to ensure the information is accurate, current, and that the plan isn’t older than 12 months. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp. Emergency Preparedness and Response Plan: I discussed with you that the EPR plan must be updated as changes occur, such as hiring new staff or when enrollment changes. The EPR plan must be updated on the Emergency Management Portal. The link the template is https://rmp.nc.gov/portal/#. This violation was corrected during the visit. Medication Permission Forms/Documentation I discussed with you that all medication must have a current and completed medication permission form on file and be available for review prior to when medication can be administered to children. I suggested reviewing with all staff the child care requirements on how to complete the medication permission form and how to document when medication is administration to children for a specific medical condition. I also suggested reviewing with parents that a completed medication forms are required to be completed before the medication is left at the child care facility. Comments: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before February 20, 2026. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 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 An unannounced visit may be made in the near future to verify correction of violations. Consultation: The ABCMS provider portal facility roster should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. QRIS Pathway Review: We reviewed Pathway #1, #2, and #3, Family and Community Engagement Foundational Practices, Continuous Quality Improvement, approved curriculum, formative assessment tools, and staff to child ratio options. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. -I suggested that you review Environment Rating Scale information and resources at www.ncrlap.org for the following assessments:ITERS-3,ECERS-3, and SACERS-U . DCDEE of Approved Curriculum and Formative Assessments. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2025-26_Approved_Curriculum_11_5_25.pdf?ver=AADs8DL2Wb0HYdO_ER0hHw%3d%3d Child Care Commission Approved Formative Assessments: http://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2025-26_Approved_EC_Formative_Assessments.pdf?ver=nTlQx5bnC-hpS8w9Fxl6XA%3d%3d -Reach out to your local Resource and Referral Agency for additional technical assistance and support. Child Care Connections of Cleveland County at (704) 487-7397. You stated that you would like to pursue Pathway#2: Curriculum Instruction and Quality for your facility’s upcoming rated license reassessment. A Quality Rating Improvement System Conversation Plan was completed during today’s visit. You stated that you have an appointment next week with Tina Williams, Child Care Connections to review curriculum. Once you have conducted that meeting you will finalize which Pathway you will chose and when you would like to complete the re-assessment process. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time and assistance today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at Tiffani.Sims@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 .0302 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/24/2025 Number Present: 35 Completed Date: 9/24/2025 Age: From 0 To 4 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 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 your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Lisa Donaldson Greene, Owner/Administrator, assisted me with the visit today. The Secretary of State website was checked on July 23, 2025, and your business Little Hands of Love Inc., is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space Staff and children were observed during indoor free play, outdoor gross motor play, lunch, bottle feeding, and naptime. Inspections/Drills: Fire Inspection: The last fire inspection was completed on January 21, 2025. Sanitation Inspection: The last sanitation inspection was completed on March 14, 2025. A “superior” classification was issued with six (6) demerits noted on the grade card. The most recent fire drill was conducted on August 24, 2025, at 9:45am and recorded. The most recent emergency drill was conducted on June 30, 2025, at 9:30am and recorded. The most recent playground safety inspection was conducted on August 29, 2025. You stated no new staff have been hired since your most recent annual compliance visit conducted on February 11, 2025. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, on September 23, 2025, four children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 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. In Space #3, CVS Health Maximum Strength Diaper Rash Ointment expired in July 2025 for a child one year of age. The medication permission form was current. The medication had not been administered to the child since it had expired. The medication was removed from the classroom. .0803(12) Technical Assistance regarding the violations observed during today’s visit: Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. If the parent fails to sign the child in or out, it is the staff member’s responsibility to document the child’s arrival and departure times. I suggested that you designate one staff member to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. I also suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. I suggested that the closing teacher in each classroom checks the daily sign-in and sign-out documentation to ensure each child present has been checked in and out for the day. Medication- -I suggested that you monitor all medications at least monthly to ensure the medication has not expired and the authorization from the parent is on file and has not expired. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by October 8, 2025. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-four percent (94%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Resuming Star Rated License Reassessment Information For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you discuss the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. -Safe Environment/Supervision During Naptime: We discussed naptime classroom environment. I discussed with you and staff during the visit today that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. -Provider Access to ABCMS On September 24, 2025, I reviewed the information available on the ABCMS Portal System for your facility. The information available for review showed that you created a business account for your facility and had linked current staff to your ABCMS Portal account. I reviewed the roster to the staff and training worksheet you had available for review for accuracy. I reminded you to update the ABCMS Portal if new staff are hired or if staff are terminated. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments We discussed the tests results that were available for review on the Clean Classrooms for Carolina Kids website for lead testing water testing, lead-based paint testing, and asbestos testing for your facility. The lead water testing results were completed on August 6, 2024. On September 24, 2025, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility had no results available for review for lead-based paint or asbestos testing. Lead water testing must be completed every three years. You may review your results by visiting https://www.cleanwaterforuskids.org/en/carolina/. -QRIS Moderation For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. Information was discussed included the following: the Continuous Quality Improvement Plan for each staff and the program, Enhanced Education standards for the different staff positions, Family and Community Engagement Standards, curriculum, Staff/Child Ratios requirements, and approved Early Childhood Formative Assessments. We discussed you letting me know by October 8, 2025, which of the three pathways for stars you have chosen for your facility. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Additional training and resources on the Environment Rating Scales Third Editions (ITERS-3 & ECERS-3), and SACERS-U, and Self-Study can be accessed on the NC Rated License Project website at www.ncrlap.org. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0601 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/24/2025 Number Present: 35 Completed Date: 9/24/2025 Age: From 0 To 4 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 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 your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Lisa Donaldson Greene, Owner/Administrator, assisted me with the visit today. The Secretary of State website was checked on July 23, 2025, and your business Little Hands of Love Inc., is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space Staff and children were observed during indoor free play, outdoor gross motor play, lunch, bottle feeding, and naptime. Inspections/Drills: Fire Inspection: The last fire inspection was completed on January 21, 2025. Sanitation Inspection: The last sanitation inspection was completed on March 14, 2025. A “superior” classification was issued with six (6) demerits noted on the grade card. The most recent fire drill was conducted on August 24, 2025, at 9:45am and recorded. The most recent emergency drill was conducted on June 30, 2025, at 9:30am and recorded. The most recent playground safety inspection was conducted on August 29, 2025. You stated no new staff have been hired since your most recent annual compliance visit conducted on February 11, 2025. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, on September 23, 2025, four children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 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. In Space #3, CVS Health Maximum Strength Diaper Rash Ointment expired in July 2025 for a child one year of age. The medication permission form was current. The medication had not been administered to the child since it had expired. The medication was removed from the classroom. .0803(12) Technical Assistance regarding the violations observed during today’s visit: Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. If the parent fails to sign the child in or out, it is the staff member’s responsibility to document the child’s arrival and departure times. I suggested that you designate one staff member to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. I also suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. I suggested that the closing teacher in each classroom checks the daily sign-in and sign-out documentation to ensure each child present has been checked in and out for the day. Medication- -I suggested that you monitor all medications at least monthly to ensure the medication has not expired and the authorization from the parent is on file and has not expired. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by October 8, 2025. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-four percent (94%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Resuming Star Rated License Reassessment Information For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you discuss the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. -Safe Environment/Supervision During Naptime: We discussed naptime classroom environment. I discussed with you and staff during the visit today that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. -Provider Access to ABCMS On September 24, 2025, I reviewed the information available on the ABCMS Portal System for your facility. The information available for review showed that you created a business account for your facility and had linked current staff to your ABCMS Portal account. I reviewed the roster to the staff and training worksheet you had available for review for accuracy. I reminded you to update the ABCMS Portal if new staff are hired or if staff are terminated. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments We discussed the tests results that were available for review on the Clean Classrooms for Carolina Kids website for lead testing water testing, lead-based paint testing, and asbestos testing for your facility. The lead water testing results were completed on August 6, 2024. On September 24, 2025, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility had no results available for review for lead-based paint or asbestos testing. Lead water testing must be completed every three years. You may review your results by visiting https://www.cleanwaterforuskids.org/en/carolina/. -QRIS Moderation For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. Information was discussed included the following: the Continuous Quality Improvement Plan for each staff and the program, Enhanced Education standards for the different staff positions, Family and Community Engagement Standards, curriculum, Staff/Child Ratios requirements, and approved Early Childhood Formative Assessments. We discussed you letting me know by October 8, 2025, which of the three pathways for stars you have chosen for your facility. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Additional training and resources on the Environment Rating Scales Third Editions (ITERS-3 & ECERS-3), and SACERS-U, and Self-Study can be accessed on the NC Rated License Project website at www.ncrlap.org. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .1801 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 9/24/2025 Number Present: 35 Completed Date: 9/24/2025 Age: From 0 To 4 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 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 your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Lisa Donaldson Greene, Owner/Administrator, assisted me with the visit today. The Secretary of State website was checked on July 23, 2025, and your business Little Hands of Love Inc., is current and active. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning five (5) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space Staff and children were observed during indoor free play, outdoor gross motor play, lunch, bottle feeding, and naptime. Inspections/Drills: Fire Inspection: The last fire inspection was completed on January 21, 2025. Sanitation Inspection: The last sanitation inspection was completed on March 14, 2025. A “superior” classification was issued with six (6) demerits noted on the grade card. The most recent fire drill was conducted on August 24, 2025, at 9:45am and recorded. The most recent emergency drill was conducted on June 30, 2025, at 9:30am and recorded. The most recent playground safety inspection was conducted on August 29, 2025. You stated no new staff have been hired since your most recent annual compliance visit conducted on February 11, 2025. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, on September 23, 2025, four children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 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. In Space #3, CVS Health Maximum Strength Diaper Rash Ointment expired in July 2025 for a child one year of age. The medication permission form was current. The medication had not been administered to the child since it had expired. The medication was removed from the classroom. .0803(12) Technical Assistance regarding the violations observed during today’s visit: Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. If the parent fails to sign the child in or out, it is the staff member’s responsibility to document the child’s arrival and departure times. I suggested that you designate one staff member to monitor the arrival and departure records at designated times each day to ensure all children have been signed in and signed out. I also suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. I suggested that the closing teacher in each classroom checks the daily sign-in and sign-out documentation to ensure each child present has been checked in and out for the day. Medication- -I suggested that you monitor all medications at least monthly to ensure the medication has not expired and the authorization from the parent is on file and has not expired. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by October 8, 2025. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-four percent (94%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Resuming Star Rated License Reassessment Information For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you discuss the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. -Safe Environment/Supervision During Naptime: We discussed naptime classroom environment. I discussed with you and staff during the visit today that the naptime classrooms are not allowed to be pitch dark and that lighting should be provided in the classroom to allow staff to supervise and/or offer assistance to a child if needed. I also discussed that naptime music should not be so loud that staff are unable to hear children in case assistance is needed. I reviewed with you the child care rules concerning safe environment and supervision. Child Care Rule References: 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; 10A NCAC 09 .0601 SAFE ENVIRONMENT All child care centers shall provide a safe indoor and outdoor environment for the children in care. -Provider Access to ABCMS On September 24, 2025, I reviewed the information available on the ABCMS Portal System for your facility. The information available for review showed that you created a business account for your facility and had linked current staff to your ABCMS Portal account. I reviewed the roster to the staff and training worksheet you had available for review for accuracy. I reminded you to update the ABCMS Portal if new staff are hired or if staff are terminated. Child Care Rule Effective January 1, 2024 Lead Testing: Child Care Rule .0601(f)- Safe Environments We discussed the tests results that were available for review on the Clean Classrooms for Carolina Kids website for lead testing water testing, lead-based paint testing, and asbestos testing for your facility. The lead water testing results were completed on August 6, 2024. On September 24, 2025, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility had no results available for review for lead-based paint or asbestos testing. Lead water testing must be completed every three years. You may review your results by visiting https://www.cleanwaterforuskids.org/en/carolina/. -QRIS Moderation For more information on the new QRIS system, please visit the DCDEE website, homepage click the What’s new Tab and click onto the QRIS System link. I discussed with you the three different pathways available through the new QRIS System and the resources available for review on the DCDEE website. Information was discussed included the following: the Continuous Quality Improvement Plan for each staff and the program, Enhanced Education standards for the different staff positions, Family and Community Engagement Standards, curriculum, Staff/Child Ratios requirements, and approved Early Childhood Formative Assessments. We discussed you letting me know by October 8, 2025, which of the three pathways for stars you have chosen for your facility. