Precious Rubies

10A NCAC 09 .0102 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 4/15/2026 Number Present: 5 Completed Date: 4/15/2026 Age: From 2 To 3 Total Minutes: 185 Time In: 11:00 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements for a routine unannounced visit. You, Ruby Thurman, Owner and Operator, assisted me with the visit. You provided me with applicable program and staff records for review. Your last annual compliance visit was conducted on September 8, 2025. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information form were completed and signed during today’s visit. Your signature on these forms served as verification that the information provided was accurate. The North Carolina Secretary of State website was viewed on April 14, 2026, and Precious Rubies/Ruby Thurman was not listed. If 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. You had no updates to report. Your program operates with a three-star rated license issued on March 24, 2025, earning six points in staff education, two points in program standards, and one quality point for infant capacity restricted to no more than two children under one year of age. The license was posted and the permit restrictions were in compliance including: first shift (daytime care), maximum of five preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. A walkthrough was completed and all designated indoor and outdoor child care spaces were monitored. You stated you have five (5) children currently enrolled. Five children, ranging from two years of age to three years of age, were present during today’s visit. I observed children in the indoor learning environment and found supervision and staff/child ratio in compliance. Children were observed during lunch, routines, free play activities indoors, and nap. You were actively involved with the children. Limited monitoring was completed to verify compliance with all requirements for a routine unannounced visit. Program records, including fire drills and monthly outdoor area inspections were complete and current. The operator records were reviewed to ensure compliance. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. You were not listed on the facility’s ABCMS Provider Portal roster. You stated no one else lives in the home. Lead & Asbestos Testing: The analysis date for the most recent lead water test was June 1, 2024. You may review your facility’s results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the enrollment, and the risk assessment report was completed for required asbestos and lead-based paint testing. Inspections/Drills: The most recent monthly fire drill was conducted on March 31, 2026, at 9:20am. The fire extinguisher was fully charged and is located in the kitchen. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on February 3, 2026, at 9:00am. The last outdoor inspection was completed on March 31, 2026, by Ruby Thurman. The Emergency Preparedness and Response Plan has not been completed. 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 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The last ITS-SIDS training certificate expired on January 12, 2026. The ITS-SIDS training was due to be completed on or before January 12, 2026. The most recent ITS-SIDS training was completed on April 14, 2026. .1703(a)(4) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator was not listed on the program’s roster in the Automated Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was due to be completed and on file for review by by December 13, 2025. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical Assistance provided on violations cited: -Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and emailed you a copy of the document during the visit. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. -I discussed and reviewed with you the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. I suggested creating a calendar reminder to alert you to complete time-sensitive tasks. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. - I reviewed and discussed with you 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS. After receiving a license, the family child care home operator must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. I suggested you use the FCCH Operator file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the FCCH Operator file checklist during the visit. Reminders & Resources: * 10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. * The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. * All staff must complete on-going health and safety trainings every five years. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-six percent as of April 14, 2026. Compliance Letter: 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. Repeated violations or violations left unresolved may lead to an administrative action. On or before April 29, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 4/15/2026 Number Present: 5 Completed Date: 4/15/2026 Age: From 2 To 3 Total Minutes: 185 Time In: 11:00 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements for a routine unannounced visit. You, Ruby Thurman, Owner and Operator, assisted me with the visit. You provided me with applicable program and staff records for review. Your last annual compliance visit was conducted on September 8, 2025. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information form were completed and signed during today’s visit. Your signature on these forms served as verification that the information provided was accurate. The North Carolina Secretary of State website was viewed on April 14, 2026, and Precious Rubies/Ruby Thurman was not listed. If 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. You had no updates to report. Your program operates with a three-star rated license issued on March 24, 2025, earning six points in staff education, two points in program standards, and one quality point for infant capacity restricted to no more than two children under one year of age. The license was posted and the permit restrictions were in compliance including: first shift (daytime care), maximum of five preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. A walkthrough was completed and all designated indoor and outdoor child care spaces were monitored. You stated you have five (5) children currently enrolled. Five children, ranging from two years of age to three years of age, were present during today’s visit. I observed children in the indoor learning environment and found supervision and staff/child ratio in compliance. Children were observed during lunch, routines, free play activities indoors, and nap. You were actively involved with the children. Limited monitoring was completed to verify compliance with all requirements for a routine unannounced visit. Program records, including fire drills and monthly outdoor area inspections were complete and current. The operator records were reviewed to ensure compliance. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. You were not listed on the facility’s ABCMS Provider Portal roster. You stated no one else lives in the home. Lead & Asbestos Testing: The analysis date for the most recent lead water test was June 1, 2024. You may review your facility’s results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the enrollment, and the risk assessment report was completed for required asbestos and lead-based paint testing. Inspections/Drills: The most recent monthly fire drill was conducted on March 31, 2026, at 9:20am. The fire extinguisher was fully charged and is located in the kitchen. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on February 3, 2026, at 9:00am. The last outdoor inspection was completed on March 31, 2026, by Ruby Thurman. The Emergency Preparedness and Response Plan has not been completed. 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 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The last ITS-SIDS training certificate expired on January 12, 2026. The ITS-SIDS training was due to be completed on or before January 12, 2026. The most recent ITS-SIDS training was completed on April 14, 2026. .1703(a)(4) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator was not listed on the program’s roster in the Automated Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was due to be completed and on file for review by by December 13, 2025. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical Assistance provided on violations cited: -Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and emailed you a copy of the document during the visit. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. -I discussed and reviewed with you the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. I suggested creating a calendar reminder to alert you to complete time-sensitive tasks. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. - I reviewed and discussed with you 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS. After receiving a license, the family child care home operator must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. I suggested you use the FCCH Operator file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the FCCH Operator file checklist during the visit. Reminders & Resources: * 10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. * The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. * All staff must complete on-going health and safety trainings every five years. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-six percent as of April 14, 2026. Compliance Letter: 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. Repeated violations or violations left unresolved may lead to an administrative action. On or before April 29, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 4/15/2026 Number Present: 5 Completed Date: 4/15/2026 Age: From 2 To 3 Total Minutes: 185 Time In: 11:00 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements for a routine unannounced visit. You, Ruby Thurman, Owner and Operator, assisted me with the visit. You provided me with applicable program and staff records for review. Your last annual compliance visit was conducted on September 8, 2025. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information form were completed and signed during today’s visit. Your signature on these forms served as verification that the information provided was accurate. The North Carolina Secretary of State website was viewed on April 14, 2026, and Precious Rubies/Ruby Thurman was not listed. If 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. You had no updates to report. Your program operates with a three-star rated license issued on March 24, 2025, earning six points in staff education, two points in program standards, and one quality point for infant capacity restricted to no more than two children under one year of age. The license was posted and the permit restrictions were in compliance including: first shift (daytime care), maximum of five preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. A walkthrough was completed and all designated indoor and outdoor child care spaces were monitored. You stated you have five (5) children currently enrolled. Five children, ranging from two years of age to three years of age, were present during today’s visit. I observed children in the indoor learning environment and found supervision and staff/child ratio in compliance. Children were observed during lunch, routines, free play activities indoors, and nap. You were actively involved with the children. Limited monitoring was completed to verify compliance with all requirements for a routine unannounced visit. Program records, including fire drills and monthly outdoor area inspections were complete and current. The operator records were reviewed to ensure compliance. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. You were not listed on the facility’s ABCMS Provider Portal roster. You stated no one else lives in the home. Lead & Asbestos Testing: The analysis date for the most recent lead water test was June 1, 2024. You may review your facility’s results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the enrollment, and the risk assessment report was completed for required asbestos and lead-based paint testing. Inspections/Drills: The most recent monthly fire drill was conducted on March 31, 2026, at 9:20am. The fire extinguisher was fully charged and is located in the kitchen. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on February 3, 2026, at 9:00am. The last outdoor inspection was completed on March 31, 2026, by Ruby Thurman. The Emergency Preparedness and Response Plan has not been completed. 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 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The last ITS-SIDS training certificate expired on January 12, 2026. The ITS-SIDS training was due to be completed on or before January 12, 2026. The most recent ITS-SIDS training was completed on April 14, 2026. .1703(a)(4) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator was not listed on the program’s roster in the Automated Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was due to be completed and on file for review by by December 13, 2025. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical Assistance provided on violations cited: -Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and emailed you a copy of the document during the visit. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. -I discussed and reviewed with you the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. I suggested creating a calendar reminder to alert you to complete time-sensitive tasks. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. - I reviewed and discussed with you 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS. After receiving a license, the family child care home operator must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. I suggested you use the FCCH Operator file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the FCCH Operator file checklist during the visit. Reminders & Resources: * 10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. * The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. * All staff must complete on-going health and safety trainings every five years. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-six percent as of April 14, 2026. Compliance Letter: 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. Repeated violations or violations left unresolved may lead to an administrative action. On or before April 29, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 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 .2703 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 4/15/2026 Number Present: 5 Completed Date: 4/15/2026 Age: From 2 To 3 Total Minutes: 185 Time In: 11:00 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements for a routine unannounced visit. You, Ruby Thurman, Owner and Operator, assisted me with the visit. You provided me with applicable program and staff records for review. Your last annual compliance visit was conducted on September 8, 2025. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information form were completed and signed during today’s visit. Your signature on these forms served as verification that the information provided was accurate. The North Carolina Secretary of State website was viewed on April 14, 2026, and Precious Rubies/Ruby Thurman was not listed. If 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. You had no updates to report. Your program operates with a three-star rated license issued on March 24, 2025, earning six points in staff education, two points in program standards, and one quality point for infant capacity restricted to no more than two children under one year of age. The license was posted and the permit restrictions were in compliance including: first shift (daytime care), maximum of five preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. A walkthrough was completed and all designated indoor and outdoor child care spaces were monitored. You stated you have five (5) children currently enrolled. Five children, ranging from two years of age to three years of age, were present during today’s visit. I observed children in the indoor learning environment and found supervision and staff/child ratio in compliance. Children were observed during lunch, routines, free play activities indoors, and nap. You were actively involved with the children. Limited monitoring was completed to verify compliance with all requirements for a routine unannounced visit. Program records, including fire drills and monthly outdoor area inspections were complete and current. The operator records were reviewed to ensure compliance. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. You were not listed on the facility’s ABCMS Provider Portal roster. You stated no one else lives in the home. Lead & Asbestos Testing: The analysis date for the most recent lead water test was June 1, 2024. You may review your facility’s results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the enrollment, and the risk assessment report was completed for required asbestos and lead-based paint testing. Inspections/Drills: The most recent monthly fire drill was conducted on March 31, 2026, at 9:20am. The fire extinguisher was fully charged and is located in the kitchen. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on February 3, 2026, at 9:00am. The last outdoor inspection was completed on March 31, 2026, by Ruby Thurman. The Emergency Preparedness and Response Plan has not been completed. 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 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The last ITS-SIDS training certificate expired on January 12, 2026. The ITS-SIDS training was due to be completed on or before January 12, 2026. The most recent ITS-SIDS training was completed on April 14, 2026. .1703(a)(4) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator was not listed on the program’s roster in the Automated Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was due to be completed and on file for review by by December 13, 2025. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical Assistance provided on violations cited: -Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and emailed you a copy of the document during the visit. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. -I discussed and reviewed with you the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. I suggested creating a calendar reminder to alert you to complete time-sensitive tasks. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. - I reviewed and discussed with you 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS. After receiving a license, the family child care home operator must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. I suggested you use the FCCH Operator file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the FCCH Operator file checklist during the visit. Reminders & Resources: * 10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. * The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. * All staff must complete on-going health and safety trainings every five years. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-six percent as of April 14, 2026. Compliance Letter: 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. Repeated violations or violations left unresolved may lead to an administrative action. On or before April 29, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 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: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 4/15/2026 Number Present: 5 Completed Date: 4/15/2026 Age: From 2 To 3 Total Minutes: 185 Time In: 11:00 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements for a routine unannounced visit. You, Ruby Thurman, Owner and Operator, assisted me with the visit. You provided me with applicable program and staff records for review. Your last annual compliance visit was conducted on September 8, 2025. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information form were completed and signed during today’s visit. Your signature on these forms served as verification that the information provided was accurate. The North Carolina Secretary of State website was viewed on April 14, 2026, and Precious Rubies/Ruby Thurman was not listed. If 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. You had no updates to report. Your program operates with a three-star rated license issued on March 24, 2025, earning six points in staff education, two points in program standards, and one quality point for infant capacity restricted to no more than two children under one year of age. The license was posted and the permit restrictions were in compliance including: first shift (daytime care), maximum of five preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. A walkthrough was completed and all designated indoor and outdoor child care spaces were monitored. You stated you have five (5) children currently enrolled. Five children, ranging from two years of age to three years of age, were present during today’s visit. I observed children in the indoor learning environment and found supervision and staff/child ratio in compliance. Children were observed during lunch, routines, free play activities indoors, and nap. You were actively involved with the children. Limited monitoring was completed to verify compliance with all requirements for a routine unannounced visit. Program records, including fire drills and monthly outdoor area inspections were complete and current. The operator records were reviewed to ensure compliance. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. You were not listed on the facility’s ABCMS Provider Portal roster. You stated no one else lives in the home. Lead & Asbestos Testing: The analysis date for the most recent lead water test was June 1, 2024. You may review your facility’s results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the enrollment, and the risk assessment report was completed for required asbestos and lead-based paint testing. Inspections/Drills: The most recent monthly fire drill was conducted on March 31, 2026, at 9:20am. The fire extinguisher was fully charged and is located in the kitchen. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on February 3, 2026, at 9:00am. The last outdoor inspection was completed on March 31, 2026, by Ruby Thurman. The Emergency Preparedness and Response Plan has not been completed. 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 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The last ITS-SIDS training certificate expired on January 12, 2026. The ITS-SIDS training was due to be completed on or before January 12, 2026. The most recent ITS-SIDS training was completed on April 14, 2026. .1703(a)(4) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator was not listed on the program’s roster in the Automated Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was due to be completed and on file for review by by December 13, 2025. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical Assistance provided on violations cited: -Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and emailed you a copy of the document during the visit. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. -I discussed and reviewed with you the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. I suggested creating a calendar reminder to alert you to complete time-sensitive tasks. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. - I reviewed and discussed with you 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS. After receiving a license, the family child care home operator must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. I suggested you use the FCCH Operator file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the FCCH Operator file checklist during the visit. Reminders & Resources: * 10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. * The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. * All staff must complete on-going health and safety trainings every five years. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-six percent as of April 14, 2026. Compliance Letter: 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. Repeated violations or violations left unresolved may lead to an administrative action. On or before April 29, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 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: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 4/15/2026 Number Present: 5 Completed Date: 4/15/2026 Age: From 2 To 3 Total Minutes: 185 Time In: 11:00 AM Time Out: 02:05 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with all applicable child care requirements for a routine unannounced visit. You, Ruby Thurman, Owner and Operator, assisted me with the visit. You provided me with applicable program and staff records for review. Your last annual compliance visit was conducted on September 8, 2025. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and Verification of Required Information form were completed and signed during today’s visit. Your signature on these forms served as verification that the information provided was accurate. The North Carolina Secretary of State website was viewed on April 14, 2026, and Precious Rubies/Ruby Thurman was not listed. If 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. You had no updates to report. Your program operates with a three-star rated license issued on March 24, 2025, earning six points in staff education, two points in program standards, and one quality point for infant capacity restricted to no more than two children under one year of age. The license was posted and the permit restrictions were in compliance including: first shift (daytime care), maximum of five preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. A walkthrough was completed and all designated indoor and outdoor child care spaces were monitored. You stated you have five (5) children currently enrolled. Five children, ranging from two years of age to three years of age, were present during today’s visit. I observed children in the indoor learning environment and found supervision and staff/child ratio in compliance. Children were observed during lunch, routines, free play activities indoors, and nap. You were actively involved with the children. Limited monitoring was completed to verify compliance with all requirements for a routine unannounced visit. Program records, including fire drills and monthly outdoor area inspections were complete and current. The operator records were reviewed to ensure compliance. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. You were not listed on the facility’s ABCMS Provider Portal roster. You stated no one else lives in the home. Lead & Asbestos Testing: The analysis date for the most recent lead water test was June 1, 2024. You may review your facility’s results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated the enrollment, and the risk assessment report was completed for required asbestos and lead-based paint testing. Inspections/Drills: The most recent monthly fire drill was conducted on March 31, 2026, at 9:20am. The fire extinguisher was fully charged and is located in the kitchen. The most recent quarterly lockdown/shelter-in-place drill was a shelter-in-place conducted on February 3, 2026, at 9:00am. The last outdoor inspection was completed on March 31, 2026, by Ruby Thurman. The Emergency Preparedness and Response Plan has not been completed. 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 1306 Operator has not completed ITS-SIDS training every three years from the completion date of the previous ITS-SIDS training. The last ITS-SIDS training certificate expired on January 12, 2026. The ITS-SIDS training was due to be completed on or before January 12, 2026. The most recent ITS-SIDS training was completed on April 14, 2026. .1703(a)(4) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The operator was not listed on the program’s roster in the Automated Background Check Management System (ABCMS). G.S. 110-90.2 & .2703(r) 2056 Documentation of the operator's Emergency Preparedness and Response plan was not completed and/or maintained on the template provided by the Division of Emergency Management. The Emergency Preparedness and Response plan was due to be completed and on file for review by by December 13, 2025. 10A NCAC 09 .1714(c) & .1721(e)(1) Technical Assistance provided on violations cited: -Automated Background Check Management System (ABCMS): I discussed with you that you must notify the Division of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. I reviewed with you the ABCMS Provider Portal Access Guide document and emailed you a copy of the document during the visit. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. -I discussed and reviewed with you the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement: 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. I suggested creating a calendar reminder to alert you to complete time-sensitive tasks. You stated you have a visit scheduled on April 16, 2026, with a technical assistant with Child Care Connections – Cleveland County to complete this task. - I reviewed and discussed with you 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS. After receiving a license, the family child care home operator must renew ITS-SIDS training every three years from the completion of previous ITS-SIDS training. I suggested you use the FCCH Operator file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. I provided you with a copy of the FCCH Operator file checklist during the visit. Reminders & Resources: * 10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. * The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. * All staff must complete on-going health and safety trainings every five years. Compliance History The program’s compliance history was reviewed with the administrator. The program’s compliance history was ninety-six percent as of April 14, 2026. Compliance Letter: 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. Repeated violations or violations left unresolved may lead to an administrative action. On or before April 29, 2026, your child care consultant 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. Email the information to: farran.m.rhyne@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Thank you for your time today. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me, Farran M. Rhyne, Child Care Consultant, at 704-594-0003, farran.m.rhyne@dhhs.nc.gov or Tammy McGalliard, Licensing Supervisor, 828-782-0718, Tammy.McGalliard@dhhs.nc.gov if you have any questions. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov 704-594-0003 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 .0102 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 9/8/2025 Number Present: 4 Completed Date: 9/8/2025 Age: From 1 To 2 Total Minutes: 155 Time In: 09:40 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Upon arrival you, Ruby Thurman Harbison, Operator, assisted me with the visit. The North Carolina Secretary of State website was viewed on September 5, 2025, and your business, Precious Rubies, was not listed and you remain a sole proprietor. If you decide to sell your business, then you must notify me at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and the Verification of Required Information for Operator and Additional Caregivers form were completed and signed during today’s visit. Your signature on these forms served as verification the information provided was accurate. Your program operates with a three (3) star rated license issued on March 24, 2025, earning six (6) points in staff education, two (2) points in program standards, and one (1) quality point. The permit restrictions were in compliance including: 1st shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. You stated you have five (5) children enrolled. Four (4) children were present during the visit. I observed the children during indoor free play, story time, routines, lunch and naptime. A walk-through was completed. All indoor and outdoor spaces used by children in care were monitored. A checklist was used to note the requirements I monitored. Inspections/Drills: The last monthly fire drill was completed on August 5, 2025, at 9:00am. The fire extinguisher was fully charged and located in the kitchen. The last emergency drill was a lockdown completed on August 5, 2025, at 9:45am. The last outdoor inspection was completed on August 5, 2025. You completed The Emergency Preparedness and Response training on August 13, 2025. The Emergency Preparedness and Response Plan is due to be completed by June 6, 2025. Lead Testing: The last lead water test was completed on June 1, 2024. The last lead-based paint test was completed on September 18, 2024. The last asbestos test was completed on September 18, 2024. Files Reviewed: One (1) child’s file was reviewed. Your file was reviewed. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. The following violation was observed: Violation Number Comment Rule 920 Records were not made available for review. One (1) child, enrolled on May 8, 2025, did not have records on file and available for review. G.S. 110-91(9) Technical Assistance on violations cited: Records All children’s records must be maintained for review by representatives of the Division of Child Development and Early Education. The records must be available at the center during the hours of operation listed on the child care license. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process and on file and available for review. Consultation: North Carolina Foundations for Early Learning and Development The North Carolina Foundations for Early Learning and Development resource book was provided to you during today’s visit. I suggested you share this resource with your staff. I discussed with that the book can be used to: improve teachers’ knowledge of child development; guide teachers’ plans for implementing curricula; Establish goals for children’s development and learning that are shared across programs and services; and inform parents and other family members on age-appropriate expectations for children’s development and learning. Quality Rating Improvement System (QRIS) Modernization You asked questions regarding QRIS Modernization. We thoroughly reviewed the Division’s website and discussed options for your program during today’s visit. I suggested that you begin reviewing the new QRIS Pathway to Stars by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You stated you will notify me on October 1, 2025, with the QRIS Pathway you are interested in. Reminders & Resources: -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website 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 child care in North Carolina. - The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. -10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. Compliance History: The program’s compliance history was ninety-five percent (95%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 22, 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 farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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 .2703 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 9/8/2025 Number Present: 4 Completed Date: 9/8/2025 Age: From 1 To 2 Total Minutes: 155 Time In: 09:40 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Upon arrival you, Ruby Thurman Harbison, Operator, assisted me with the visit. The North Carolina Secretary of State website was viewed on September 5, 2025, and your business, Precious Rubies, was not listed and you remain a sole proprietor. If you decide to sell your business, then you must notify me at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and the Verification of Required Information for Operator and Additional Caregivers form were completed and signed during today’s visit. Your signature on these forms served as verification the information provided was accurate. Your program operates with a three (3) star rated license issued on March 24, 2025, earning six (6) points in staff education, two (2) points in program standards, and one (1) quality point. The permit restrictions were in compliance including: 1st shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. You stated you have five (5) children enrolled. Four (4) children were present during the visit. I observed the children during indoor free play, story time, routines, lunch and naptime. A walk-through was completed. All indoor and outdoor spaces used by children in care were monitored. A checklist was used to note the requirements I monitored. Inspections/Drills: The last monthly fire drill was completed on August 5, 2025, at 9:00am. The fire extinguisher was fully charged and located in the kitchen. The last emergency drill was a lockdown completed on August 5, 2025, at 9:45am. The last outdoor inspection was completed on August 5, 2025. You completed The Emergency Preparedness and Response training on August 13, 2025. The Emergency Preparedness and Response Plan is due to be completed by June 6, 2025. Lead Testing: The last lead water test was completed on June 1, 2024. The last lead-based paint test was completed on September 18, 2024. The last asbestos test was completed on September 18, 2024. Files Reviewed: One (1) child’s file was reviewed. Your file was reviewed. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. The following violation was observed: Violation Number Comment Rule 920 Records were not made available for review. One (1) child, enrolled on May 8, 2025, did not have records on file and available for review. G.S. 110-91(9) Technical Assistance on violations cited: Records All children’s records must be maintained for review by representatives of the Division of Child Development and Early Education. The records must be available at the center during the hours of operation listed on the child care license. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process and on file and available for review. Consultation: North Carolina Foundations for Early Learning and Development The North Carolina Foundations for Early Learning and Development resource book was provided to you during today’s visit. I suggested you share this resource with your staff. I discussed with that the book can be used to: improve teachers’ knowledge of child development; guide teachers’ plans for implementing curricula; Establish goals for children’s development and learning that are shared across programs and services; and inform parents and other family members on age-appropriate expectations for children’s development and learning. Quality Rating Improvement System (QRIS) Modernization You asked questions regarding QRIS Modernization. We thoroughly reviewed the Division’s website and discussed options for your program during today’s visit. I suggested that you begin reviewing the new QRIS Pathway to Stars by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You stated you will notify me on October 1, 2025, with the QRIS Pathway you are interested in. Reminders & Resources: -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website 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 child care in North Carolina. - The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. -10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. Compliance History: The program’s compliance history was ninety-five percent (95%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 22, 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 farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 9/8/2025 Number Present: 4 Completed Date: 9/8/2025 Age: From 1 To 2 Total Minutes: 155 Time In: 09:40 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Upon arrival you, Ruby Thurman Harbison, Operator, assisted me with the visit. The North Carolina Secretary of State website was viewed on September 5, 2025, and your business, Precious Rubies, was not listed and you remain a sole proprietor. If you decide to sell your business, then you must notify me at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and the Verification of Required Information for Operator and Additional Caregivers form were completed and signed during today’s visit. Your signature on these forms served as verification the information provided was accurate. Your program operates with a three (3) star rated license issued on March 24, 2025, earning six (6) points in staff education, two (2) points in program standards, and one (1) quality point. The permit restrictions were in compliance including: 1st shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. You stated you have five (5) children enrolled. Four (4) children were present during the visit. I observed the children during indoor free play, story time, routines, lunch and naptime. A walk-through was completed. All indoor and outdoor spaces used by children in care were monitored. A checklist was used to note the requirements I monitored. Inspections/Drills: The last monthly fire drill was completed on August 5, 2025, at 9:00am. The fire extinguisher was fully charged and located in the kitchen. The last emergency drill was a lockdown completed on August 5, 2025, at 9:45am. The last outdoor inspection was completed on August 5, 2025. You completed The Emergency Preparedness and Response training on August 13, 2025. The Emergency Preparedness and Response Plan is due to be completed by June 6, 2025. Lead Testing: The last lead water test was completed on June 1, 2024. The last lead-based paint test was completed on September 18, 2024. The last asbestos test was completed on September 18, 2024. Files Reviewed: One (1) child’s file was reviewed. Your file was reviewed. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. The following violation was observed: Violation Number Comment Rule 920 Records were not made available for review. One (1) child, enrolled on May 8, 2025, did not have records on file and available for review. G.S. 110-91(9) Technical Assistance on violations cited: Records All children’s records must be maintained for review by representatives of the Division of Child Development and Early Education. The records must be available at the center during the hours of operation listed on the child care license. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process and on file and available for review. Consultation: North Carolina Foundations for Early Learning and Development The North Carolina Foundations for Early Learning and Development resource book was provided to you during today’s visit. I suggested you share this resource with your staff. I discussed with that the book can be used to: improve teachers’ knowledge of child development; guide teachers’ plans for implementing curricula; Establish goals for children’s development and learning that are shared across programs and services; and inform parents and other family members on age-appropriate expectations for children’s development and learning. Quality Rating Improvement System (QRIS) Modernization You asked questions regarding QRIS Modernization. We thoroughly reviewed the Division’s website and discussed options for your program during today’s visit. I suggested that you begin reviewing the new QRIS Pathway to Stars by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You stated you will notify me on October 1, 2025, with the QRIS Pathway you are interested in. Reminders & Resources: -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website 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 child care in North Carolina. - The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. -10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. Compliance History: The program’s compliance history was ninety-five percent (95%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 22, 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 farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 9/8/2025 Number Present: 4 Completed Date: 9/8/2025 Age: From 1 To 2 Total Minutes: 155 Time In: 09:40 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Upon arrival you, Ruby Thurman Harbison, Operator, assisted me with the visit. The North Carolina Secretary of State website was viewed on September 5, 2025, and your business, Precious Rubies, was not listed and you remain a sole proprietor. If you decide to sell your business, then you must notify me at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and the Verification of Required Information for Operator and Additional Caregivers form were completed and signed during today’s visit. Your signature on these forms served as verification the information provided was accurate. Your program operates with a three (3) star rated license issued on March 24, 2025, earning six (6) points in staff education, two (2) points in program standards, and one (1) quality point. The permit restrictions were in compliance including: 1st shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. You stated you have five (5) children enrolled. Four (4) children were present during the visit. I observed the children during indoor free play, story time, routines, lunch and naptime. A walk-through was completed. All indoor and outdoor spaces used by children in care were monitored. A checklist was used to note the requirements I monitored. Inspections/Drills: The last monthly fire drill was completed on August 5, 2025, at 9:00am. The fire extinguisher was fully charged and located in the kitchen. The last emergency drill was a lockdown completed on August 5, 2025, at 9:45am. The last outdoor inspection was completed on August 5, 2025. You completed The Emergency Preparedness and Response training on August 13, 2025. The Emergency Preparedness and Response Plan is due to be completed by June 6, 2025. Lead Testing: The last lead water test was completed on June 1, 2024. The last lead-based paint test was completed on September 18, 2024. The last asbestos test was completed on September 18, 2024. Files Reviewed: One (1) child’s file was reviewed. Your file was reviewed. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. The following violation was observed: Violation Number Comment Rule 920 Records were not made available for review. One (1) child, enrolled on May 8, 2025, did not have records on file and available for review. G.S. 110-91(9) Technical Assistance on violations cited: Records All children’s records must be maintained for review by representatives of the Division of Child Development and Early Education. The records must be available at the center during the hours of operation listed on the child care license. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process and on file and available for review. Consultation: North Carolina Foundations for Early Learning and Development The North Carolina Foundations for Early Learning and Development resource book was provided to you during today’s visit. I suggested you share this resource with your staff. I discussed with that the book can be used to: improve teachers’ knowledge of child development; guide teachers’ plans for implementing curricula; Establish goals for children’s development and learning that are shared across programs and services; and inform parents and other family members on age-appropriate expectations for children’s development and learning. Quality Rating Improvement System (QRIS) Modernization You asked questions regarding QRIS Modernization. We thoroughly reviewed the Division’s website and discussed options for your program during today’s visit. I suggested that you begin reviewing the new QRIS Pathway to Stars by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You stated you will notify me on October 1, 2025, with the QRIS Pathway you are interested in. Reminders & Resources: -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website 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 child care in North Carolina. - The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. -10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. Compliance History: The program’s compliance history was ninety-five percent (95%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 22, 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 farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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

NC GS 110-90 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: FARRAN RHYNE Operation Type: Family CC Home Case Number: Visit Date: 9/8/2025 Number Present: 4 Completed Date: 9/8/2025 Age: From 1 To 2 Total Minutes: 155 Time In: 09:40 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your program for compliance with all applicable child care requirements, including health and safety requirements. Upon arrival you, Ruby Thurman Harbison, Operator, assisted me with the visit. The North Carolina Secretary of State website was viewed on September 5, 2025, and your business, Precious Rubies, was not listed and you remain a sole proprietor. If you decide to sell your business, then you must notify me at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The FCCH and Centers Located in a Residence Operator’s Statements of Responsibility form and the Verification of Required Information for Operator and Additional Caregivers form were completed and signed during today’s visit. Your signature on these forms served as verification the information provided was accurate. Your program operates with a three (3) star rated license issued on March 24, 2025, earning six (6) points in staff education, two (2) points in program standards, and one (1) quality point. The permit restrictions were in compliance including: 1st shift (daytime care), maximum of 5 preschool children at any time, fireplace/woodstove not used during operating hours, children must play in fenced in area only, trampoline may not be used by children in care, and serves no more than two infants under one year of age. You stated you have five (5) children enrolled. Four (4) children were present during the visit. I observed the children during indoor free play, story time, routines, lunch and naptime. A walk-through was completed. All indoor and outdoor spaces used by children in care were monitored. A checklist was used to note the requirements I monitored. Inspections/Drills: The last monthly fire drill was completed on August 5, 2025, at 9:00am. The fire extinguisher was fully charged and located in the kitchen. The last emergency drill was a lockdown completed on August 5, 2025, at 9:45am. The last outdoor inspection was completed on August 5, 2025. You completed The Emergency Preparedness and Response training on August 13, 2025. The Emergency Preparedness and Response Plan is due to be completed by June 6, 2025. Lead Testing: The last lead water test was completed on June 1, 2024. The last lead-based paint test was completed on September 18, 2024. The last asbestos test was completed on September 18, 2024. Files Reviewed: One (1) child’s file was reviewed. Your file was reviewed. Your Criminal Background Check Qualifying letter was reviewed and was in compliance. The Automated Background Check Management System (ABCMS) was reviewed and verified during the visit. The following violation was observed: Violation Number Comment Rule 920 Records were not made available for review. One (1) child, enrolled on May 8, 2025, did not have records on file and available for review. G.S. 110-91(9) Technical Assistance on violations cited: Records All children’s records must be maintained for review by representatives of the Division of Child Development and Early Education. The records must be available at the center during the hours of operation listed on the child care license. I suggested you create an enrollment packet to ensure all required documentation is obtained during the enrollment process and on file and available for review. Consultation: North Carolina Foundations for Early Learning and Development The North Carolina Foundations for Early Learning and Development resource book was provided to you during today’s visit. I suggested you share this resource with your staff. I discussed with that the book can be used to: improve teachers’ knowledge of child development; guide teachers’ plans for implementing curricula; Establish goals for children’s development and learning that are shared across programs and services; and inform parents and other family members on age-appropriate expectations for children’s development and learning. Quality Rating Improvement System (QRIS) Modernization You asked questions regarding QRIS Modernization. We thoroughly reviewed the Division’s website and discussed options for your program during today’s visit. I suggested that you begin reviewing the new QRIS Pathway to Stars by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You stated you will notify me on October 1, 2025, with the QRIS Pathway you are interested in. Reminders & Resources: -You must complete on-going health and safety trainings every five years. -Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to maintain at least a 75% compliance history for each 18-month period. Any violation(s) documented may impact the compliance history. Repeated violations or violations left unresolved may lead to an administrative action. -For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website 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 child care in North Carolina. - The Division must be notified of all new child care providers who are hired or have moved into the child care facility within five business days by entering each staff member’s information into the Automated Background Check Management System (ABCMS) Provider Portal. -10A NCAC 09 .2703 (q) Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. Compliance History: The program’s compliance history was ninety-five percent (95%) prior to today's visit. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4)(c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by September 22, 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 farran.m.rhyne@dhhs.nc.gov Farran M. Rhyne PO Box 92 Maiden, NC 28650 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. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-594-0003. Farran M. Rhyne, Child Care Consultant PO Box 92 Maiden, NC 28650 farran.m.rhyne@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 .1703 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 3/11/2025 Number Present: 4 Completed Date: 3/11/2025 Age: From 1 To 2 Total Minutes: 205 Time In: 11:30 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time visit and to confirm your rated license points. You, Ruby Thurman Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include Daytime care only; Maximum of five preschool children at any time; Children must play in fenced in area only; Trampoline may not be used by children in care; and Fireplace/woodstove not used during operating hours. The Secretary of State website was checked prior to the visit, and your business, Precious Rubies, was not and you remain a sole proprietor. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces used for child care were monitored. The last monthly fire drill was completed on February 4, 2025, at 9:45am. The last monthly outdoor inspection was completed on February 4, 2025. You currently have five children enrolled. Five children’s files were reviewed during the visit. Your file was reviewed during the visit. I received your application to apply for a star-rated license on November 21, 2024. You requested to have the Environment Rating Scale (ERS) Assessment completed. The ERS was ordered on December 2, 2024. You stated that the assessors have attempted to conduct the assessment two times and you have requested to withdraw your ERS application and have your star rated license evaluated based on your education, completion of the three-month self-assessment for program standards, and one quality point. I told you that programs with less than a three-star license will not be able to receive subsidy funding. The following violations were observed and corrected during the visit. Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One (1) child with an enrollment date of January 7, 2025, did not have a health assessment on file. One (1) child with an enrollment date of February 1, 2025, did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement that a copy of the discipline policy was given to and discussed with the parent/guardian was not on file for one (1) child with an enrollment date of February 1, 2025. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed statement regarding receipt of the Summary of the NC Child Care Law was not on file for one (1) child with an enrollment date of February 1, 2025. GS 110-102 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. A signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy was not on file for one (1) child with an enrollment date of February 1, 2025. .1726(b)(1-6) Technical Assistance was provided on the following: Children’s Medical Assessments We discussed that children must have a medical assessment on file within thirty days of enrollment. I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and send weekly reminders to parents until the health assessment is received. You corrected this violation by contacting the parents of the two children that did not have a medical assessment on file and requesting they email you a copy of the most recent medical assessment. Both medical assessments were provided to you and you placed a copy in the child’s file. Policies Acknowledgements-Summary of the Law, Discipline, Shaken Baby I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and policies that must be acknowledged and maintained in the child’s file. I further suggested that you review all policies with parents prior to the child’s first day of attendance and have them acknowledge the receipt and maintain a copy in the child’s file. You corrected this violation by requesting the parent return to your facility and sign the acknowledgement form for the receipt of the North Carolina Summary of Child Care Laws, Discipline Policy, and Prevention of Shaken Baby and Head Trauma Policy that was provided to the parent and reviewed during the enrollment process. The parent arrived and signed the acknowledgement that the policies were reviewed with them when they enrolled their child. Consultation was provided on the following: Criminal Background Checks We discussed who would be required to have a valid qualification letter on file. You stated that you have a child that attends college and does not reside in your home; however, your child may spend one- or two-nights during breaks from college such as spring break, or holiday breaks. You stated that your child resides with his maternal grandparents and the address on your child’s Driver’s License was not your current physical address. Based on today's review you have the following points: Program Standards - 2 points Staff Education – 6 points Quality Point - 1 point For a total of nine (9) points for a three (3) star rated license. Reminders: The rated license will be mailed to you from our Raleigh office. Please post the license in a prominent place when it is received. Your annual compliance visit will be conducted prior to September 23, 2025. Your compliance history prior to today’s visit was 92%. Before your annual compliance visit is due, please complete the Health and Safety Training Log and On-Going Training Log and attach training certificates. You will need to complete an Annual Professional Development Plan and place on file for review. These forms can be found under the provider tab, then provider documents and forms tab at www.ncchildcare.ncdhhs.gov. If you decide to have the Environment Rating Scale completed in the future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Third Edition can be obtained on this website. NCRLAP also offers Webinar trainings. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. You must complete the Emergency Preparedness and Response (EPR) training no later than September 23, 2025. Please review the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You must complete the required Health and Safety Trainings by September 23, 2025, and have training documentation on file for review to be in compliance with the following child care requirements. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Faran Rhyne, Child Care Consultant, after the temporary license time period has ended. You can contact Ms. Rhyne at 704-594-0003 or at farran.m.rhyne@dhhs.nc.gov. I will email you once your file has been transferred to Ms. Rhyne. Thank you for your time and assistance today. You can reach me at 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1714 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 3/11/2025 Number Present: 4 Completed Date: 3/11/2025 Age: From 1 To 2 Total Minutes: 205 Time In: 11:30 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time visit and to confirm your rated license points. You, Ruby Thurman Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include Daytime care only; Maximum of five preschool children at any time; Children must play in fenced in area only; Trampoline may not be used by children in care; and Fireplace/woodstove not used during operating hours. The Secretary of State website was checked prior to the visit, and your business, Precious Rubies, was not and you remain a sole proprietor. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces used for child care were monitored. The last monthly fire drill was completed on February 4, 2025, at 9:45am. The last monthly outdoor inspection was completed on February 4, 2025. You currently have five children enrolled. Five children’s files were reviewed during the visit. Your file was reviewed during the visit. I received your application to apply for a star-rated license on November 21, 2024. You requested to have the Environment Rating Scale (ERS) Assessment completed. The ERS was ordered on December 2, 2024. You stated that the assessors have attempted to conduct the assessment two times and you have requested to withdraw your ERS application and have your star rated license evaluated based on your education, completion of the three-month self-assessment for program standards, and one quality point. I told you that programs with less than a three-star license will not be able to receive subsidy funding. The following violations were observed and corrected during the visit. Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One (1) child with an enrollment date of January 7, 2025, did not have a health assessment on file. One (1) child with an enrollment date of February 1, 2025, did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement that a copy of the discipline policy was given to and discussed with the parent/guardian was not on file for one (1) child with an enrollment date of February 1, 2025. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed statement regarding receipt of the Summary of the NC Child Care Law was not on file for one (1) child with an enrollment date of February 1, 2025. GS 110-102 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. A signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy was not on file for one (1) child with an enrollment date of February 1, 2025. .1726(b)(1-6) Technical Assistance was provided on the following: Children’s Medical Assessments We discussed that children must have a medical assessment on file within thirty days of enrollment. I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and send weekly reminders to parents until the health assessment is received. You corrected this violation by contacting the parents of the two children that did not have a medical assessment on file and requesting they email you a copy of the most recent medical assessment. Both medical assessments were provided to you and you placed a copy in the child’s file. Policies Acknowledgements-Summary of the Law, Discipline, Shaken Baby I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and policies that must be acknowledged and maintained in the child’s file. I further suggested that you review all policies with parents prior to the child’s first day of attendance and have them acknowledge the receipt and maintain a copy in the child’s file. You corrected this violation by requesting the parent return to your facility and sign the acknowledgement form for the receipt of the North Carolina Summary of Child Care Laws, Discipline Policy, and Prevention of Shaken Baby and Head Trauma Policy that was provided to the parent and reviewed during the enrollment process. The parent arrived and signed the acknowledgement that the policies were reviewed with them when they enrolled their child. Consultation was provided on the following: Criminal Background Checks We discussed who would be required to have a valid qualification letter on file. You stated that you have a child that attends college and does not reside in your home; however, your child may spend one- or two-nights during breaks from college such as spring break, or holiday breaks. You stated that your child resides with his maternal grandparents and the address on your child’s Driver’s License was not your current physical address. Based on today's review you have the following points: Program Standards - 2 points Staff Education – 6 points Quality Point - 1 point For a total of nine (9) points for a three (3) star rated license. Reminders: The rated license will be mailed to you from our Raleigh office. Please post the license in a prominent place when it is received. Your annual compliance visit will be conducted prior to September 23, 2025. Your compliance history prior to today’s visit was 92%. Before your annual compliance visit is due, please complete the Health and Safety Training Log and On-Going Training Log and attach training certificates. You will need to complete an Annual Professional Development Plan and place on file for review. These forms can be found under the provider tab, then provider documents and forms tab at www.ncchildcare.ncdhhs.gov. If you decide to have the Environment Rating Scale completed in the future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Third Edition can be obtained on this website. NCRLAP also offers Webinar trainings. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. You must complete the Emergency Preparedness and Response (EPR) training no later than September 23, 2025. Please review the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You must complete the required Health and Safety Trainings by September 23, 2025, and have training documentation on file for review to be in compliance with the following child care requirements. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Faran Rhyne, Child Care Consultant, after the temporary license time period has ended. You can contact Ms. Rhyne at 704-594-0003 or at farran.m.rhyne@dhhs.nc.gov. I will email you once your file has been transferred to Ms. Rhyne. Thank you for your time and assistance today. You can reach me at 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.1721 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 3/11/2025 Number Present: 4 Completed Date: 3/11/2025 Age: From 1 To 2 Total Minutes: 205 Time In: 11:30 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time visit and to confirm your rated license points. You, Ruby Thurman Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include Daytime care only; Maximum of five preschool children at any time; Children must play in fenced in area only; Trampoline may not be used by children in care; and Fireplace/woodstove not used during operating hours. The Secretary of State website was checked prior to the visit, and your business, Precious Rubies, was not and you remain a sole proprietor. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces used for child care were monitored. The last monthly fire drill was completed on February 4, 2025, at 9:45am. The last monthly outdoor inspection was completed on February 4, 2025. You currently have five children enrolled. Five children’s files were reviewed during the visit. Your file was reviewed during the visit. I received your application to apply for a star-rated license on November 21, 2024. You requested to have the Environment Rating Scale (ERS) Assessment completed. The ERS was ordered on December 2, 2024. You stated that the assessors have attempted to conduct the assessment two times and you have requested to withdraw your ERS application and have your star rated license evaluated based on your education, completion of the three-month self-assessment for program standards, and one quality point. I told you that programs with less than a three-star license will not be able to receive subsidy funding. The following violations were observed and corrected during the visit. Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One (1) child with an enrollment date of January 7, 2025, did not have a health assessment on file. One (1) child with an enrollment date of February 1, 2025, did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement that a copy of the discipline policy was given to and discussed with the parent/guardian was not on file for one (1) child with an enrollment date of February 1, 2025. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed statement regarding receipt of the Summary of the NC Child Care Law was not on file for one (1) child with an enrollment date of February 1, 2025. GS 110-102 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. A signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy was not on file for one (1) child with an enrollment date of February 1, 2025. .1726(b)(1-6) Technical Assistance was provided on the following: Children’s Medical Assessments We discussed that children must have a medical assessment on file within thirty days of enrollment. I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and send weekly reminders to parents until the health assessment is received. You corrected this violation by contacting the parents of the two children that did not have a medical assessment on file and requesting they email you a copy of the most recent medical assessment. Both medical assessments were provided to you and you placed a copy in the child’s file. Policies Acknowledgements-Summary of the Law, Discipline, Shaken Baby I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and policies that must be acknowledged and maintained in the child’s file. I further suggested that you review all policies with parents prior to the child’s first day of attendance and have them acknowledge the receipt and maintain a copy in the child’s file. You corrected this violation by requesting the parent return to your facility and sign the acknowledgement form for the receipt of the North Carolina Summary of Child Care Laws, Discipline Policy, and Prevention of Shaken Baby and Head Trauma Policy that was provided to the parent and reviewed during the enrollment process. The parent arrived and signed the acknowledgement that the policies were reviewed with them when they enrolled their child. Consultation was provided on the following: Criminal Background Checks We discussed who would be required to have a valid qualification letter on file. You stated that you have a child that attends college and does not reside in your home; however, your child may spend one- or two-nights during breaks from college such as spring break, or holiday breaks. You stated that your child resides with his maternal grandparents and the address on your child’s Driver’s License was not your current physical address. Based on today's review you have the following points: Program Standards - 2 points Staff Education – 6 points Quality Point - 1 point For a total of nine (9) points for a three (3) star rated license. Reminders: The rated license will be mailed to you from our Raleigh office. Please post the license in a prominent place when it is received. Your annual compliance visit will be conducted prior to September 23, 2025. Your compliance history prior to today’s visit was 92%. Before your annual compliance visit is due, please complete the Health and Safety Training Log and On-Going Training Log and attach training certificates. You will need to complete an Annual Professional Development Plan and place on file for review. These forms can be found under the provider tab, then provider documents and forms tab at www.ncchildcare.ncdhhs.gov. If you decide to have the Environment Rating Scale completed in the future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Third Edition can be obtained on this website. NCRLAP also offers Webinar trainings. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. You must complete the Emergency Preparedness and Response (EPR) training no later than September 23, 2025. Please review the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You must complete the required Health and Safety Trainings by September 23, 2025, and have training documentation on file for review to be in compliance with the following child care requirements. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Faran Rhyne, Child Care Consultant, after the temporary license time period has ended. You can contact Ms. Rhyne at 704-594-0003 or at farran.m.rhyne@dhhs.nc.gov. I will email you once your file has been transferred to Ms. Rhyne. Thank you for your time and assistance today. You can reach me at 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 3/11/2025 Number Present: 4 Completed Date: 3/11/2025 Age: From 1 To 2 Total Minutes: 205 Time In: 11:30 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time visit and to confirm your rated license points. You, Ruby Thurman Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include Daytime care only; Maximum of five preschool children at any time; Children must play in fenced in area only; Trampoline may not be used by children in care; and Fireplace/woodstove not used during operating hours. The Secretary of State website was checked prior to the visit, and your business, Precious Rubies, was not and you remain a sole proprietor. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces used for child care were monitored. The last monthly fire drill was completed on February 4, 2025, at 9:45am. The last monthly outdoor inspection was completed on February 4, 2025. You currently have five children enrolled. Five children’s files were reviewed during the visit. Your file was reviewed during the visit. I received your application to apply for a star-rated license on November 21, 2024. You requested to have the Environment Rating Scale (ERS) Assessment completed. The ERS was ordered on December 2, 2024. You stated that the assessors have attempted to conduct the assessment two times and you have requested to withdraw your ERS application and have your star rated license evaluated based on your education, completion of the three-month self-assessment for program standards, and one quality point. I told you that programs with less than a three-star license will not be able to receive subsidy funding. The following violations were observed and corrected during the visit. Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One (1) child with an enrollment date of January 7, 2025, did not have a health assessment on file. One (1) child with an enrollment date of February 1, 2025, did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement that a copy of the discipline policy was given to and discussed with the parent/guardian was not on file for one (1) child with an enrollment date of February 1, 2025. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed statement regarding receipt of the Summary of the NC Child Care Law was not on file for one (1) child with an enrollment date of February 1, 2025. GS 110-102 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. A signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy was not on file for one (1) child with an enrollment date of February 1, 2025. .1726(b)(1-6) Technical Assistance was provided on the following: Children’s Medical Assessments We discussed that children must have a medical assessment on file within thirty days of enrollment. I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and send weekly reminders to parents until the health assessment is received. You corrected this violation by contacting the parents of the two children that did not have a medical assessment on file and requesting they email you a copy of the most recent medical assessment. Both medical assessments were provided to you and you placed a copy in the child’s file. Policies Acknowledgements-Summary of the Law, Discipline, Shaken Baby I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and policies that must be acknowledged and maintained in the child’s file. I further suggested that you review all policies with parents prior to the child’s first day of attendance and have them acknowledge the receipt and maintain a copy in the child’s file. You corrected this violation by requesting the parent return to your facility and sign the acknowledgement form for the receipt of the North Carolina Summary of Child Care Laws, Discipline Policy, and Prevention of Shaken Baby and Head Trauma Policy that was provided to the parent and reviewed during the enrollment process. The parent arrived and signed the acknowledgement that the policies were reviewed with them when they enrolled their child. Consultation was provided on the following: Criminal Background Checks We discussed who would be required to have a valid qualification letter on file. You stated that you have a child that attends college and does not reside in your home; however, your child may spend one- or two-nights during breaks from college such as spring break, or holiday breaks. You stated that your child resides with his maternal grandparents and the address on your child’s Driver’s License was not your current physical address. Based on today's review you have the following points: Program Standards - 2 points Staff Education – 6 points Quality Point - 1 point For a total of nine (9) points for a three (3) star rated license. Reminders: The rated license will be mailed to you from our Raleigh office. Please post the license in a prominent place when it is received. Your annual compliance visit will be conducted prior to September 23, 2025. Your compliance history prior to today’s visit was 92%. Before your annual compliance visit is due, please complete the Health and Safety Training Log and On-Going Training Log and attach training certificates. You will need to complete an Annual Professional Development Plan and place on file for review. These forms can be found under the provider tab, then provider documents and forms tab at www.ncchildcare.ncdhhs.gov. If you decide to have the Environment Rating Scale completed in the future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Third Edition can be obtained on this website. NCRLAP also offers Webinar trainings. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. You must complete the Emergency Preparedness and Response (EPR) training no later than September 23, 2025. Please review the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You must complete the required Health and Safety Trainings by September 23, 2025, and have training documentation on file for review to be in compliance with the following child care requirements. