Mama Lissa'S Tiny TOT University

10A NCAC 09 .0606 · Violation

Name of Operation: MAMA LISSA'S TINY TOT UNIVERSITY Facility ID: 23000341 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 6/17/2026 Number Present: 81 Completed Date: 6/17/2026 Age: From 0 To 10 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 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, Missy Hamrick, Owner/Administrator, and Stacy McDaniel, Lead Teacher/Assistant Director, assisted me with the visit today. The facility currently operates with a 5-star rated license issued on April 17, 2026, earning seven (7) points in staff education, six (6) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care, enhanced ratios, meets enhanced space, Other: Building #1-40 children; Building #2-15; Building #3-42 children, Building #5-16 children; Building #6-21 children; Building #4-65 children The last annual compliance visit was conducted January 21, 2025. The most recent sanitation inspection for your facility was conducted on March 3, 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 on July 25, 2025, for daytime care only. The most recent monthly fire drill was conducted on May 20, 2026, at 10:45am and recorded. The most recent quarterly shelter in place emergency drill was conducted on April 26, 2026, at _10:30am and recorded. The facilities EPR Plan was updated on October 27, 2025. The most recent monthly playground inspection was completed on _June 12, 2026, by Missy Hamrick. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of June 16, 2026. The Secretary of State website was checked on June 16, 2026, and your business Mama Lissa’s Tiny Tot University LLC 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, outdoor gross motor play, teacher directed activities, story time, bottle feeding, and naptime. 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 28, 2025. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On September 2, 2025, The Clean Classrooms for Carolina Kids™ team determined that MAMA LISSA'S TINY TOT UNIVERSITY required an on-site visit to fulfill North Carolina rule requirements. A certified lead risk assessor did not identify lead-based paint hazards at the facility. There is no requirement to restrict access or to mitigate lead-based paint that is in good condition per 10A NCAC 41C.1004. On October 11, 2024, The Clean Classrooms for Carolina Kids™ team determined that MAMA LISSA'S TINY TOT UNIVERSITY required an on-site visit to fulfill North Carolina rule requirements. An accredited asbestos professional did not identify asbestos hazards at the facility. There is no requirement to restrict access to or mitigate asbestos-containing materials that are in good condition per 10A NCAC 41C .1003. Rated License Information: We discussed your application packet for the Curriculum and Instructional Quality Pathway #2 option. The license is based on the QRIS Pathway to the Stars educational and programmatic requirements for Pathway #2. A five-star level is the goal that you would like to achieve for your facility. We discussed that your facility would need to follow the required reduced enhanced staff/child ratios. 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, 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. The following QRIS Pathway #2 documents were reviewed during today’s visit. •Application for Assessment for a Rated License for Centers was updated during today’s visit to reflect the current curricula and formative assessments the facility is currently using. •Family and Community Engagement Standards plan was reviewed with you. We discussed your plan that you submitted during today’s visit. •Staff Information and Education Worksheet was completed and available for review. •Continuous Quality Improvement Plan for your facility was reviewed with you, and suggestions of possible goals were offered. •Continuous Quality Improvement Plan/Professional Development Plan for your individual staff was reviewed with you, and suggestions of possible goals were offered. The following violations were observed: Violation Number Comment Rule 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Building #1, Space #3, on May 18, 2026, at 10:15am an infant ten months of age and enrolled on March 2, 2026, first sleep position was documented on the sleep chart as side. In Space #3, on June 10, 2026, at 10:00am an infant six months of age and enrolled on March 6, 2026, first sleep position was documented on the sleep chart as tummy. .0606(a)(1)(A-B) 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. During the visit today, you submitted a compliance letter for the violation that was cited during today’s visit. Technical Assistance was provided on the following: 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 that you review with all infant staff, floaters, and substitutes the requirements for documenting the first sleep position on the safe sleep chart. Consultation: 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. 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: MAMA LISSA'S TINY TOT UNIVERSITY Facility ID: 23000341 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 6/17/2026 Number Present: 81 Completed Date: 6/17/2026 Age: From 0 To 10 Total Minutes: 285 Time In: 09:15 AM Time Out: 02:00 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, Missy Hamrick, Owner/Administrator, and Stacy McDaniel, Lead Teacher/Assistant Director, assisted me with the visit today. The facility currently operates with a 5-star rated license issued on April 17, 2026, earning seven (7) points in staff education, six (6) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care, enhanced ratios, meets enhanced space, Other: Building #1-40 children; Building #2-15; Building #3-42 children, Building #5-16 children; Building #6-21 children; Building #4-65 children The last annual compliance visit was conducted January 21, 2025. The most recent sanitation inspection for your facility was conducted on March 3, 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 on July 25, 2025, for daytime care only. The most recent monthly fire drill was conducted on May 20, 2026, at 10:45am and recorded. The most recent quarterly shelter in place emergency drill was conducted on April 26, 2026, at _10:30am and recorded. The facilities EPR Plan was updated on October 27, 2025. The most recent monthly playground inspection was completed on _June 12, 2026, by Missy Hamrick. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of June 16, 2026. The Secretary of State website was checked on June 16, 2026, and your business Mama Lissa’s Tiny Tot University LLC 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, outdoor gross motor play, teacher directed activities, story time, bottle feeding, and naptime. 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 28, 2025. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On September 2, 2025, The Clean Classrooms for Carolina Kids™ team determined that MAMA LISSA'S TINY TOT UNIVERSITY required an on-site visit to fulfill North Carolina rule requirements. A certified lead risk assessor did not identify lead-based paint hazards at the facility. There is no requirement to restrict access or to mitigate lead-based paint that is in good condition per 10A NCAC 41C.1004. On October 11, 2024, The Clean Classrooms for Carolina Kids™ team determined that MAMA LISSA'S TINY TOT UNIVERSITY required an on-site visit to fulfill North Carolina rule requirements. An accredited asbestos professional did not identify asbestos hazards at the facility. There is no requirement to restrict access to or mitigate asbestos-containing materials that are in good condition per 10A NCAC 41C .1003. Rated License Information: We discussed your application packet for the Curriculum and Instructional Quality Pathway #2 option. The license is based on the QRIS Pathway to the Stars educational and programmatic requirements for Pathway #2. A five-star level is the goal that you would like to achieve for your facility. We discussed that your facility would need to follow the required reduced enhanced staff/child ratios. 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, 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. The following QRIS Pathway #2 documents were reviewed during today’s visit. •Application for Assessment for a Rated License for Centers was updated during today’s visit to reflect the current curricula and formative assessments the facility is currently using. •Family and Community Engagement Standards plan was reviewed with you. We discussed your plan that you submitted during today’s visit. •Staff Information and Education Worksheet was completed and available for review. •Continuous Quality Improvement Plan for your facility was reviewed with you, and suggestions of possible goals were offered. •Continuous Quality Improvement Plan/Professional Development Plan for your individual staff was reviewed with you, and suggestions of possible goals were offered. The following violations were observed: Violation Number Comment Rule 895 Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Building #1, Space #3, on May 18, 2026, at 10:15am an infant ten months of age and enrolled on March 2, 2026, first sleep position was documented on the sleep chart as side. In Space #3, on June 10, 2026, at 10:00am an infant six months of age and enrolled on March 6, 2026, first sleep position was documented on the sleep chart as tummy. .0606(a)(1)(A-B) 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. During the visit today, you submitted a compliance letter for the violation that was cited during today’s visit. Technical Assistance was provided on the following: 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 that you review with all infant staff, floaters, and substitutes the requirements for documenting the first sleep position on the safe sleep chart. Consultation: 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. 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 .1003 · Violation

Name of Operation: MAMA LISSA'S TINY TOT UNIVERSITY Facility ID: 23000341 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 1/15/2026 Number Present: 73 Completed Date: 1/15/2026 Age: From 0 To 5 Total Minutes: 500 Time In: 09:00 AM Time Out: 05:20 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. T You, Missy Hamrick, Owner/Administrator, and Stacy McDaniel, Lead Teacher/Assistant Director, assisted me with the visit today. The facility currently operates with a 5-star rated license issued on December 2, 2019, earning seven (7) points in staff education, six (6) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care, enhanced ratios, meets enhanced space, building #1-40 children, building #2-15 children, building #1 and #2 -50 children and 6 adults, building #3-42 children and 6 adults, building 5-16 children, and building 6-21 children. The last annual compliance visit was conducted January 21, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of January 8, 2026. The most recent sanitation inspection for your facility was conducted on April 14, 2025. A superior sanitation classification was issued with four (4) demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on August 1, 2025, for daytime care only. The most recent fire drill was conducted on December 23, 2025, at 10:00am and recorded. The most recent shelter in place emergency drill was conducted on October 31, 2025, at 4:45pm and recorded. The most recent playground safety inspection was conducted on Januaryb2, 2026, by Stacy McDaniels. The Secretary of State website was checked on January 8, 2026, and your business Mama Lissa’s Tiny Tot University LLC 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, story time, art activities, center time, diapering, lunch, and nap time. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was August 28, 2025. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On September 2, 2025, The Clean Classrooms for Carolina Kids™ team determined that MAMA LISSA'S TINY TOT UNIVERSITY required an on-site visit to fulfill North Carolina rule requirements. A certified lead risk assessor did not identify lead-based paint hazards at the facility. There is no requirement to restrict access or to mitigate lead-based paint that is in good condition per 10A NCAC 41C.1004. On October 11, 2024, The Clean Classrooms for Carolina Kids™ team determined that MAMA LISSA'S TINY TOT UNIVERSITY required an on-site visit to fulfill North Carolina rule requirements. An accredited asbestos professional did not identify asbestos hazards at the facility. There is no requirement to restrict access to or mitigate asbestos-containing materials that are in good condition per 10A NCAC 41C .1003. You provided me with applicable program, staff, and children’s records for review. Files for three (3) new staff, and three (3) 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 thirteen (13) children’s records were reviewed. I observed during lunch and the lunch menu consisted of spaghetti with meat sauce, corn, peas, wheat bread, and milk. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan available for review was dated for the week of January 19, 20026 and not for the required week of January 12, 2026. GS 110-91(12); .0508(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. In the 2007 Chevy Express 3500 white bus vehicle used to for transportation, the first aid kit was missing. 10A NCAC 09 .1003(c) 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 Building #2 Space #5, the medical action plan for one child four years of age enrolled on January 6, 2025, had expired on January 6, 2026. .0801(b) Technical Assistance was provided on the following: Activity Plans: I suggested as a mid-morning check that you remind staff to make sure the correct activity plan is posted for the week. The violation was corrected during the visit. First Aid Kit in Vehicle: I suggested the drivers of the buses to conduct a monthly vehicle check to ensure all required documents, first aid kit, fire extinguisher are located in each vehicle used for transportation. The violation was corrected during the visit. Medical Action Plan Expired: I suggested that staff review monthly medical action plans for children enrolled in their classroom are current. The violation was corrected during the visit. Consultation: We reviewed Pathway #2, 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. You stated that you would like to do Pathway #2 for your facility’s upcoming rated license reassessment. A Quality Rating Improvement System Conversation Plan was completed during today’s visit. -I suggested that you review Environment Rating Scale information and resources at www.ncrlap.org for the following assessments: (select the following that would apply to this facility) ITERS-3 and ECERS-3. DCDEE of Approved Curriculum and Formative Assessments. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Services/Licensing/Star-Rated-License/Curriculum 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. -Safe Environment/Supervision During Naptime: During naptime, I conducted a walkthrough of each classroom to observe naptime. I discussed this with you and staff during the visit today and offered suggestions on providing a safe environment during naptime. We discussed that naptime in the classrooms is not allowed to be pitch dark and that lighting should be provided to allow staff to supervise and/or offer aid to a child if needed -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. 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

GS 110-91 · Violation

Name of Operation: MAMA LISSA'S TINY TOT UNIVERSITY Facility ID: 23000341 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 1/15/2026 Number Present: 73 Completed Date: 1/15/2026 Age: From 0 To 5 Total Minutes: 500 Time In: 09:00 AM Time Out: 05:20 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. T You, Missy Hamrick, Owner/Administrator, and Stacy McDaniel, Lead Teacher/Assistant Director, assisted me with the visit today. The facility currently operates with a 5-star rated license issued on December 2, 2019, earning seven (7) points in staff education, six (6) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care, enhanced ratios, meets enhanced space, building #1-40 children, building #2-15 children, building #1 and #2 -50 children and 6 adults, building #3-42 children and 6 adults, building 5-16 children, and building 6-21 children. The last annual compliance visit was conducted January 21, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of January 8, 2026. The most recent sanitation inspection for your facility was conducted on April 14, 2025. A superior sanitation classification was issued with four (4) demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on August 1, 2025, for daytime care only. The most recent fire drill was conducted on December 23, 2025, at 10:00am and recorded. The most recent shelter in place emergency drill was conducted on October 31, 2025, at 4:45pm and recorded. The most recent playground safety inspection was conducted on Januaryb2, 2026, by Stacy McDaniels. The Secretary of State website was checked on January 8, 2026, and your business Mama Lissa’s Tiny Tot University LLC 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, story time, art activities, center time, diapering, lunch, and nap time. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was August 28, 2025. Lead water testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. On September 2, 2025, The Clean Classrooms for Carolina Kids™ team determined that MAMA LISSA'S TINY TOT UNIVERSITY required an on-site visit to fulfill North Carolina rule requirements. A certified lead risk assessor did not identify lead-based paint hazards at the facility. There is no requirement to restrict access or to mitigate lead-based paint that is in good condition per 10A NCAC 41C.1004. On October 11, 2024, The Clean Classrooms for Carolina Kids™ team determined that MAMA LISSA'S TINY TOT UNIVERSITY required an on-site visit to fulfill North Carolina rule requirements. An accredited asbestos professional did not identify asbestos hazards at the facility. There is no requirement to restrict access to or mitigate asbestos-containing materials that are in good condition per 10A NCAC 41C .1003. You provided me with applicable program, staff, and children’s records for review. Files for three (3) new staff, and three (3) 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 thirteen (13) children’s records were reviewed. I observed during lunch and the lunch menu consisted of spaghetti with meat sauce, corn, peas, wheat bread, and milk. Violations observed today were discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. The following violations were observed: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The current activity plan available for review was dated for the week of January 19, 20026 and not for the required week of January 12, 2026. GS 110-91(12); .0508(a) 1115 First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. In the 2007 Chevy Express 3500 white bus vehicle used to for transportation, the first aid kit was missing. 