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d2023 NC Child Care Commission Approved Formative Assessments: ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/2/2023_Approved_Curriculum.pdf?ver=Hxr2QwCIRb8kdaccUr3ETA%3d%3d -Updating DCDEE WORKS Account: We discussed updating and/or creating an account on the DCDEE WORKS portal for staff’s education to be evaluated for the upcoming Pathways to the Stars process. The link is the following: https://dcdee.works.nc.gov/ and scroll down to the DCDEE WORKS logon link. An updated DCDEE WORKS account is required for all staff to process the education standard for your program. Education will be evaluated for administrators and staff who provide direct care to children. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Additional training and resources on the Environment Rating Scales Third Editions (ITERS-3 & ECERS-3), and SACERS-U, and Self-Study can be accessed on the NC Rated License Project website at www.ncrlap.org. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0802 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: 0425-236L Visit Date: 4/23/2025 Number Present: 41 Completed Date: 4/23/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. You, Lisa Clayton, Lead Teacher, assisted me with the visit today. A walk through the facility was completed. Staff and children were observed during indoor free play, music and movement, hand washing routines, lunch time, and naptime. On April 17, 2025, a report was received. There are allegations regarding violations of childcare requirements, such as inappropriate nurture/care and discipline with children, staff/child interactions, sanitation issues, and incident reports not being completed accurately. The allegations were discussed with you and staff members. You and all staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. During the visit today, I reviewed incident reports, incident logs, attendance, and arrival and departure records. In Space #2, I observed staff and children’s interactions during indoor free play, preparing for lunch, hand washing, lunch time, preparing for naptime, and naptime. I observed positive staff/child interactions, and the children were being cared for in a nurturing and caring manner. Based on observations, staff interviews, and review of records, the allegations for “There are concerns regarding nurture/care treatment, and discipline” was left pending due to further information is needed. “There are concerns regarding sanitation procedures were not being followed was confirmed therefore substantiated. “There are concerns regarding incident reports not being completed correctly was confirmed therefore substantiated. “There are concerns regarding staff/child interactions was left pending due to further information is needed. The following violations were observed today. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #2, twelve children one year of age did not wash their hands prior to lunch being served. 15A NCAC 18A .2803(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In Space #2, one child eighteen months in age did not have available for review of all the required information documented on incident reports dated February 27, 2025, and February 21, 2025. The missing information on both forms included the type of medical treatment received and cause of injury. .0802 (e) Technical Assistance for the Violations Cited Today: Incident Reports: I reviewed with you and three other staff members on how to complete the incident report form and what information that is required to be documented. I also discussed reviewing the incident reports once staff complete the form and turns the completed forms into the office for accuracy before logging them on the incident log. I also review with you child care rule 10A NCAC 09 .0802 (e) EMERGENCY MEDICAL CARE which states that (e)The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Sanitation: Hand Washing I discussed with you and staff in Space #2 that hand washing must occur before meals and snacks. I suggested reviewing with all staff when proper hand washing must occur throughout the day. I left copies of the adult and child hand washing poster to use as a reference. I also review with you sanitation child care rule 15A NCAC 18A .2803 (c) HANDWASHING which states that (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-two percent (92%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation Nurture and Care/Discipline/Staff-Child Interactions: I discussed with you the resources provided by Caring for Our Children and I provided you with a copy of the Positive Behavior Support resource document to share with your staff. Additional resources related to nurture and care can be found on the Caring for Our Children website at https://nrckids.org/CFOC Challenging Behaviors Helpline by Healthy Social Behavior Project: I discussed with you the Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For more information, please visit https://www.childcareresourcesinc.org/challenging behaviors-helpline. Please contact your local Child Care Health Consultants, Winter Graham, at Child Care Connections of Cleveland County. Ms. Graham’s contact information is (704) 487-7397 and email: winter@ccchildcareconnections.org. -DCDEE What’s New: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by May 7, 2025. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov: Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-417-1648, tiffani.sims@dhhs.nc.gov or at PO Box 185, Glen Alpine, NC 28628 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .2201 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: 0425-236L Visit Date: 4/23/2025 Number Present: 41 Completed Date: 4/23/2025 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. You, Lisa Clayton, Lead Teacher, assisted me with the visit today. A walk through the facility was completed. Staff and children were observed during indoor free play, music and movement, hand washing routines, lunch time, and naptime. On April 17, 2025, a report was received. There are allegations regarding violations of childcare requirements, such as inappropriate nurture/care and discipline with children, staff/child interactions, sanitation issues, and incident reports not being completed accurately. The allegations were discussed with you and staff members. You and all staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. During the visit today, I reviewed incident reports, incident logs, attendance, and arrival and departure records. In Space #2, I observed staff and children’s interactions during indoor free play, preparing for lunch, hand washing, lunch time, preparing for naptime, and naptime. I observed positive staff/child interactions, and the children were being cared for in a nurturing and caring manner. Based on observations, staff interviews, and review of records, the allegations for “There are concerns regarding nurture/care treatment, and discipline” was left pending due to further information is needed. “There are concerns regarding sanitation procedures were not being followed was confirmed therefore substantiated. “There are concerns regarding incident reports not being completed correctly was confirmed therefore substantiated. “There are concerns regarding staff/child interactions was left pending due to further information is needed. The following violations were observed today. Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In Space #2, twelve children one year of age did not wash their hands prior to lunch being served. 15A NCAC 18A .2803(c) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. In Space #2, one child eighteen months in age did not have available for review of all the required information documented on incident reports dated February 27, 2025, and February 21, 2025. The missing information on both forms included the type of medical treatment received and cause of injury. .0802 (e) Technical Assistance for the Violations Cited Today: Incident Reports: I reviewed with you and three other staff members on how to complete the incident report form and what information that is required to be documented. I also discussed reviewing the incident reports once staff complete the form and turns the completed forms into the office for accuracy before logging them on the incident log. I also review with you child care rule 10A NCAC 09 .0802 (e) EMERGENCY MEDICAL CARE which states that (e)The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Sanitation: Hand Washing I discussed with you and staff in Space #2 that hand washing must occur before meals and snacks. I suggested reviewing with all staff when proper hand washing must occur throughout the day. I left copies of the adult and child hand washing poster to use as a reference. I also review with you sanitation child care rule 15A NCAC 18A .2803 (c) HANDWASHING which states that (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was ninety-two percent (92%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation Nurture and Care/Discipline/Staff-Child Interactions: I discussed with you the resources provided by Caring for Our Children and I provided you with a copy of the Positive Behavior Support resource document to share with your staff. Additional resources related to nurture and care can be found on the Caring for Our Children website at https://nrckids.org/CFOC Challenging Behaviors Helpline by Healthy Social Behavior Project: I discussed with you the Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For more information, please visit https://www.childcareresourcesinc.org/challenging behaviors-helpline. Please contact your local Child Care Health Consultants, Winter Graham, at Child Care Connections of Cleveland County. Ms. Graham’s contact information is (704) 487-7397 and email: winter@ccchildcareconnections.org. -DCDEE What’s New: Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by May 7, 2025. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov: Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your corrective action plan letter, that corrections have been made when they have not, it will be considered falsification of information. SECTION .2200 - ADMINISTRATIVE ACTIONS AND CIVIL PENALTIES 10A NCAC 09 .2201 ADMINISTRATIVE actions GENERAL PROVISIONS Upon a finding that a child care facility operator has violated any provision of G.S. 110, Article 7, the rules of this Chapter, or 10A NCAC 10, the Secretary or his or her designee may order one or more administrative actions. Thank you for your time and assistance today. You can reach me at 828-417-1648, tiffani.sims@dhhs.nc.gov or at PO Box 185, Glen Alpine, NC 28628 or my supervisor, Tammy McGalliard at tammy.mcgalliard@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 .0302 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 2/11/2025 Number Present: 42 Completed Date: 2/11/2025 Age: From 0 To 5 Total Minutes: 305 Time In: 09:15 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Lisa Donaldson Greene, Owner/Administrator, assisted me with the visit today. The Secretary of State website was checked on February 10, 2025, and your business Little Hands of Love Inc., is current/active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning three (3) points in staff education, two (2) points in program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. During today’s visit, the children were observed indoor free play, lunch time, and naptime. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on January 21, 2025. The next fire inspection is due by January 21, 2026. Sanitation Inspection: The last sanitation inspection was completed on November 1, 2024. A “superior” classification was issued with ten (10) demerits noted on the grade card. The next sanitation inspection needs to be completed by November 30, 2025. Emergency Drills/Playground Inspections: The last lockdown emergency drill was completed on January 31, 2025, at 10:00am and recorded. The last playground inspection was completed on January 31, 2025. The last fire drill was completed on January 31, 2025, at 9:30am and recorded.. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Files Reviewed: Children’s files, program files, and staff files were monitored today. Nine (9) children's files were reviewed during today’s visit. Two (2) staff files were reviewed, and one (1) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the visit today. I discussed these violations with you in detail at the end of the visit. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #2, on January 17, 2025, three children’s departure times were not documented and on January 24, 2025, two children’s departure times were not documented. In Space #3, on January 15, 2025, one child’s departure time was not documented. In Space #4, on January 15, 2025, one child’s departure time was not documented and on January 20, 2025, one child’s departure time was not documented. In Space #5, on January 25, 2025, one child’s departure time was not documented. In Space #6, on February 10, 2025, fourteen children’s departure times were recorded not documented 10A NCAC 09 .0302(d)(4) 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. In Space #5, the following leftover medication was not returned to parents within 72 hours. The medication included one Albuterol Inhaler for a child four years of age and was enrolled on July 10, 2023. The medication permission form expired on September 21, 2024. The medication had not been administered to the child. In Space #5, the following leftover medication was not returned to parents within 72 hours. The medication included one Albuterol Inhaler for a child four years of age and was enrolled on September 15, 2021. The medication permission form expired on September 21, 2024. The medication had not been administered to the child. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In Space #4, one child, four years of age and was enrolled on July 10, 2023, did not have on file and available for review a current medical action plan. The medical action plan expired on October 27, 2024. .0801(b) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. I also suggested that the closing teacher in each classroom checks the daily sign-in and sign-out documentation to ensure each child present has been checked in and out for the day. I suggested that you follow-up with the closing staff to ensure accurate records are maintained. Medication Permission Forms/Documentation I discussed with you that all medication must have a current and completed medication permission form on file and be available for review prior to when medication can be administered to children. I suggested reviewing with all staff the child care requirements on how to complete the medication permission form and how to document when medication is administration to children for a specific medical condition. I also suggested reviewing with parents that a completed medication forms are required to be completed before the medication is left at the child care facility. I also reminded you that unused medication must be returned to parents within 72 hours and/or discarded. Medical Action Plans (Expired): I discussed with you that children’s medical action plans must be updated annually and kept on file and be available for review. I suggested making a comprehensive list and checking it monthly for all children enrolled, who currently have a medical action plan, and highlight when the medical action plan expires. I also suggested that you remind parents at least two-three weeks prior of when the medical action plan is to expire and have them complete a new one. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-nine percent (89%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by February 25, 2025. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: -Provider Access to ABCMS North Carolina Child Care Providers can obtain access to the Provider Access to ABCMS after completing the Moodle training and completing the form afterward. Once you are logged in, you can access codes to allow your staff and applicants to create a connecting application to link themselves to your facility. The links include help documents to assist you. -Recognizing and Responding to Suspicions of Child Maltreatment Training To access the Recognizing and Responding to Suspicions of Child Maltreatment Training, please review the following information: •This training does not use your NCID username and password •For this training providers must create a separate username and password for this course. •If you need further assistance, contact info@preventchildabusenc.org or call 919-829-8009. •The link to access Recognizing and Responding to Suspicions of Child Maltreatment Training, is the following https://preventchildabusenc-lms.org/ -RaiseNC Toolkit and Other Resources: Raise your voice to Raise NC is a good resource for you and your staff to explore and download the full suite of easy-to-use educational and promotional materials, including flyers, social media posts, graphics, talking points and more. Whether you’re an organization or an individual, these materials are free and available on the website RaiseNC.nc.gov. The link is https://www.ncdhhs.gov/about/department-initiatives/raise-nc/toolkit. Lead Testing: Child Care Rule .0601(f)- Safe Environments We discussed the tests results that were available for review on the Clean Classrooms for Carolina Kids website for lead testing water testing, lead-based paint testing, and asbestos testing for your facility. The lead water testing results were completed on August 6, 2024. On February 10, 2025, I checked the Clean Classrooms for Carolina Kids website, and it stated that your facility had no results available for review for lead-based paint or asbestos testing. Lead testing must be completed every three years. You may review your results by visiting https://www.cleanwaterforuskids.org/en/carolina/. -Resuming Star Rated License Reassessment Information Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For further information on the proposed QRIS Moderation, please visit the DCDEE Home Page and click on the “What’s New” tab/QRIS Moderation. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. Additional training and resources for the Environment Rating Scales Third Editions are available on the NC Rated License Assessment Project’s website. The link is www.ncrlap.org. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1. If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2. If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0302 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 51 Completed Date: 8/7/2024 Age: From 0 To 10 Total Minutes: 240 Time In: 01:15 PM Time Out: 05:15 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 your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Lisa Clayton, Lead Teacher, assisted me with the visit today. The Secretary of State website was checked on February 14, 2024, and your business Little Hands of Love Inc., is current/active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning three (3) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Staff and children were observed during naptime, free play and outdoor gross motor play, and snack time. Inspections/Drills Sanitation Inspection: The last sanitation inspection was completed on October 9, 2023. A “superior” classification was issued with eight (8) demerits noted on the grade card. The next sanitation inspection is due by October 31, 2024. Fire Inspection: The last fire inspection was completed on January 30, 2024. The next fire inspection is due by January 30, 2025. The most recent fire drill was conducted on July 2, 2024, at 11:00am and recorded. The most recent shelter in place emergency drill was conducted on June 28, 2024, at 10:38am and recorded. The most recent playground safety inspection was conducted on June 28, 2024. You stated no new staff have been hired since your most recent annual compliance visit conducted on February 15, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, on July 26, 2024, one child’s departure time was not documented. In Space #2, on July 12, 2024, one child’s departure time was not documented; on July 23, 2024, four children’s departure times were not documented; on July 25, 2024, two children’s departure times were not documented; and on July 31, 2024, nine children’s departure times were not documented. In Space #4, on July 11, 2024, three children’s departure times were not documented and on July 31, 2024, four children’s departure times were not documented. In Space #5, on July 25, 2024, nine children’s departure times were not documented and on July 26, 2024, two children's departure times were not documented. In Space #6, on July 12, 2024, one children's departure time was not documented; on July 18, 2024, twenty children's departure time was not documented; on July 19, 2024, twenty-three children's arrival and departure times were not documented; and on July 31, 2024, eleven children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space #2, the following medications Albuterol Sulfate Inhalation Solution and Budesonide Inhalation Suspense were administered to a child on Monday, August 5, 2024, and August 6, 2024, without a current medication permission on file and the medication permission form was not available for review. 10A NCAC 09 .0803(1)(a & 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. In Space #2, the following leftover medication was not returned to parents within 72 hours. The medication included one tube of Destin Diaper Cream and the permission to administer medication expired on March 29, 2024. Staff stated that medication had not be administer to the child since the expiration date. In Space #4, the following medications were not returned to parents within 72 hours. The medication included one jar of Silver Sulfa Cream and the permission to administer this medication expired on June 15, 2024. Staff stated that medication had not be administer to the child since the expiration date. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection form for July 2024 was not documented and was not available for review. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member, Shelia Pruett, employed on August 15, 2022, did not have a valid qualifying letter on file available for review. The qualifying letter expired on July 29, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the following medication did not have a current medication permission form available for review. The medications included Boudreaux’s Butt Paste. Staff stated that the medication had not been administered to the child. In Space #4, the following medication did not have a medication permission form available for review. The medication included Nystatin Cream. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance regarding the violations observed during today’s visit: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. -Leftover Medication As a reminder, I suggested reviewing with staff the medication return policy and that medications must be returned to parents within 72 hours after the end of course of treatment. I suggested that you check the medication boxes monthly in each classroom to ensure that expired medications are not left in the medication locked box. I also suggested creating a medication log and keep it in a notebook for each classroom that lists specific information for easy reference, such as the child’s name, name of medication, date to and from for when the medication needs to administer, the medication expiration date, and staff signature. Medication Permission Forms/Documentation I discussed with you that all medication must have a current and completed medication permission form on file and be available for review prior to when medication can be administered to children. I suggested reviewing with all staff the child care requirements on how to complete the medication permission form and how to document when medication is administration to children for a specific medical condition. I also suggested reviewing with parents that a completed medication forms are required to be completed before the medication is left at the child care facility. -Expired Qualifying Letter I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review in order to care for children. II also discussed with you that the employee, Shelia Pruett, has two weeks to obtain a qualification letter and that a copy of the qualification letter must be mailed to me along with the required compliance letter. I also discussed with you that the child care provider may remain at the facility as long as the violation is corrected within two weeks. I suggested reviewing all staff files and create a list of when qualifying letters are due to ensure that the qualifying letters do not expire. -Playground Inspections We discussed playground inspection forms must be completed monthly and kept on file fand made available for review. I have referenced Child Care Rule 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) which states “…the checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division”. I suggested writing on the calendar monthly a specific date on when to complete the playground inspections. An example would on the second Monday of each month you would write on the calendar and highlight the date as a reminder. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by August 21, 2024. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-eight percent (88%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Resuming Star Rated License Reassessment Information Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. -Cicadas and Snakes Copperheads are prevalent right now due to all the cicadas emerging and may be found around bases of trees and at the base of playground slides -Natural Learning Initiative: The Green Desk (Resource) For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. -Child Care Rule Effective January 1, 2024 Lead Testing: I discussed with you the results of the lead testing from the Clean Classrooms for Carolina Kids. Your facility has no result listed of completing the lead-paint and asbestos testing. Your facility’s lead water testing was last completed and reported on June 2, 2021. Your facilities lead testing is overdue and needed to be completed by July 1, 2024. Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar Child Care Facilities had until July 1, 2024, to have the lead testing completed. -Emergency Preparedness and Response Plan Help Request We discussed your issue of accessing the facility’s Emergency Preparedness and Response Plan from the Emergency Management Portal. You requested information on receiving help with your EPR Plan and access. I provided you with the following information. EPR Help Requests need to be emailed to DCDEE at dcdee.inservice.training@dhhs.nc.gov. To request EPR help, please call 919-814-6365. The more information you provide, the easier it is to transfer a plan. In the subject line of the email, indicate your request (i.e. Request to Transfer EPR Plan to New NCID). Provide the following information in the message body of the email: Old user’s email address and old user’s NCID username •New user’s email address and new users NCID username •Your contact information •EPR Plan title, facility name, and the city and county name for facility location -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1. If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2. If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the following information with you on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0605 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 51 Completed Date: 8/7/2024 Age: From 0 To 10 Total Minutes: 240 Time In: 01:15 PM Time Out: 05:15 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 your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Lisa Clayton, Lead Teacher, assisted me with the visit today. The Secretary of State website was checked on February 14, 2024, and your business Little Hands of Love Inc., is current/active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning three (3) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Staff and children were observed during naptime, free play and outdoor gross motor play, and snack time. Inspections/Drills Sanitation Inspection: The last sanitation inspection was completed on October 9, 2023. A “superior” classification was issued with eight (8) demerits noted on the grade card. The next sanitation inspection is due by October 31, 2024. Fire Inspection: The last fire inspection was completed on January 30, 2024. The next fire inspection is due by January 30, 2025. The most recent fire drill was conducted on July 2, 2024, at 11:00am and recorded. The most recent shelter in place emergency drill was conducted on June 28, 2024, at 10:38am and recorded. The most recent playground safety inspection was conducted on June 28, 2024. You stated no new staff have been hired since your most recent annual compliance visit conducted on February 15, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, on July 26, 2024, one child’s departure time was not documented. In Space #2, on July 12, 2024, one child’s departure time was not documented; on July 23, 2024, four children’s departure times were not documented; on July 25, 2024, two children’s departure times were not documented; and on July 31, 2024, nine children’s departure times were not documented. In Space #4, on July 11, 2024, three children’s departure times were not documented and on July 31, 2024, four children’s departure times were not documented. In Space #5, on July 25, 2024, nine children’s departure times were not documented and on July 26, 2024, two children's departure times were not documented. In Space #6, on July 12, 2024, one children's departure time was not documented; on July 18, 2024, twenty children's departure time was not documented; on July 19, 2024, twenty-three children's arrival and departure times were not documented; and on July 31, 2024, eleven children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space #2, the following medications Albuterol Sulfate Inhalation Solution and Budesonide Inhalation Suspense were administered to a child on Monday, August 5, 2024, and August 6, 2024, without a current medication permission on file and the medication permission form was not available for review. 10A NCAC 09 .0803(1)(a & 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. In Space #2, the following leftover medication was not returned to parents within 72 hours. The medication included one tube of Destin Diaper Cream and the permission to administer medication expired on March 29, 2024. Staff stated that medication had not be administer to the child since the expiration date. In Space #4, the following medications were not returned to parents within 72 hours. The medication included one jar of Silver Sulfa Cream and the permission to administer this medication expired on June 15, 2024. Staff stated that medication had not be administer to the child since the expiration date. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection form for July 2024 was not documented and was not available for review. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member, Shelia Pruett, employed on August 15, 2022, did not have a valid qualifying letter on file available for review. The qualifying letter expired on July 29, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the following medication did not have a current medication permission form available for review. The medications included Boudreaux’s Butt Paste. Staff stated that the medication had not been administered to the child. In Space #4, the following medication did not have a medication permission form available for review. The medication included Nystatin Cream. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance regarding the violations observed during today’s visit: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. -Leftover Medication As a reminder, I suggested reviewing with staff the medication return policy and that medications must be returned to parents within 72 hours after the end of course of treatment. I suggested that you check the medication boxes monthly in each classroom to ensure that expired medications are not left in the medication locked box. I also suggested creating a medication log and keep it in a notebook for each classroom that lists specific information for easy reference, such as the child’s name, name of medication, date to and from for when the medication needs to administer, the medication expiration date, and staff signature. Medication Permission Forms/Documentation I discussed with you that all medication must have a current and completed medication permission form on file and be available for review prior to when medication can be administered to children. I suggested reviewing with all staff the child care requirements on how to complete the medication permission form and how to document when medication is administration to children for a specific medical condition. I also suggested reviewing with parents that a completed medication forms are required to be completed before the medication is left at the child care facility. -Expired Qualifying Letter I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review in order to care for children. II also discussed with you that the employee, Shelia Pruett, has two weeks to obtain a qualification letter and that a copy of the qualification letter must be mailed to me along with the required compliance letter. I also discussed with you that the child care provider may remain at the facility as long as the violation is corrected within two weeks. I suggested reviewing all staff files and create a list of when qualifying letters are due to ensure that the qualifying letters do not expire. -Playground Inspections We discussed playground inspection forms must be completed monthly and kept on file fand made available for review. I have referenced Child Care Rule 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) which states “…the checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division”. I suggested writing on the calendar monthly a specific date on when to complete the playground inspections. An example would on the second Monday of each month you would write on the calendar and highlight the date as a reminder. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by August 21, 2024. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-eight percent (88%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Resuming Star Rated License Reassessment Information Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. -Cicadas and Snakes Copperheads are prevalent right now due to all the cicadas emerging and may be found around bases of trees and at the base of playground slides -Natural Learning Initiative: The Green Desk (Resource) For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. -Child Care Rule Effective January 1, 2024 Lead Testing: I discussed with you the results of the lead testing from the Clean Classrooms for Carolina Kids. Your facility has no result listed of completing the lead-paint and asbestos testing. Your facility’s lead water testing was last completed and reported on June 2, 2021. Your facilities lead testing is overdue and needed to be completed by July 1, 2024. Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar Child Care Facilities had until July 1, 2024, to have the lead testing completed. -Emergency Preparedness and Response Plan Help Request We discussed your issue of accessing the facility’s Emergency Preparedness and Response Plan from the Emergency Management Portal. You requested information on receiving help with your EPR Plan and access. I provided you with the following information. EPR Help Requests need to be emailed to DCDEE at dcdee.inservice.training@dhhs.nc.gov. To request EPR help, please call 919-814-6365. The more information you provide, the easier it is to transfer a plan. In the subject line of the email, indicate your request (i.e. Request to Transfer EPR Plan to New NCID). Provide the following information in the message body of the email: Old user’s email address and old user’s NCID username •New user’s email address and new users NCID username •Your contact information •EPR Plan title, facility name, and the city and county name for facility location -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1. If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2. If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the following information with you on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0803 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 51 Completed Date: 8/7/2024 Age: From 0 To 10 Total Minutes: 240 Time In: 01:15 PM Time Out: 05:15 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 your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Lisa Clayton, Lead Teacher, assisted me with the visit today. The Secretary of State website was checked on February 14, 2024, and your business Little Hands of Love Inc., is current/active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning three (3) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Staff and children were observed during naptime, free play and outdoor gross motor play, and snack time. Inspections/Drills Sanitation Inspection: The last sanitation inspection was completed on October 9, 2023. A “superior” classification was issued with eight (8) demerits noted on the grade card. The next sanitation inspection is due by October 31, 2024. Fire Inspection: The last fire inspection was completed on January 30, 2024. The next fire inspection is due by January 30, 2025. The most recent fire drill was conducted on July 2, 2024, at 11:00am and recorded. The most recent shelter in place emergency drill was conducted on June 28, 2024, at 10:38am and recorded. The most recent playground safety inspection was conducted on June 28, 2024. You stated no new staff have been hired since your most recent annual compliance visit conducted on February 15, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, on July 26, 2024, one child’s departure time was not documented. In Space #2, on July 12, 2024, one child’s departure time was not documented; on July 23, 2024, four children’s departure times were not documented; on July 25, 2024, two children’s departure times were not documented; and on July 31, 2024, nine children’s departure times were not documented. In Space #4, on July 11, 2024, three children’s departure times were not documented and on July 31, 2024, four children’s departure times were not documented. In Space #5, on July 25, 2024, nine children’s departure times were not documented and on July 26, 2024, two children's departure times were not documented. In Space #6, on July 12, 2024, one children's departure time was not documented; on July 18, 2024, twenty children's departure time was not documented; on July 19, 2024, twenty-three children's arrival and departure times were not documented; and on July 31, 2024, eleven children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space #2, the following medications Albuterol Sulfate Inhalation Solution and Budesonide Inhalation Suspense were administered to a child on Monday, August 5, 2024, and August 6, 2024, without a current medication permission on file and the medication permission form was not available for review. 10A NCAC 09 .0803(1)(a & 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. In Space #2, the following leftover medication was not returned to parents within 72 hours. The medication included one tube of Destin Diaper Cream and the permission to administer medication expired on March 29, 2024. Staff stated that medication had not be administer to the child since the expiration date. In Space #4, the following medications were not returned to parents within 72 hours. The medication included one jar of Silver Sulfa Cream and the permission to administer this medication expired on June 15, 2024. Staff stated that medication had not be administer to the child since the expiration date. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection form for July 2024 was not documented and was not available for review. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member, Shelia Pruett, employed on August 15, 2022, did not have a valid qualifying letter on file available for review. The qualifying letter expired on July 29, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the following medication did not have a current medication permission form available for review. The medications included Boudreaux’s Butt Paste. Staff stated that the medication had not been administered to the child. In Space #4, the following medication did not have a medication permission form available for review. The medication included Nystatin Cream. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance regarding the violations observed during today’s visit: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. -Leftover Medication As a reminder, I suggested reviewing with staff the medication return policy and that medications must be returned to parents within 72 hours after the end of course of treatment. I suggested that you check the medication boxes monthly in each classroom to ensure that expired medications are not left in the medication locked box. I also suggested creating a medication log and keep it in a notebook for each classroom that lists specific information for easy reference, such as the child’s name, name of medication, date to and from for when the medication needs to administer, the medication expiration date, and staff signature. Medication Permission Forms/Documentation I discussed with you that all medication must have a current and completed medication permission form on file and be available for review prior to when medication can be administered to children. I suggested reviewing with all staff the child care requirements on how to complete the medication permission form and how to document when medication is administration to children for a specific medical condition. I also suggested reviewing with parents that a completed medication forms are required to be completed before the medication is left at the child care facility. -Expired Qualifying Letter I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review in order to care for children. II also discussed with you that the employee, Shelia Pruett, has two weeks to obtain a qualification letter and that a copy of the qualification letter must be mailed to me along with the required compliance letter. I also discussed with you that the child care provider may remain at the facility as long as the violation is corrected within two weeks. I suggested reviewing all staff files and create a list of when qualifying letters are due to ensure that the qualifying letters do not expire. -Playground Inspections We discussed playground inspection forms must be completed monthly and kept on file fand made available for review. I have referenced Child Care Rule 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) which states “…the checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division”. I suggested writing on the calendar monthly a specific date on when to complete the playground inspections. An example would on the second Monday of each month you would write on the calendar and highlight the date as a reminder. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by August 21, 2024. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-eight percent (88%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Resuming Star Rated License Reassessment Information Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. -Cicadas and Snakes Copperheads are prevalent right now due to all the cicadas emerging and may be found around bases of trees and at the base of playground slides -Natural Learning Initiative: The Green Desk (Resource) For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. -Child Care Rule Effective January 1, 2024 Lead Testing: I discussed with you the results of the lead testing from the Clean Classrooms for Carolina Kids. Your facility has no result listed of completing the lead-paint and asbestos testing. Your facility’s lead water testing was last completed and reported on June 2, 2021. Your facilities lead testing is overdue and needed to be completed by July 1, 2024. Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar Child Care Facilities had until July 1, 2024, to have the lead testing completed. -Emergency Preparedness and Response Plan Help Request We discussed your issue of accessing the facility’s Emergency Preparedness and Response Plan from the Emergency Management Portal. You requested information on receiving help with your EPR Plan and access. I provided you with the following information. EPR Help Requests need to be emailed to DCDEE at dcdee.inservice.training@dhhs.nc.gov. To request EPR help, please call 919-814-6365. The more information you provide, the easier it is to transfer a plan. In the subject line of the email, indicate your request (i.e. Request to Transfer EPR Plan to New NCID). Provide the following information in the message body of the email: Old user’s email address and old user’s NCID username •New user’s email address and new users NCID username •Your contact information •EPR Plan title, facility name, and the city and county name for facility location -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1. If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2. If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the following information with you on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/7/2024 Number Present: 51 Completed Date: 8/7/2024 Age: From 0 To 10 Total Minutes: 240 Time In: 01:15 PM Time Out: 05:15 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 your program for compliance with applicable child care requirements, including health and safety for a routine unannounced visit. You, Lisa Clayton, Lead Teacher, assisted me with the visit today. The Secretary of State website was checked on February 14, 2024, and your business Little Hands of Love Inc., is current/active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning three (3) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. A walk-through of the facility was completed today, and all indoor and outdoor areas were monitored. Staff and children were observed during naptime, free play and outdoor gross motor play, and snack time. Inspections/Drills Sanitation Inspection: The last sanitation inspection was completed on October 9, 2023. A “superior” classification was issued with eight (8) demerits noted on the grade card. The next sanitation inspection is due by October 31, 2024. Fire Inspection: The last fire inspection was completed on January 30, 2024. The next fire inspection is due by January 30, 2025. The most recent fire drill was conducted on July 2, 2024, at 11:00am and recorded. The most recent shelter in place emergency drill was conducted on June 28, 2024, at 10:38am and recorded. The most recent playground safety inspection was conducted on June 28, 2024. You stated no new staff have been hired since your most recent annual compliance visit conducted on February 15, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed and documented during today’s visit Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #3, on July 26, 2024, one child’s departure time was not documented. In Space #2, on July 12, 2024, one child’s departure time was not documented; on July 23, 2024, four children’s departure times were not documented; on July 25, 2024, two children’s departure times were not documented; and on July 31, 2024, nine children’s departure times were not documented. In Space #4, on July 11, 2024, three children’s departure times were not documented and on July 31, 2024, four children’s departure times were not documented. In Space #5, on July 25, 2024, nine children’s departure times were not documented and on July 26, 2024, two children's departure times were not documented. In Space #6, on July 12, 2024, one children's departure time was not documented; on July 18, 2024, twenty children's departure time was not documented; on July 19, 2024, twenty-three children's arrival and departure times were not documented; and on July 31, 2024, eleven children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space #2, the following medications Albuterol Sulfate Inhalation Solution and Budesonide Inhalation Suspense were administered to a child on Monday, August 5, 2024, and August 6, 2024, without a current medication permission on file and the medication permission form was not available for review. 10A NCAC 09 .0803(1)(a & 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. In Space #2, the following leftover medication was not returned to parents within 72 hours. The medication included one tube of Destin Diaper Cream and the permission to administer medication expired on March 29, 2024. Staff stated that medication had not be administer to the child since the expiration date. In Space #4, the following medications were not returned to parents within 72 hours. The medication included one jar of Silver Sulfa Cream and the permission to administer this medication expired on June 15, 2024. Staff stated that medication had not be administer to the child since the expiration date. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspection form for July 2024 was not documented and was not available for review. .0605(q) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member, Shelia Pruett, employed on August 15, 2022, did not have a valid qualifying letter on file available for review. The qualifying letter expired on July 29, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2, the following medication did not have a current medication permission form available for review. The medications included Boudreaux’s Butt Paste. Staff stated that the medication had not been administered to the child. In Space #4, the following medication did not have a medication permission form available for review. The medication included Nystatin Cream. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance regarding the violations observed during today’s visit: -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. -Leftover Medication As a reminder, I suggested reviewing with staff the medication return policy and that medications must be returned to parents within 72 hours after the end of course of treatment. I suggested that you check the medication boxes monthly in each classroom to ensure that expired medications are not left in the medication locked box. I also suggested creating a medication log and keep it in a notebook for each classroom that lists specific information for easy reference, such as the child’s name, name of medication, date to and from for when the medication needs to administer, the medication expiration date, and staff signature. Medication Permission Forms/Documentation I discussed with you that all medication must have a current and completed medication permission form on file and be available for review prior to when medication can be administered to children. I suggested reviewing with all staff the child care requirements on how to complete the medication permission form and how to document when medication is administration to children for a specific medical condition. I also suggested reviewing with parents that a completed medication forms are required to be completed before the medication is left at the child care facility. -Expired Qualifying Letter I discussed with you that staff employed at the child care facility must have a current qualifying letter on file and be available for review in order to care for children. II also discussed with you that the employee, Shelia Pruett, has two weeks to obtain a qualification letter and that a copy of the qualification letter must be mailed to me along with the required compliance letter. I also discussed with you that the child care provider may remain at the facility as long as the violation is corrected within two weeks. I suggested reviewing all staff files and create a list of when qualifying letters are due to ensure that the qualifying letters do not expire. -Playground Inspections We discussed playground inspection forms must be completed monthly and kept on file fand made available for review. I have referenced Child Care Rule 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) which states “…the checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division”. I suggested writing on the calendar monthly a specific date on when to complete the playground inspections. An example would on the second Monday of each month you would write on the calendar and highlight the date as a reminder. Compliance Letter Documentation: The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance letter by August 21, 2024. Please send your compliance letter to Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-eight percent (88%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Consultation: -Resuming Star Rated License Reassessment Information Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. -Cicadas and Snakes Copperheads are prevalent right now due to all the cicadas emerging and may be found around bases of trees and at the base of playground slides -Natural Learning Initiative: The Green Desk (Resource) For natural learning environment resources, consider using The Green Desk that is provided by the Natural Learning Initiative. The Green Desk contains numerous resources meant to improve outdoor learning environments and promote health, natural child development, physical activity, and nature-based learning. To access this page, Go to www.naturalearning.org, hover on the link for ‘resources’, click on the link for ‘The Green Desk’. -Child Care Rule Effective January 1, 2024 Lead Testing: I discussed with you the results of the lead testing from the Clean Classrooms for Carolina Kids. Your facility has no result listed of completing the lead-paint and asbestos testing. Your facility’s lead water testing was last completed and reported on June 2, 2021. Your facilities lead testing is overdue and needed to be completed by July 1, 2024. Child Care Rule .0601(f)- Safe Environments Rule Amendment- This rule was amended to include the specific requirements that child care centers must be free of asbestos hazards. This is in addition to the existing requirement that they be free of lead poisoning hazards. In addition to the updates to this rule, 10A NCAC 41C .1001 through .1007 and 15A NCAC 18A .2816 require all child care facilities (homes and centers) to test for lead in drinking, water, identify lead-based paint hazard, and mitigate or restrict access to identified hazards. The Clean Classrooms for Carolina Kids program is designed to identify and eliminate exposure to lead and asbestos hazards in building infrastructure, while providing child care facilities with the support needed to meet all rule requirements. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar Child Care Facilities had until July 1, 2024, to have the lead testing completed. -Emergency Preparedness and Response Plan Help Request We discussed your issue of accessing the facility’s Emergency Preparedness and Response Plan from the Emergency Management Portal. You requested information on receiving help with your EPR Plan and access. I provided you with the following information. EPR Help Requests need to be emailed to DCDEE at dcdee.inservice.training@dhhs.nc.gov. To request EPR help, please call 919-814-6365. The more information you provide, the easier it is to transfer a plan. In the subject line of the email, indicate your request (i.e. Request to Transfer EPR Plan to New NCID). Provide the following information in the message body of the email: Old user’s email address and old user’s NCID username •New user’s email address and new users NCID username •Your contact information •EPR Plan title, facility name, and the city and county name for facility location -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1. If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2. If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the following information with you on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0302 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 2/15/2024 Number Present: 66 Completed Date: 2/15/2024 Age: From 0 To 10 Total Minutes: 415 Time In: 09:05 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Lisa Donaldson, Owner/Administrator, assisted me with the visit today. The Secretary of State website was checked on February 14, 2024, and your business Little Hands of Love Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning three (3) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. During today’s visit, the children were observed in indoor and outdoor free play, music and movement, bottle feeding, lunch time, nap time, and teacher directed activities. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on January 30, 204.. Sanitation Inspection: The last sanitation inspection was completed on October 9, 2023. A “superior” classification was issued with eight (8) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter in place drill was completed on December 21, 2023, at 3:00pm and recorded. The last playground inspection was completed on January 31, 2024. The last fire drill was completed on January 30, 2024, at 10:00am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Files Reviewed: Children’s files, program files, and staff files were monitored today. Nine (9) children's files were reviewed during today’s visit. One (1) staff file was reviewed, and six (6) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the visit today. I discussed these violations with you in detail at the end of the visit. 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 most recent annual fire inspection documentation on file for review was completed on January 20, 2024. The facility’s annual fire inspection was not submitted to DCDEE until February 15, 2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #2, on February 2, 2024, one child’s departure time was not documented, and in Space #3, on February 14, 2024, on child’s departure time was not documented. 10A NCAC 09 .0302(d)(4) 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. The leftover medications were not returned to parents within 72 hours. The following leftover over the counter medications included one tube of Aquaphor Healing Ointment, which expired in December 2023 and one tube of Boudreaux Butt Paste, which expired in December 2023. .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. In Space #2, four plastic containers of baby wipes, with written warnings keep out the reach of children, were located in an unlocked storage diaper changing station cabinet and were accessible to children in a two years of age classroom of children. The diaper wipes containers included Parent’s Choice Soothing with Shea Butter, Pampers Sensitive, Pampers Baby Clean, and Parent’s Choice Ultra-Sensitive. .0604(q) 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. One staff member employed on November 13, 2023, August 2, 2023, and August 29, 2023, did not have the current documentation on file for review of the completing the required First Aid training. One staff member employed on March 20, 2023, current documentation on file available for review of completing the First Aide training had expired on January 31, 2024. .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. Three staff members employed on November 13, 2023, August 2, 2023, and August 29, 2023, did not have the current documentation on file for review of the completing the required CPR training. One staff member employed on March 20, 2023, current documentation on file available for review of completing the CPR had expired on January 31, 2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on September 5, 2023, did not have available for review training documentation for completing the Recognizing and Responding to Suspicions of Child Maltreatment by the required due date of December 5, 2023. .1102(g) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Fire Inspections Reports: As a reminder, annual fire inspections reports must be submitted to DCDEE within 7 days of when the fire inspection was completed. -Leftover/Expired Medication As a reminder, review with staff that medication must be returned to parents within 72 hours after the end of course of treatment. -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. -Documentation of Trainings (CPR/First Aid/ Recognizing and Responding to Suspicions of Child Maltreatment): We discussed reviewing all staff files to ensure the required training documentation are on file and available for review by the required date. I suggested creating a calendar of when staff need to complete trainings and/or highlight on the staff file checklist when specific training must be completed. -Diaper Wipes in Plastic Packaging with Written Warnings: We discussed purchasing hard plastic pencil type cases and place the baby wipes inside of them and discard the plastic packaging due to the written warning “keep out of reach of children” on the packaging and accessible to children under the ages of three years old. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-three percent (83%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by February 29, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Little Hands of Love Preschool Inc. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License -COVID-19 Information and Resources: I shared information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html Baby Talk: Resources to Support the People Who Work with Infants and Toddlers I shared the flyer with information and resources to support the child care staff who work with infants and toddlers. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1.If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2.If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 2/15/2024 Number Present: 66 Completed Date: 2/15/2024 Age: From 0 To 10 Total Minutes: 415 Time In: 09:05 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Lisa Donaldson, Owner/Administrator, assisted me with the visit today. The Secretary of State website was checked on February 14, 2024, and your business Little Hands of Love Inc., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, Tiffani Sims, at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The facility currently operates with a 3-star rated license issued on December 3, 2019, earning three (3) points in staff education, two (2) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care and enhanced space. During today’s visit, the children were observed in indoor and outdoor free play, music and movement, bottle feeding, lunch time, nap time, and teacher directed activities. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on January 30, 204.. Sanitation Inspection: The last sanitation inspection was completed on October 9, 2023. A “superior” classification was issued with eight (8) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last shelter in place drill was completed on December 21, 2023, at 3:00pm and recorded. The last playground inspection was completed on January 31, 2024. The last fire drill was completed on January 30, 2024, at 10:00am and recorded. A complete walkthrough of licensed indoor and outdoor spaces was conducted. A checklist was used to note the requirements I monitored today. Files Reviewed: Children’s files, program files, and staff files were monitored today. Nine (9) children's files were reviewed during today’s visit. One (1) staff file was reviewed, and six (6) new staff files were reviewed today. I discussed the Staff and Training Worksheet and the Children’s Record form with you today. Both forms were completed and verified during the visit. The following violations were observed during the visit today. I discussed these violations with you in detail at the end of the visit. 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 most recent annual fire inspection documentation on file for review was completed on January 20, 2024. The facility’s annual fire inspection was not submitted to DCDEE until February 15, 2024. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In Space #2, on February 2, 2024, one child’s departure time was not documented, and in Space #3, on February 14, 2024, on child’s departure time was not documented. 10A NCAC 09 .0302(d)(4) 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. The leftover medications were not returned to parents within 72 hours. The following leftover over the counter medications included one tube of Aquaphor Healing Ointment, which expired in December 2023 and one tube of Boudreaux Butt Paste, which expired in December 2023. .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. In Space #2, four plastic containers of baby wipes, with written warnings keep out the reach of children, were located in an unlocked storage diaper changing station cabinet and were accessible to children in a two years of age classroom of children. The diaper wipes containers included Parent’s Choice Soothing with Shea Butter, Pampers Sensitive, Pampers Baby Clean, and Parent’s Choice Ultra-Sensitive. .0604(q) 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. One staff member employed on November 13, 2023, August 2, 2023, and August 29, 2023, did not have the current documentation on file for review of the completing the required First Aid training. One staff member employed on March 20, 2023, current documentation on file available for review of completing the First Aide training had expired on January 31, 2024. .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. Three staff members employed on November 13, 2023, August 2, 2023, and August 29, 2023, did not have the current documentation on file for review of the completing the required CPR training. One staff member employed on March 20, 2023, current documentation on file available for review of completing the CPR had expired on January 31, 2024. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member employed on September 5, 2023, did not have available for review training documentation for completing the Recognizing and Responding to Suspicions of Child Maltreatment by the required due date of December 5, 2023. .1102(g) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Fire Inspections Reports: As a reminder, annual fire inspections reports must be submitted to DCDEE within 7 days of when the fire inspection was completed. -Leftover/Expired Medication As a reminder, review with staff that medication must be returned to parents within 72 hours after the end of course of treatment. -Arrival/Departure Times As a reminder, daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times. -Documentation of Trainings (CPR/First Aid/ Recognizing and Responding to Suspicions of Child Maltreatment): We discussed reviewing all staff files to ensure the required training documentation are on file and available for review by the required date. I suggested creating a calendar of when staff need to complete trainings and/or highlight on the staff file checklist when specific training must be completed. -Diaper Wipes in Plastic Packaging with Written Warnings: We discussed purchasing hard plastic pencil type cases and place the baby wipes inside of them and discard the plastic packaging due to the written warning “keep out of reach of children” on the packaging and accessible to children under the ages of three years old. Compliance History: You must maintain at least 75% Compliance History for each 18-month period as required. Prior to today’s visit your compliance history was eighty-three percent (83%). Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to a recommended administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by February 29, 2024. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: -Resuming Star Rated License Reassessment Information I shared information concerning resuming the star rated license reassessment. Little Hands of Love Preschool Inc. is in cohort #2 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2024, through June 30, 2025. Your child care program’s reassessment year will begin on July 1, 2025, through June 30, 2026. For more information, please visit the DCDEE website under the providers tab. You will then scroll to Licensing tab, scroll to the Star Rated License tab, and then click on to the Resuming Star Rated License tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-Star-Rated-License -COVID-19 Information and Resources: I shared information and resources about COVID-19 vaccines, visit MySpot.nc.gov, call the CDC-INFO Contact Center at 800-CDC-INFO, or visit ncdhhs.gov/LHD to contact a local health department. Read the CDC’s full statement about recommending the updated COVID-19 vaccine for the fall/winter virus season. Info/Guidance for Educators & Child Care Providers Link: https://covid19.ncdhhs.gov/guidance-for-educators-and-child-care-providers Current Guidance for COVID-19 Protection – link below https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/index.html Baby Talk: Resources to Support the People Who Work with Infants and Toddlers I shared the flyer with information and resources to support the child care staff who work with infants and toddlers. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -How to Access Health and Safety Training on DCDEE Moodle I have provided information and on how to access CCDF Health and Safety in Child Care or Medication in Child Care trainings on Moodle: 1.If you can log into Moodle with your MyNCID but need support with completing CCDF Health and Safety in Child Care or Medication in Child Care training, use this contact form: healthychildcare.unc.edu/contact-us-form If you cannot log into Moodle, try visiting https://myncid.nc.gov/ for technical support unlocking or resetting your NCID password. 2.If you still cannot access Moodle, one alternative to completing the CCDF Health and Safety in Child Care Trainings or Medication in Child Care training on Moodle is to contact a primary Child Care Health Consultant (CCHC) for training options: healthychildcare.unc.edu/find-a-cchc. However, while CCHCs have the ability to provide CCDF trainings equivalent to what is available in Moodle, their capacity is dependent on their current working priorities. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .1801 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: 1023-040L Visit Date: 10/12/2023 Number Present: 69 Completed Date: 10/12/2023 Age: From 0 To 12 Total Minutes: 330 Time In: 11:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging a violation of child care requirements regarding supervision. The visit was conducted with you, Lisa Donaldson, Administrator. Beth Archer, Child Care Consultant, assisted me with today’s visit. The Secretary of State website was checked on October 11, 2023, and your business Little Hands of Love Inc., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. On October 4, 2023, the following allegations were received. There is a concern regarding supervision based on numerous biting incidents. We conducted observations in Space #1 and Space #4. In Space #1, two teachers were present with ten children, one year of age. In Space #4, one staff was present with 9 children, seven two years of age and two children three years of age. In Space #1, both staff were engaged in helping children at the end of naptime and transitioned into free play. Both teachers were helping children on the floor engaged in free play with the children. No instance of challenging behaviors occurred. In Space #4, one staff was present, and children were observed during naptime. Staff/child ratios were in compliance during today’s visit. I discussed the allegation with you and all staff present in Space #1 and Space #4, during the visit. You and all staff from Space #1 and Space #4 were interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. I reviewed incident logs, incident reports and the facility’s biting policy. You stated the facility does have a “biting policy”. You, Lisa Donaldson, stated incident reports were completed after each biting incident, outlining what time of day the incident occurred, the location of the incident, what happened before and after the incident occurred, how the incident was handled, and “prevention ideas”. You stated you also meet with parents if there is a concern and provide information. You and all staff interviewed, reviewed the procedures the facility takes when a child is bitten and completed incident reports. Based on observations and staff interviews, the allegation of supervision was substantiated. The information received from a staff member reported during the interview process of a complaint investigation that at least two times per week children are left unattended in the classroom when there is no extra help to answer the front door during departures times when parents arrive to pick up their child. During arrival and departure times, parents drop off and pick up at the front door. Violations of child care requirements were cited during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member reported during the interview process that at least two times per week children are left unattended in the classroom when there is no extra staff to help answer the front door during departure times when parents arrive to pick up their children. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. One staff member reported during the interview process that at least two times per week children are left unattended in the classroom when there is no extra staff to help to answer the front door during departure times when parents arrive to pick up their children. .1801(a)(1-5) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #6, there were 29 children, five to twelve years of age present with two staff. The classroom capacity is 27 at 30 sq. ft per child. 10A NCAC 09 .2809(a) The following Technical Assistance regarding the violations observed during today’s visit was provided: Staff/Child Ratios/Supervision: We discussed staff/child ratios requirements. You were out of ratio when no staff member in the classroom and children were present. We discussed having parents’ drop-off and pick-up children at the exits located on the playgrounds when an extra staff member is not available to be the “runner” when children are departing for the day. We also discussed child care rule 10A NCAC 09 .1801 Supervision in Child Care Centers (a) (1-5) which states “supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating.” Enhanced Space: We discussed the child care facility’s current license that includes enhance space for children in care. There must be at least 30 sq. ft. inside space per the total licensed capacity. Space #6 has an enhanced capacity of 27 children and there were 29 children present in the room. Compliance History Your facility maintained 85% compliance over the past 18 months. Please note any violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 26, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Biting Resources: I provided you, Lisa Donaldson, with articles and other resources on biting. The resource materials are the following: “Understanding and Responding to Children Who Bite” from NAEYC, and “Toddler Biting: Finding the Right Response” from Zero to Three, “Promoting Healthy Social Behaviors Through Uncovering the Purpose of Behavior” from CSEFEL, Handling Biting in Infant-Toddler Environments from Kaplan Learning Center, and “Chapter 2: Program Activities for Healthy Development: 2.2 Supervision and Discipline” from Caring for Our Children by the National Resource Center for Health and Safety in Child Care and Early Education. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -I also suggested contacting the Healthy Social Behavior Specialist for Cleveland County, Winter Graham for technical assistance and training on the topic of challenging behaviors. Her contact information is 704.751.0366 and her email address is winter@ccchildcareconnections.org.com -We discussed having an alternative way for parents to either drop off and/or pick-up at each of the classroom doors instead of at the entrance. -We discussed supervision and staff positioning themselves where all children can always be seen. -We discussed the noise level of music being played during naptime and the concern of not being able to hear children who may be in distress. -We discussed the requirements for staff to be an appropriate role model for children with food and drink they are eating in front of children. -As a reminder, we discussed staff/child ratios at the first and last hour of the operating day. -We reminded you that if you make changes to your biting policy, then parents would need to be notified 14 days in advance of the policy taking effect. Your biting policy should reflect your facility’s current procedure for handling biting behaviors. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.nc.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. We appreciate all you are doing to serve the children and families of NC. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Tiffani Sims PO Box 185 Glen Alpine, NC 28628 (828) 417-1646 Tiffani.Sims@dhhs.nc.gov Thank you for your time and assistance during today's visit. 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 .2809 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: 1023-040L Visit Date: 10/12/2023 Number Present: 69 Completed Date: 10/12/2023 Age: From 0 To 12 Total Minutes: 330 Time In: 11:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging a violation of child care requirements regarding supervision. The visit was conducted with you, Lisa Donaldson, Administrator. Beth Archer, Child Care Consultant, assisted me with today’s visit. The Secretary of State website was checked on October 11, 2023, and your business Little Hands of Love Inc., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. On October 4, 2023, the following allegations were received. There is a concern regarding supervision based on numerous biting incidents. We conducted observations in Space #1 and Space #4. In Space #1, two teachers were present with ten children, one year of age. In Space #4, one staff was present with 9 children, seven two years of age and two children three years of age. In Space #1, both staff were engaged in helping children at the end of naptime and transitioned into free play. Both teachers were helping children on the floor engaged in free play with the children. No instance of challenging behaviors occurred. In Space #4, one staff was present, and children were observed during naptime. Staff/child ratios were in compliance during today’s visit. I discussed the allegation with you and all staff present in Space #1 and Space #4, during the visit. You and all staff from Space #1 and Space #4 were interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. I reviewed incident logs, incident reports and the facility’s biting policy. You stated the facility does have a “biting policy”. You, Lisa Donaldson, stated incident reports were completed after each biting incident, outlining what time of day the incident occurred, the location of the incident, what happened before and after the incident occurred, how the incident was handled, and “prevention ideas”. You stated you also meet with parents if there is a concern and provide information. You and all staff interviewed, reviewed the procedures the facility takes when a child is bitten and completed incident reports. Based on observations and staff interviews, the allegation of supervision was substantiated. The information received from a staff member reported during the interview process of a complaint investigation that at least two times per week children are left unattended in the classroom when there is no extra help to answer the front door during departures times when parents arrive to pick up their child. During arrival and departure times, parents drop off and pick up at the front door. Violations of child care requirements were cited during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member reported during the interview process that at least two times per week children are left unattended in the classroom when there is no extra staff to help answer the front door during departure times when parents arrive to pick up their children. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. One staff member reported during the interview process that at least two times per week children are left unattended in the classroom when there is no extra staff to help to answer the front door during departure times when parents arrive to pick up their children. .1801(a)(1-5) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #6, there were 29 children, five to twelve years of age present with two staff. The classroom capacity is 27 at 30 sq. ft per child. 10A NCAC 09 .2809(a) The following Technical Assistance regarding the violations observed during today’s visit was provided: Staff/Child Ratios/Supervision: We discussed staff/child ratios requirements. You were out of ratio when no staff member in the classroom and children were present. We discussed having parents’ drop-off and pick-up children at the exits located on the playgrounds when an extra staff member is not available to be the “runner” when children are departing for the day. We also discussed child care rule 10A NCAC 09 .1801 Supervision in Child Care Centers (a) (1-5) which states “supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating.” Enhanced Space: We discussed the child care facility’s current license that includes enhance space for children in care. There must be at least 30 sq. ft. inside space per the total licensed capacity. Space #6 has an enhanced capacity of 27 children and there were 29 children present in the room. Compliance History Your facility maintained 85% compliance over the past 18 months. Please note any violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 26, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Biting Resources: I provided you, Lisa Donaldson, with articles and other resources on biting. The resource materials are the following: “Understanding and Responding to Children Who Bite” from NAEYC, and “Toddler Biting: Finding the Right Response” from Zero to Three, “Promoting Healthy Social Behaviors Through Uncovering the Purpose of Behavior” from CSEFEL, Handling Biting in Infant-Toddler Environments from Kaplan Learning Center, and “Chapter 2: Program Activities for Healthy Development: 2.2 Supervision and Discipline” from Caring for Our Children by the National Resource Center for Health and Safety in Child Care and Early Education. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -I also suggested contacting the Healthy Social Behavior Specialist for Cleveland County, Winter Graham for technical assistance and training on the topic of challenging behaviors. Her contact information is 704.751.0366 and her email address is winter@ccchildcareconnections.org.com -We discussed having an alternative way for parents to either drop off and/or pick-up at each of the classroom doors instead of at the entrance. -We discussed supervision and staff positioning themselves where all children can always be seen. -We discussed the noise level of music being played during naptime and the concern of not being able to hear children who may be in distress. -We discussed the requirements for staff to be an appropriate role model for children with food and drink they are eating in front of children. -As a reminder, we discussed staff/child ratios at the first and last hour of the operating day. -We reminded you that if you make changes to your biting policy, then parents would need to be notified 14 days in advance of the policy taking effect. Your biting policy should reflect your facility’s current procedure for handling biting behaviors. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.nc.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. We appreciate all you are doing to serve the children and families of NC. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Tiffani Sims PO Box 185 Glen Alpine, NC 28628 (828) 417-1646 Tiffani.Sims@dhhs.nc.gov Thank you for your time and assistance during today's visit. 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: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: 1023-040L Visit Date: 10/12/2023 Number Present: 69 Completed Date: 10/12/2023 Age: From 0 To 12 Total Minutes: 330 Time In: 11:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging a violation of child care requirements regarding supervision. The visit was conducted with you, Lisa Donaldson, Administrator. Beth Archer, Child Care Consultant, assisted me with today’s visit. The Secretary of State website was checked on October 11, 2023, and your business Little Hands of Love Inc., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. On October 4, 2023, the following allegations were received. There is a concern regarding supervision based on numerous biting incidents. We conducted observations in Space #1 and Space #4. In Space #1, two teachers were present with ten children, one year of age. In Space #4, one staff was present with 9 children, seven two years of age and two children three years of age. In Space #1, both staff were engaged in helping children at the end of naptime and transitioned into free play. Both teachers were helping children on the floor engaged in free play with the children. No instance of challenging behaviors occurred. In Space #4, one staff was present, and children were observed during naptime. Staff/child ratios were in compliance during today’s visit. I discussed the allegation with you and all staff present in Space #1 and Space #4, during the visit. You and all staff from Space #1 and Space #4 were interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. I reviewed incident logs, incident reports and the facility’s biting policy. You stated the facility does have a “biting policy”. You, Lisa Donaldson, stated incident reports were completed after each biting incident, outlining what time of day the incident occurred, the location of the incident, what happened before and after the incident occurred, how the incident was handled, and “prevention ideas”. You stated you also meet with parents if there is a concern and provide information. You and all staff interviewed, reviewed the procedures the facility takes when a child is bitten and completed incident reports. Based on observations and staff interviews, the allegation of supervision was substantiated. The information received from a staff member reported during the interview process of a complaint investigation that at least two times per week children are left unattended in the classroom when there is no extra help to answer the front door during departures times when parents arrive to pick up their child. During arrival and departure times, parents drop off and pick up at the front door. Violations of child care requirements were cited during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member reported during the interview process that at least two times per week children are left unattended in the classroom when there is no extra staff to help answer the front door during departure times when parents arrive to pick up their children. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. One staff member reported during the interview process that at least two times per week children are left unattended in the classroom when there is no extra staff to help to answer the front door during departure times when parents arrive to pick up their children. .1801(a)(1-5) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #6, there were 29 children, five to twelve years of age present with two staff. The classroom capacity is 27 at 30 sq. ft per child. 10A NCAC 09 .2809(a) The following Technical Assistance regarding the violations observed during today’s visit was provided: Staff/Child Ratios/Supervision: We discussed staff/child ratios requirements. You were out of ratio when no staff member in the classroom and children were present. We discussed having parents’ drop-off and pick-up children at the exits located on the playgrounds when an extra staff member is not available to be the “runner” when children are departing for the day. We also discussed child care rule 10A NCAC 09 .1801 Supervision in Child Care Centers (a) (1-5) which states “supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating.” Enhanced Space: We discussed the child care facility’s current license that includes enhance space for children in care. There must be at least 30 sq. ft. inside space per the total licensed capacity. Space #6 has an enhanced capacity of 27 children and there were 29 children present in the room. Compliance History Your facility maintained 85% compliance over the past 18 months. Please note any violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 26, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Biting Resources: I provided you, Lisa Donaldson, with articles and other resources on biting. The resource materials are the following: “Understanding and Responding to Children Who Bite” from NAEYC, and “Toddler Biting: Finding the Right Response” from Zero to Three, “Promoting Healthy Social Behaviors Through Uncovering the Purpose of Behavior” from CSEFEL, Handling Biting in Infant-Toddler Environments from Kaplan Learning Center, and “Chapter 2: Program Activities for Healthy Development: 2.2 Supervision and Discipline” from Caring for Our Children by the National Resource Center for Health and Safety in Child Care and Early Education. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -I also suggested contacting the Healthy Social Behavior Specialist for Cleveland County, Winter Graham for technical assistance and training on the topic of challenging behaviors. Her contact information is 704.751.0366 and her email address is winter@ccchildcareconnections.org.com -We discussed having an alternative way for parents to either drop off and/or pick-up at each of the classroom doors instead of at the entrance. -We discussed supervision and staff positioning themselves where all children can always be seen. -We discussed the noise level of music being played during naptime and the concern of not being able to hear children who may be in distress. -We discussed the requirements for staff to be an appropriate role model for children with food and drink they are eating in front of children. -As a reminder, we discussed staff/child ratios at the first and last hour of the operating day. -We reminded you that if you make changes to your biting policy, then parents would need to be notified 14 days in advance of the policy taking effect. Your biting policy should reflect your facility’s current procedure for handling biting behaviors. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.nc.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. We appreciate all you are doing to serve the children and families of NC. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Tiffani Sims PO Box 185 Glen Alpine, NC 28628 (828) 417-1646 Tiffani.Sims@dhhs.nc.gov Thank you for your time and assistance during today's visit. 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: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: 1023-040L Visit Date: 10/12/2023 Number Present: 69 Completed Date: 10/12/2023 Age: From 0 To 12 Total Minutes: 330 Time In: 11:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report alleging a violation of child care requirements regarding supervision. The visit was conducted with you, Lisa Donaldson, Administrator. Beth Archer, Child Care Consultant, assisted me with today’s visit. The Secretary of State website was checked on October 11, 2023, and your business Little Hands of Love Inc., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. On October 4, 2023, the following allegations were received. There is a concern regarding supervision based on numerous biting incidents. We conducted observations in Space #1 and Space #4. In Space #1, two teachers were present with ten children, one year of age. In Space #4, one staff was present with 9 children, seven two years of age and two children three years of age. In Space #1, both staff were engaged in helping children at the end of naptime and transitioned into free play. Both teachers were helping children on the floor engaged in free play with the children. No instance of challenging behaviors occurred. In Space #4, one staff was present, and children were observed during naptime. Staff/child ratios were in compliance during today’s visit. I discussed the allegation with you and all staff present in Space #1 and Space #4, during the visit. You and all staff from Space #1 and Space #4 were interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. I reviewed incident logs, incident reports and the facility’s biting policy. You stated the facility does have a “biting policy”. You, Lisa Donaldson, stated incident reports were completed after each biting incident, outlining what time of day the incident occurred, the location of the incident, what happened before and after the incident occurred, how the incident was handled, and “prevention ideas”. You stated you also meet with parents if there is a concern and provide information. You and all staff interviewed, reviewed the procedures the facility takes when a child is bitten and completed incident reports. Based on observations and staff interviews, the allegation of supervision was substantiated. The information received from a staff member reported during the interview process of a complaint investigation that at least two times per week children are left unattended in the classroom when there is no extra help to answer the front door during departures times when parents arrive to pick up their child. During arrival and departure times, parents drop off and pick up at the front door. Violations of child care requirements were cited during today’s visit. Violation Number Comment Rule 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member reported during the interview process that at least two times per week children are left unattended in the classroom when there is no extra staff to help answer the front door during departure times when parents arrive to pick up their children. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. One staff member reported during the interview process that at least two times per week children are left unattended in the classroom when there is no extra staff to help to answer the front door during departure times when parents arrive to pick up their children. .1801(a)(1-5) 1245 For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. In Space #6, there were 29 children, five to twelve years of age present with two staff. The classroom capacity is 27 at 30 sq. ft per child. 10A NCAC 09 .2809(a) The following Technical Assistance regarding the violations observed during today’s visit was provided: Staff/Child Ratios/Supervision: We discussed staff/child ratios requirements. You were out of ratio when no staff member in the classroom and children were present. We discussed having parents’ drop-off and pick-up children at the exits located on the playgrounds when an extra staff member is not available to be the “runner” when children are departing for the day. We also discussed child care rule 10A NCAC 09 .1801 Supervision in Child Care Centers (a) (1-5) which states “supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating.” Enhanced Space: We discussed the child care facility’s current license that includes enhance space for children in care. There must be at least 30 sq. ft. inside space per the total licensed capacity. Space #6 has an enhanced capacity of 27 children and there were 29 children present in the room. Compliance History Your facility maintained 85% compliance over the past 18 months. Please note any violations cited today and/or during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by October 26, 2023. Please include in that letter each item number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Biting Resources: I provided you, Lisa Donaldson, with articles and other resources on biting. The resource materials are the following: “Understanding and Responding to Children Who Bite” from NAEYC, and “Toddler Biting: Finding the Right Response” from Zero to Three, “Promoting Healthy Social Behaviors Through Uncovering the Purpose of Behavior” from CSEFEL, Handling Biting in Infant-Toddler Environments from Kaplan Learning Center, and “Chapter 2: Program Activities for Healthy Development: 2.2 Supervision and Discipline” from Caring for Our Children by the National Resource Center for Health and Safety in Child Care and Early Education. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. I shared the flier with you with information on the Challenging Behaviors Helpline. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -I also suggested contacting the Healthy Social Behavior Specialist for Cleveland County, Winter Graham for technical assistance and training on the topic of challenging behaviors. Her contact information is 704.751.0366 and her email address is winter@ccchildcareconnections.org.com -We discussed having an alternative way for parents to either drop off and/or pick-up at each of the classroom doors instead of at the entrance. -We discussed supervision and staff positioning themselves where all children can always be seen. -We discussed the noise level of music being played during naptime and the concern of not being able to hear children who may be in distress. -We discussed the requirements for staff to be an appropriate role model for children with food and drink they are eating in front of children. -As a reminder, we discussed staff/child ratios at the first and last hour of the operating day. -We reminded you that if you make changes to your biting policy, then parents would need to be notified 14 days in advance of the policy taking effect. Your biting policy should reflect your facility’s current procedure for handling biting behaviors. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.nc.gov. This website enables you to view the entire law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. We appreciate all you are doing to serve the children and families of NC. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Tiffani Sims PO Box 185 Glen Alpine, NC 28628 (828) 417-1646 Tiffani.Sims@dhhs.nc.gov Thank you for your time and assistance during today's visit. 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 .0803 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 61 Completed Date: 8/2/2023 Age: From 0 To 12 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 for a routine unannounced visit, including health and safety requirements. Upon arrival, the purpose of today’s visit was reviewed with you, Lisa Donaldson, Owner/Administrator. You, Lisa Donaldson, stated that you and Sherry Earwood were accompanying the school-age children on a field trip and Lisa Clayton Pritchard, Teacher, would be allowed to sign the visit summary forms. You, Lisa Donaldson, Owner/Administrator, assisted me at the beginning of today’s visit. Your program currently operates with a three-star license effective December 3, 2019. The permit restrictions were in compliance including daytime care and meets enhanced space. The NC Secretary of State website was reviewed on July 28, 2023, and Little Hands of Love, Inc. was listed as ADM Dissolution. I discussed with you, Lisa Donaldson, Owner/Administrator, at the beginning of the visit that Little Hands of Love, Inc standing with the NC Secretary of State. Ms. Donaldson stated that the accounting firm Business Consulting Group in Shelby was assisting Little Hands of Love, Inc in preparing the business corporation annual report and application for reinstatement following administrative dissolution. You, Lisa Donaldson, Owner/Administrator, stated that paperwork and payment was sent to the NC Secretary of State on May 8, 2023. I reviewed documentation provided by Lisa Donaldson, Owner/Administrator, dated May 8, 2023. The documentation reviewed was the application for reinstatement following administrative dissolution and annual report for Little Hands of Love, Inc. I reviewed with Lisa Donaldson, Owner/Administrator, the NC Secretary of State website stating Little Hands of Love, Inc was still listed as under an ADM Dissolution. Ms. Donaldson stated she would contact the NC Secretary of State on August 3, 2023, for a status update. I asked you, Lisa Donaldson, Owner/Administrator, to provided me with documentation of the ADM Dissolution has been corrected. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was conducted on December 16, 2022. Sanitation Inspection: The last sanitation inspection was made on May 12, 2023. A “superior” classification was issued with thirteen (13) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last lockdown drill was conducted on June 29, 2023, at 2:00pm and recorded. The last playground inspection was completed on June 30, 2023. The last fire drill was conducted on June 30, 2023, at 9:30am. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of July 28, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A file for one new staff was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violation(s) were observed today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.In Space #5, the following dates did not either document children’s arrival and/or departure times. On July 18, 2023, one child’s departure time was not documented; on July 10, 2023, five children’s departure times were not documented; on July 21, 2023, ten children’s departures times were not documented; on July 26, 2023, nine children’s departures times were not documented; and on July 27, 2023, four children’s departure times were not documented. In Space #6, the following dates did not either document children’s arrival and/or departure times. On July 11, 2023, nineteen children’s departure times were not documented; on July 12, 2023, sixteen children’s departure times were not documented; on July 13, 2023, twenty-four children’s departure times were not documented; on July 14, 2023, nineteen children’s departure times were not documented; on July 17, 2023, two children’s departure times were not documented; on July 18, 2023, twelve children’s departure times were not documented; on July 19, 2023, twenty-one children’s departure times were not documented; on July 20, 2023, three children’s departure times were not documented; on July 28, 2023, six children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a fire drill for July 2023 was not recorded and available for review. The last fire drill available for review was conducted and recorded was on June 30, 2023, at 9:30am. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One aerosol spray can of Great Value Canola Oil Non-Stick Cooking Spray with written warnings was located in an unlocked storage cabinet in the kitchen next to the stove. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space #3, Silver Sulfadiazine Crem USP 1% was not in the original container. The medication was in a small plastic storage container with the name of the child and the name of the medication written on the lid of the container. 10A NCAC 09 .0803(4) 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. In Space #2, Desitin Diaper Cream had expired as of December 2021 and was not administered to the child. The medication was not returned to the parent within 72 hours. In Space #3, Aquaphor medication had expired as of January 2023 and was not administered to the child. In Space #3, a current medication permission form to administer Silver Sulfadiazine Crem USP 1% was not on file for review and the medication was not returned to the parent within 72 hours. In Space #3, a current medication permission form to administer Desitin Daily Defense Diaper Cream was not on file for review and the medication was not returned to the parent within 72 hours. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of July 2023 playground inspection form was not available for review. The last documentation available for review was dated June 30, 2023. .0605(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space #3, the safe sleep policy was not posted. .0606(b) Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 16, 2023. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Medication Permission Forms: I suggested that you review with all staff the required information that needs to be completed by parents on the medication permission forms to ensure all required information is included. I also suggested that you remind staff not to accept any medications from parents without a completed medication permission form. Expired Medication: I suggested that you develop a schedule so that each staff can check their classroom’s medication to ensure medications have not expired. Review with staff that medication must be returned to parents within 72 hours after the end of course of treatment. Hazardous Materials: We discussed hazardous items with written warnings, such as cooking spray, must be kept in locked storage. Safe Sleep Policy Not Posted: I reminded you that the safe sleep policy must be posted in all classrooms where infants are in care. Documenting Arrival/Departure Times We discussed daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. Fire Drills: We discussed fire drills must be conducted and recorded monthly and documentation must be available for review. I suggested you write on a calendar monthly as a reminder to complete monthly fire drills. Playground Inspections: We discussed playground inspection documentation must be conducted monthly and be available for review. I suggested you write on a calendar monthly as a reminder to complete monthly playground inspections. Consultation or other topics discussed today: - Safe Arrival and Departure Policy We discussed creating a safe arrival and departure policy specifically for the facility using the document found on the DCDEE Provider Forms tab as reference. -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed due dates of when staff need to complete the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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 .0302 · Violation