10A NCAC 09 .1003(c) 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 Building #2 Space #5, the medical action plan for one child four years of age enrolled on January 6, 2025, had expired on January 6, 2026. .0801(b) Technical Assistance was provided on the following: Activity Plans: I suggested as a mid-morning check that you remind staff to make sure the correct activity plan is posted for the week. The violation was corrected during the visit. First Aid Kit in Vehicle: I suggested the drivers of the buses to conduct a monthly vehicle check to ensure all required documents, first aid kit, fire extinguisher are located in each vehicle used for transportation. The violation was corrected during the visit. Medical Action Plan Expired: I suggested that staff review monthly medical action plans for children enrolled in their classroom are current. The violation was corrected during the visit. Consultation: We reviewed Pathway #2, 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. You stated that you would like to do Pathway #2 for your facility’s upcoming rated license reassessment. A Quality Rating Improvement System Conversation Plan was completed during today’s visit. -I suggested that you review Environment Rating Scale information and resources at www.ncrlap.org for the following assessments: (select the following that would apply to this facility) ITERS-3 and ECERS-3. DCDEE of Approved Curriculum and Formative Assessments. Links for Resources Approved Curriculum: https://ncchildcare.ncdhhs.gov/Services/Licensing/Star-Rated-License/Curriculum 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. -Safe Environment/Supervision During Naptime: During naptime, I conducted a walkthrough of each classroom to observe naptime. I discussed this with you and staff during the visit today and offered suggestions on providing a safe environment during naptime. We discussed that naptime in the classrooms is not allowed to be pitch dark and that lighting should be provided to allow staff to supervise and/or offer aid to a child if needed -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. 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 .1003 · Violation

Name of Operation: MAMA LISSA'S TINY TOT UNIVERSITY Facility ID: 23000341 Consultant: TIFFANI SIMS Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 67 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 370 Time In: 09:05 AM Time Out: 03:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements including health and safety requirements. You, Melissa Hamrick, Owner/Administrator assisted me with the visit today. The Secretary of State website was checked on January 31, 2024, and your business Mama Lissa’s Tiny Tot University LLC., 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 5-star rated license issued on December 2, 2019, earning seven (7) points in staff education, six (6) points in the program standards, and one (1) quality point. The program's license restrictions include the following: daytime care, enhanced ratios, meets enhanced space, building #1-40 children, building #2-15 children, building #1 and #2 -50 children and 6 adults, and building #3-42 children and 6 adults. During today’s visit, the children were observed in indoor free play, nap time, art, and small group time. Inspections/Emergency Drills: Fire Inspection: The last fire inspection was completed on September 11, 2023. Sanitation Inspection: The last sanitation inspection was completed on October 10, 2023, A “superior” classification was issued with four (4) demerits noted on the grade card. Emergency Drills/Playground Inspections: The last lockdown drill was completed on January 15, 2024, at 3:25pm and recorded. The last playground inspection was completed on January 5, 2024. The last fire drill was completed on January 10, 2024, at 3:00pm. 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. Ten (10) children's files were reviewed during today’s visit. Three (3) staff files were reviewed, and two (2) 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 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 Building #1 Space #4, on January 24, 204, the sleep positions were not documented for one child at 10:15am and 10:30am. .0606(g) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. Attendance documentation, which documented children boarding and departing the vehicle, was not available for review for routine transport to and from the center. 10A NCAC 09 .1003(l) The following Technical Assistance regarding the violations observed during today’s visit was provided: -Safe Sleep Checks: As a reminder, review with staff on how to complete the safe sleep check chart and how to record the safe sleep positions. I also suggested creating a system where the safe sleep documentation is reviewed and checked for accuracy. -Documenting Attendance (Transporting Van) As a reminder, boarding and departing times must be documented on a roster daily. We discussed documenting specific time when children are boarding and departing the vans to ensure accurate records are kept. 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. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by February 15, 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. Mama Lissa’s Tiny Tot University 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 -On-going Trainings: Please visit Moodle on the DCDEE website to obtain necessary on-going training hours as required annually. -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