Name of Operation: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 61 Completed Date: 8/2/2023 Age: From 0 To 12 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 for a routine unannounced visit, including health and safety requirements. Upon arrival, the purpose of today’s visit was reviewed with you, Lisa Donaldson, Owner/Administrator. You, Lisa Donaldson, stated that you and Sherry Earwood were accompanying the school-age children on a field trip and Lisa Clayton Pritchard, Teacher, would be allowed to sign the visit summary forms. You, Lisa Donaldson, Owner/Administrator, assisted me at the beginning of today’s visit. Your program currently operates with a three-star license effective December 3, 2019. The permit restrictions were in compliance including daytime care and meets enhanced space. The NC Secretary of State website was reviewed on July 28, 2023, and Little Hands of Love, Inc. was listed as ADM Dissolution. I discussed with you, Lisa Donaldson, Owner/Administrator, at the beginning of the visit that Little Hands of Love, Inc standing with the NC Secretary of State. Ms. Donaldson stated that the accounting firm Business Consulting Group in Shelby was assisting Little Hands of Love, Inc in preparing the business corporation annual report and application for reinstatement following administrative dissolution. You, Lisa Donaldson, Owner/Administrator, stated that paperwork and payment was sent to the NC Secretary of State on May 8, 2023. I reviewed documentation provided by Lisa Donaldson, Owner/Administrator, dated May 8, 2023. The documentation reviewed was the application for reinstatement following administrative dissolution and annual report for Little Hands of Love, Inc. I reviewed with Lisa Donaldson, Owner/Administrator, the NC Secretary of State website stating Little Hands of Love, Inc was still listed as under an ADM Dissolution. Ms. Donaldson stated she would contact the NC Secretary of State on August 3, 2023, for a status update. I asked you, Lisa Donaldson, Owner/Administrator, to provided me with documentation of the ADM Dissolution has been corrected. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was conducted on December 16, 2022. Sanitation Inspection: The last sanitation inspection was made on May 12, 2023. A “superior” classification was issued with thirteen (13) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last lockdown drill was conducted on June 29, 2023, at 2:00pm and recorded. The last playground inspection was completed on June 30, 2023. The last fire drill was conducted on June 30, 2023, at 9:30am. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of July 28, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A file for one new staff was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violation(s) were observed today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.In Space #5, the following dates did not either document children’s arrival and/or departure times. On July 18, 2023, one child’s departure time was not documented; on July 10, 2023, five children’s departure times were not documented; on July 21, 2023, ten children’s departures times were not documented; on July 26, 2023, nine children’s departures times were not documented; and on July 27, 2023, four children’s departure times were not documented. In Space #6, the following dates did not either document children’s arrival and/or departure times. On July 11, 2023, nineteen children’s departure times were not documented; on July 12, 2023, sixteen children’s departure times were not documented; on July 13, 2023, twenty-four children’s departure times were not documented; on July 14, 2023, nineteen children’s departure times were not documented; on July 17, 2023, two children’s departure times were not documented; on July 18, 2023, twelve children’s departure times were not documented; on July 19, 2023, twenty-one children’s departure times were not documented; on July 20, 2023, three children’s departure times were not documented; on July 28, 2023, six children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a fire drill for July 2023 was not recorded and available for review. The last fire drill available for review was conducted and recorded was on June 30, 2023, at 9:30am. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One aerosol spray can of Great Value Canola Oil Non-Stick Cooking Spray with written warnings was located in an unlocked storage cabinet in the kitchen next to the stove. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space #3, Silver Sulfadiazine Crem USP 1% was not in the original container. The medication was in a small plastic storage container with the name of the child and the name of the medication written on the lid of the container. 10A NCAC 09 .0803(4) 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. In Space #2, Desitin Diaper Cream had expired as of December 2021 and was not administered to the child. The medication was not returned to the parent within 72 hours. In Space #3, Aquaphor medication had expired as of January 2023 and was not administered to the child. In Space #3, a current medication permission form to administer Silver Sulfadiazine Crem USP 1% was not on file for review and the medication was not returned to the parent within 72 hours. In Space #3, a current medication permission form to administer Desitin Daily Defense Diaper Cream was not on file for review and the medication was not returned to the parent within 72 hours. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of July 2023 playground inspection form was not available for review. The last documentation available for review was dated June 30, 2023. .0605(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space #3, the safe sleep policy was not posted. .0606(b) Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 16, 2023. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Medication Permission Forms: I suggested that you review with all staff the required information that needs to be completed by parents on the medication permission forms to ensure all required information is included. I also suggested that you remind staff not to accept any medications from parents without a completed medication permission form. Expired Medication: I suggested that you develop a schedule so that each staff can check their classroom’s medication to ensure medications have not expired. Review with staff that medication must be returned to parents within 72 hours after the end of course of treatment. Hazardous Materials: We discussed hazardous items with written warnings, such as cooking spray, must be kept in locked storage. Safe Sleep Policy Not Posted: I reminded you that the safe sleep policy must be posted in all classrooms where infants are in care. Documenting Arrival/Departure Times We discussed daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. Fire Drills: We discussed fire drills must be conducted and recorded monthly and documentation must be available for review. I suggested you write on a calendar monthly as a reminder to complete monthly fire drills. Playground Inspections: We discussed playground inspection documentation must be conducted monthly and be available for review. I suggested you write on a calendar monthly as a reminder to complete monthly playground inspections. Consultation or other topics discussed today: - Safe Arrival and Departure Policy We discussed creating a safe arrival and departure policy specifically for the facility using the document found on the DCDEE Provider Forms tab as reference. -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed due dates of when staff need to complete the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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: LITTLE HANDS OF LOVE PRESCHOOL INC Facility ID: 23000294 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 61 Completed Date: 8/2/2023 Age: From 0 To 12 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 for a routine unannounced visit, including health and safety requirements. Upon arrival, the purpose of today’s visit was reviewed with you, Lisa Donaldson, Owner/Administrator. You, Lisa Donaldson, stated that you and Sherry Earwood were accompanying the school-age children on a field trip and Lisa Clayton Pritchard, Teacher, would be allowed to sign the visit summary forms. You, Lisa Donaldson, Owner/Administrator, assisted me at the beginning of today’s visit. Your program currently operates with a three-star license effective December 3, 2019. The permit restrictions were in compliance including daytime care and meets enhanced space. The NC Secretary of State website was reviewed on July 28, 2023, and Little Hands of Love, Inc. was listed as ADM Dissolution. I discussed with you, Lisa Donaldson, Owner/Administrator, at the beginning of the visit that Little Hands of Love, Inc standing with the NC Secretary of State. Ms. Donaldson stated that the accounting firm Business Consulting Group in Shelby was assisting Little Hands of Love, Inc in preparing the business corporation annual report and application for reinstatement following administrative dissolution. You, Lisa Donaldson, Owner/Administrator, stated that paperwork and payment was sent to the NC Secretary of State on May 8, 2023. I reviewed documentation provided by Lisa Donaldson, Owner/Administrator, dated May 8, 2023. The documentation reviewed was the application for reinstatement following administrative dissolution and annual report for Little Hands of Love, Inc. I reviewed with Lisa Donaldson, Owner/Administrator, the NC Secretary of State website stating Little Hands of Love, Inc was still listed as under an ADM Dissolution. Ms. Donaldson stated she would contact the NC Secretary of State on August 3, 2023, for a status update. I asked you, Lisa Donaldson, Owner/Administrator, to provided me with documentation of the ADM Dissolution has been corrected. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was conducted on December 16, 2022. Sanitation Inspection: The last sanitation inspection was made on May 12, 2023. A “superior” classification was issued with thirteen (13) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last lockdown drill was conducted on June 29, 2023, at 2:00pm and recorded. The last playground inspection was completed on June 30, 2023. The last fire drill was conducted on June 30, 2023, at 9:30am. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of July 28, 2023. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A file for one new staff was reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The following violation(s) were observed today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.In Space #5, the following dates did not either document children’s arrival and/or departure times. On July 18, 2023, one child’s departure time was not documented; on July 10, 2023, five children’s departure times were not documented; on July 21, 2023, ten children’s departures times were not documented; on July 26, 2023, nine children’s departures times were not documented; and on July 27, 2023, four children’s departure times were not documented. In Space #6, the following dates did not either document children’s arrival and/or departure times. On July 11, 2023, nineteen children’s departure times were not documented; on July 12, 2023, sixteen children’s departure times were not documented; on July 13, 2023, twenty-four children’s departure times were not documented; on July 14, 2023, nineteen children’s departure times were not documented; on July 17, 2023, two children’s departure times were not documented; on July 18, 2023, twelve children’s departure times were not documented; on July 19, 2023, twenty-one children’s departure times were not documented; on July 20, 2023, three children’s departure times were not documented; on July 28, 2023, six children’s departure times were not documented. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a fire drill for July 2023 was not recorded and available for review. The last fire drill available for review was conducted and recorded was on June 30, 2023, at 9:30am. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One aerosol spray can of Great Value Canola Oil Non-Stick Cooking Spray with written warnings was located in an unlocked storage cabinet in the kitchen next to the stove. .2820(b) 846 Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In Space #3, Silver Sulfadiazine Crem USP 1% was not in the original container. The medication was in a small plastic storage container with the name of the child and the name of the medication written on the lid of the container. 10A NCAC 09 .0803(4) 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. In Space #2, Desitin Diaper Cream had expired as of December 2021 and was not administered to the child. The medication was not returned to the parent within 72 hours. In Space #3, Aquaphor medication had expired as of January 2023 and was not administered to the child. In Space #3, a current medication permission form to administer Silver Sulfadiazine Crem USP 1% was not on file for review and the medication was not returned to the parent within 72 hours. In Space #3, a current medication permission form to administer Desitin Daily Defense Diaper Cream was not on file for review and the medication was not returned to the parent within 72 hours. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation of July 2023 playground inspection form was not available for review. The last documentation available for review was dated June 30, 2023. .0605(q) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space #3, the safe sleep policy was not posted. .0606(b) Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by August 16, 2023. Please include in that letter each violation number and explain in detail how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please sign the letter, include your facility name, ID number, visit date and mail the letter to my mailing address below or email the letter to me at tiffani.sims@dhhs.nc.gov Tiffani Sims PO Box 185 Glen Alpine, NC 28628 Failure to correct the violations and send the written statement by the due date listed above will result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Medication Permission Forms: I suggested that you review with all staff the required information that needs to be completed by parents on the medication permission forms to ensure all required information is included. I also suggested that you remind staff not to accept any medications from parents without a completed medication permission form. Expired Medication: I suggested that you develop a schedule so that each staff can check their classroom’s medication to ensure medications have not expired. Review with staff that medication must be returned to parents within 72 hours after the end of course of treatment. Hazardous Materials: We discussed hazardous items with written warnings, such as cooking spray, must be kept in locked storage. Safe Sleep Policy Not Posted: I reminded you that the safe sleep policy must be posted in all classrooms where infants are in care. Documenting Arrival/Departure Times We discussed daily sign-in and sign-out times must be recorded when children arrive and depart the child care facility to ensure accurate records are kept. I suggested creating a system and review with staff of the procedures of recording sign-in and sign-out times daily to ensure accurate records are kept. Fire Drills: We discussed fire drills must be conducted and recorded monthly and documentation must be available for review. I suggested you write on a calendar monthly as a reminder to complete monthly fire drills. Playground Inspections: We discussed playground inspection documentation must be conducted monthly and be available for review. I suggested you write on a calendar monthly as a reminder to complete monthly playground inspections. Consultation or other topics discussed today: - Safe Arrival and Departure Policy We discussed creating a safe arrival and departure policy specifically for the facility using the document found on the DCDEE Provider Forms tab as reference. -Early Childhood Equivalency Exam The North Carolina Early Childhood Equivalency Exam is a new pathway option comparable to a NC Early Childhood Credential. Applicants who achieve a score of 80% or higher on the NC Early Childhood Equivalency Exam earn the new North Carolina Early Childhood Equivalency Certificate. This certificate is equivalent to a North Carolina Early Childhood Credential and will qualify the individual to be a lead teacher in an early childhood classroom. or more information, visit the DCDEE website at https://ncchildcare.ncdhhs.gov/Whats-New/north-carolina-early-childhood-equivalency-exam-now-available. -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -Health and Safety Trainings We discussed due dates of when staff need to complete the required Health/Safety trainings. -Challenging Behaviors Helpline by Healthy Social Behavior Project The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Criminal Background Check Legislative Changes: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. 1. The period for background check qualification renewals was revised from three years to five years. 2. The provisional qualification period was reduced to forty-five days. DCDEE Updates: What’s New Tab Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If I can be of assistance in the future, or if you have any questions about this visit, please feel free to contact me at Tiffani Sims; PO Box 185, Glen Alpine, NC 28628; (828) 417-1648; tiffani.sims@dhhs.nc.gov or my supervisor Tammy McGalliard at tammy.mcgalliard@dhhs.nc.gov. Thank you for your time today. We appreciate all you are doing to serve the children and families of North Carolina. 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