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Faran Rhyne, Child Care Consultant, after the temporary license time period has ended. You can contact Ms. Rhyne at 704-594-0003 or at farran.m.rhyne@dhhs.nc.gov. I will email you once your file has been transferred to Ms. Rhyne. Thank you for your time and assistance today. You can reach me at 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 3/11/2025 Number Present: 4 Completed Date: 3/11/2025 Age: From 1 To 2 Total Minutes: 205 Time In: 11:30 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time visit and to confirm your rated license points. You, Ruby Thurman Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include Daytime care only; Maximum of five preschool children at any time; Children must play in fenced in area only; Trampoline may not be used by children in care; and Fireplace/woodstove not used during operating hours. The Secretary of State website was checked prior to the visit, and your business, Precious Rubies, was not and you remain a sole proprietor. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces used for child care were monitored. The last monthly fire drill was completed on February 4, 2025, at 9:45am. The last monthly outdoor inspection was completed on February 4, 2025. You currently have five children enrolled. Five children’s files were reviewed during the visit. Your file was reviewed during the visit. I received your application to apply for a star-rated license on November 21, 2024. You requested to have the Environment Rating Scale (ERS) Assessment completed. The ERS was ordered on December 2, 2024. You stated that the assessors have attempted to conduct the assessment two times and you have requested to withdraw your ERS application and have your star rated license evaluated based on your education, completion of the three-month self-assessment for program standards, and one quality point. I told you that programs with less than a three-star license will not be able to receive subsidy funding. The following violations were observed and corrected during the visit. Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One (1) child with an enrollment date of January 7, 2025, did not have a health assessment on file. One (1) child with an enrollment date of February 1, 2025, did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement that a copy of the discipline policy was given to and discussed with the parent/guardian was not on file for one (1) child with an enrollment date of February 1, 2025. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed statement regarding receipt of the Summary of the NC Child Care Law was not on file for one (1) child with an enrollment date of February 1, 2025. GS 110-102 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. A signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy was not on file for one (1) child with an enrollment date of February 1, 2025. .1726(b)(1-6) Technical Assistance was provided on the following: Children’s Medical Assessments We discussed that children must have a medical assessment on file within thirty days of enrollment. I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and send weekly reminders to parents until the health assessment is received. You corrected this violation by contacting the parents of the two children that did not have a medical assessment on file and requesting they email you a copy of the most recent medical assessment. Both medical assessments were provided to you and you placed a copy in the child’s file. Policies Acknowledgements-Summary of the Law, Discipline, Shaken Baby I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and policies that must be acknowledged and maintained in the child’s file. I further suggested that you review all policies with parents prior to the child’s first day of attendance and have them acknowledge the receipt and maintain a copy in the child’s file. You corrected this violation by requesting the parent return to your facility and sign the acknowledgement form for the receipt of the North Carolina Summary of Child Care Laws, Discipline Policy, and Prevention of Shaken Baby and Head Trauma Policy that was provided to the parent and reviewed during the enrollment process. The parent arrived and signed the acknowledgement that the policies were reviewed with them when they enrolled their child. Consultation was provided on the following: Criminal Background Checks We discussed who would be required to have a valid qualification letter on file. You stated that you have a child that attends college and does not reside in your home; however, your child may spend one- or two-nights during breaks from college such as spring break, or holiday breaks. You stated that your child resides with his maternal grandparents and the address on your child’s Driver’s License was not your current physical address. Based on today's review you have the following points: Program Standards - 2 points Staff Education – 6 points Quality Point - 1 point For a total of nine (9) points for a three (3) star rated license. Reminders: The rated license will be mailed to you from our Raleigh office. Please post the license in a prominent place when it is received. Your annual compliance visit will be conducted prior to September 23, 2025. Your compliance history prior to today’s visit was 92%. Before your annual compliance visit is due, please complete the Health and Safety Training Log and On-Going Training Log and attach training certificates. You will need to complete an Annual Professional Development Plan and place on file for review. These forms can be found under the provider tab, then provider documents and forms tab at www.ncchildcare.ncdhhs.gov. If you decide to have the Environment Rating Scale completed in the future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Third Edition can be obtained on this website. NCRLAP also offers Webinar trainings. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. You must complete the Emergency Preparedness and Response (EPR) training no later than September 23, 2025. Please review the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You must complete the required Health and Safety Trainings by September 23, 2025, and have training documentation on file for review to be in compliance with the following child care requirements. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Faran Rhyne, Child Care Consultant, after the temporary license time period has ended. You can contact Ms. Rhyne at 704-594-0003 or at farran.m.rhyne@dhhs.nc.gov. I will email you once your file has been transferred to Ms. Rhyne. Thank you for your time and assistance today. You can reach me at 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673. 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: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 3/11/2025 Number Present: 4 Completed Date: 3/11/2025 Age: From 1 To 2 Total Minutes: 205 Time In: 11:30 AM Time Out: 02:55 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the second temporary time visit and to confirm your rated license points. You, Ruby Thurman Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include Daytime care only; Maximum of five preschool children at any time; Children must play in fenced in area only; Trampoline may not be used by children in care; and Fireplace/woodstove not used during operating hours. The Secretary of State website was checked prior to the visit, and your business, Precious Rubies, was not and you remain a sole proprietor. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces used for child care were monitored. The last monthly fire drill was completed on February 4, 2025, at 9:45am. The last monthly outdoor inspection was completed on February 4, 2025. You currently have five children enrolled. Five children’s files were reviewed during the visit. Your file was reviewed during the visit. I received your application to apply for a star-rated license on November 21, 2024. You requested to have the Environment Rating Scale (ERS) Assessment completed. The ERS was ordered on December 2, 2024. You stated that the assessors have attempted to conduct the assessment two times and you have requested to withdraw your ERS application and have your star rated license evaluated based on your education, completion of the three-month self-assessment for program standards, and one quality point. I told you that programs with less than a three-star license will not be able to receive subsidy funding. The following violations were observed and corrected during the visit. Violation Number Comment Rule 910 Copy of each child's health assessment, including the operator's own preschool child(ren), was not on file within 30 days of enrollment. One (1) child with an enrollment date of January 7, 2025, did not have a health assessment on file. One (1) child with an enrollment date of February 1, 2025, did not have a health assessment on file. GS 110-91(1); 10A NCAC 09.1721(a)(1) 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. A signed and dated statement that a copy of the discipline policy was given to and discussed with the parent/guardian was not on file for one (1) child with an enrollment date of February 1, 2025. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. A signed statement regarding receipt of the Summary of the NC Child Care Law was not on file for one (1) child with an enrollment date of February 1, 2025. GS 110-102 2032 The signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy did not contain the required information. A signed statement regarding receipt of the shaken baby syndrome and abusive head trauma policy was not on file for one (1) child with an enrollment date of February 1, 2025. .1726(b)(1-6) Technical Assistance was provided on the following: Children’s Medical Assessments We discussed that children must have a medical assessment on file within thirty days of enrollment. I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and send weekly reminders to parents until the health assessment is received. You corrected this violation by contacting the parents of the two children that did not have a medical assessment on file and requesting they email you a copy of the most recent medical assessment. Both medical assessments were provided to you and you placed a copy in the child’s file. Policies Acknowledgements-Summary of the Law, Discipline, Shaken Baby I suggested that you use the Children’s File Checklist as a tool for time sensitive requirements and policies that must be acknowledged and maintained in the child’s file. I further suggested that you review all policies with parents prior to the child’s first day of attendance and have them acknowledge the receipt and maintain a copy in the child’s file. You corrected this violation by requesting the parent return to your facility and sign the acknowledgement form for the receipt of the North Carolina Summary of Child Care Laws, Discipline Policy, and Prevention of Shaken Baby and Head Trauma Policy that was provided to the parent and reviewed during the enrollment process. The parent arrived and signed the acknowledgement that the policies were reviewed with them when they enrolled their child. Consultation was provided on the following: Criminal Background Checks We discussed who would be required to have a valid qualification letter on file. You stated that you have a child that attends college and does not reside in your home; however, your child may spend one- or two-nights during breaks from college such as spring break, or holiday breaks. You stated that your child resides with his maternal grandparents and the address on your child’s Driver’s License was not your current physical address. Based on today's review you have the following points: Program Standards - 2 points Staff Education – 6 points Quality Point - 1 point For a total of nine (9) points for a three (3) star rated license. Reminders: The rated license will be mailed to you from our Raleigh office. Please post the license in a prominent place when it is received. Your annual compliance visit will be conducted prior to September 23, 2025. Your compliance history prior to today’s visit was 92%. Before your annual compliance visit is due, please complete the Health and Safety Training Log and On-Going Training Log and attach training certificates. You will need to complete an Annual Professional Development Plan and place on file for review. These forms can be found under the provider tab, then provider documents and forms tab at www.ncchildcare.ncdhhs.gov. If you decide to have the Environment Rating Scale completed in the future, I recommended that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Third Edition can be obtained on this website. NCRLAP also offers Webinar trainings. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. You must complete the Emergency Preparedness and Response (EPR) training no later than September 23, 2025. Please review the following information regarding the Emergency Preparedness and Response Plan to ensure that you are in compliance with this requirement. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. You must complete the required Health and Safety Trainings by September 23, 2025, and have training documentation on file for review to be in compliance with the following child care requirements. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Your file will be transferred to Faran Rhyne, Child Care Consultant, after the temporary license time period has ended. You can contact Ms. Rhyne at 704-594-0003 or at farran.m.rhyne@dhhs.nc.gov. I will email you once your file has been transferred to Ms. Rhyne. Thank you for your time and assistance today. You can reach me at 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 11/21/2024 Number Present: 3 Completed Date: 11/21/2024 Age: From 1 To 3 Total Minutes: 260 Time In: 11:16 AM Time Out: 03:36 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Ruby Thurman-Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include daytime care only, maximum of 5 preschool children at any time, children must play in fenced in area only, Trampoline may not be used by children in care, and fireplace/woodstove mot used during operating hours. The Secretary of State website was checked on November 21, 2024, and your business Precious Rubies is not listed, and you remain to be a Sole Proprietor business. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces for child care were monitored. The last monthly fire drill was completed on November 20, 2024, at 10:30 am. The last monthly outdoor inspection was completed on October 4, 2024. The first child enrolled in your program on September 25, 2024. Children’s files and your file were reviewed. Children were observed during free play, transition time, lunch, and nap/rest. You do not provide transportation. You completed the lead water test on June 1, 2024. I discussed the two-component rated license process with you. You said that you want to apply for the rated license, and you do want to have the Environment Rating Scale Assessment completed. We discussed quality point options and Self Study ideas. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete during the visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. We reviewed and discussed Education Standards, Program Standards and Quality point options. We discussed your education evaluation results in your WORKS account. You have not completed additional coursework since the last education evaluation was completed. An extension of time is not given, and your rated license points will be processed with the current points you have earned prior to the temporary license expiring. The following violations were cited today. Violation Number Comment Rule 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed parent acknowledgement on file regarding receipt of the discipline policy. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed statement from the parent on file regarding receipt of the Summary of the NC Child Care Law. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Four (4) children enrolled, did not have a copy of the written plan of care on file for review. .1712(e )(6) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. One (1) child, three years of age, with an enrollment date of November 21, 2024, and in attendance did not have an application on file for review. The application was not signed by the parent for one (1) child, one (1) year of age, with an enrollment date of November 12, 2024. .1721(a)(3) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two (2) packages of Pampers Baby Wipes, one (1) package of Huggies Baby Wipes, and one (1) package of Fisher Price Baby Wipes were stored in the child's cubbies, less than five feet from the floor surface and accessible to two (1) children, one year of age. The packages listed the following warnings-to avoid danger of suffocation, keep this plastic bag away from babies and children. Do not place in cribs, beds, carriages, or playpens. .1719(a)(18) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed acknowledgement by the parent on file regarding the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) Technical assistance was provided on the following: Children’s Application/Medical Information We discussed that each child must have a completed application on file with all required information documented on the form, including the name and phone number of the child’s physician. If the child does not have a physician, request the parent to document who they would use for medical care such as a county health department or urgent care facility. I suggested that you have parents complete the child’s application prior to the child’s first day of attendance to ensure that you have emergency contact information on file. Conduct enrollment interviews and assist parents with forms to be completed and have them leave the completed forms with you. Policy Reviews/Acknowledgements I suggested that you the Children’s File Checklist as a guide and a reminder for the policies that must be reviewed with parents and an acknowledgement on file on or by the child’s first day of attendance. We discussed creating and implementing an acknowledgement page for parents to sign as you review your operational policies, Summary of the NC Law, Discipline Policy, and shaken baby syndrome and abusive head trauma policy. Written Plan of Care You must review your Written Plan of Care with the parent(s) of all children enrolled or enrolling into your program. I suggested that you make copies of the Written Plan of Care and review it with parents during enrollment and retain the plan as soon as the parent signs it. Plastic Packaging I suggested that you purchase a hard plastic pencil boxes to store baby wipes in or store the baby wipes in the plastic packaging on a shelf at least five feet from the floor surface. Consultation was provided on the following: As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance is provided to assist the child care provider in achieving compliance with child care rule .1715(a) regarding operational policies. You stated your plan is to review all policies with parents during the enrollment process and obtain signatures prior to the child’s first day of attendance. We discussed health care needs and the questions listed on the child application form. Explain to parents during enrollment what a health care need means. We discussed options for completing the three-month self-assessment and I provided resources to you. If you choose to complete the Self Study then you must document information and progress for the months of November, December 2024, and January 2025. You will need to submit your three-month self-assessment to me no later than February 22, 2025. You have decided to have the Environment Rating Scale Assessment completed, and to allow enough time for the assessment to be requested, completed and score received prior to your temporary license expiring, the assessment will be ordered tomorrow, November 22, 2024. I requested that you apply for the position of family child care home operator in your DCDEE Works account. I suggested that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I would recommend that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the children’s transition from playing, preparing for lunch, and being served lunch. Handwashing before and after handling food and handwashing for children before and after eating. Reminders: You completed Recognizing and Responding to Suspicions of Child Maltreatment training on October 25, 2020. You must complete the Emergency Preparedness and Response Training by September 23, 2025. You must complete your Emergency Preparedness and Response Plan within four months from the date you complete the EPR Training. Place a hard copy of your EPR Plan on file for review with your Ready to Go file. Then you will begin completing and documenting Emergency Drills. You must complete Health and Safety Training prior to September 23, 2025, to be in compliance with the following child care requirements. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. The next visit will be an unannounced visit to monitor applicable child care requirements and confirm the rated license points earned. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by December 5, 2024. 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or 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 .1714 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 11/21/2024 Number Present: 3 Completed Date: 11/21/2024 Age: From 1 To 3 Total Minutes: 260 Time In: 11:16 AM Time Out: 03:36 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Ruby Thurman-Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include daytime care only, maximum of 5 preschool children at any time, children must play in fenced in area only, Trampoline may not be used by children in care, and fireplace/woodstove mot used during operating hours. The Secretary of State website was checked on November 21, 2024, and your business Precious Rubies is not listed, and you remain to be a Sole Proprietor business. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces for child care were monitored. The last monthly fire drill was completed on November 20, 2024, at 10:30 am. The last monthly outdoor inspection was completed on October 4, 2024. The first child enrolled in your program on September 25, 2024. Children’s files and your file were reviewed. Children were observed during free play, transition time, lunch, and nap/rest. You do not provide transportation. You completed the lead water test on June 1, 2024. I discussed the two-component rated license process with you. You said that you want to apply for the rated license, and you do want to have the Environment Rating Scale Assessment completed. We discussed quality point options and Self Study ideas. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete during the visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. We reviewed and discussed Education Standards, Program Standards and Quality point options. We discussed your education evaluation results in your WORKS account. You have not completed additional coursework since the last education evaluation was completed. An extension of time is not given, and your rated license points will be processed with the current points you have earned prior to the temporary license expiring. The following violations were cited today. Violation Number Comment Rule 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed parent acknowledgement on file regarding receipt of the discipline policy. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed statement from the parent on file regarding receipt of the Summary of the NC Child Care Law. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Four (4) children enrolled, did not have a copy of the written plan of care on file for review. .1712(e )(6) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. One (1) child, three years of age, with an enrollment date of November 21, 2024, and in attendance did not have an application on file for review. The application was not signed by the parent for one (1) child, one (1) year of age, with an enrollment date of November 12, 2024. .1721(a)(3) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two (2) packages of Pampers Baby Wipes, one (1) package of Huggies Baby Wipes, and one (1) package of Fisher Price Baby Wipes were stored in the child's cubbies, less than five feet from the floor surface and accessible to two (1) children, one year of age. The packages listed the following warnings-to avoid danger of suffocation, keep this plastic bag away from babies and children. Do not place in cribs, beds, carriages, or playpens. .1719(a)(18) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed acknowledgement by the parent on file regarding the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) Technical assistance was provided on the following: Children’s Application/Medical Information We discussed that each child must have a completed application on file with all required information documented on the form, including the name and phone number of the child’s physician. If the child does not have a physician, request the parent to document who they would use for medical care such as a county health department or urgent care facility. I suggested that you have parents complete the child’s application prior to the child’s first day of attendance to ensure that you have emergency contact information on file. Conduct enrollment interviews and assist parents with forms to be completed and have them leave the completed forms with you. Policy Reviews/Acknowledgements I suggested that you the Children’s File Checklist as a guide and a reminder for the policies that must be reviewed with parents and an acknowledgement on file on or by the child’s first day of attendance. We discussed creating and implementing an acknowledgement page for parents to sign as you review your operational policies, Summary of the NC Law, Discipline Policy, and shaken baby syndrome and abusive head trauma policy. Written Plan of Care You must review your Written Plan of Care with the parent(s) of all children enrolled or enrolling into your program. I suggested that you make copies of the Written Plan of Care and review it with parents during enrollment and retain the plan as soon as the parent signs it. Plastic Packaging I suggested that you purchase a hard plastic pencil boxes to store baby wipes in or store the baby wipes in the plastic packaging on a shelf at least five feet from the floor surface. Consultation was provided on the following: As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance is provided to assist the child care provider in achieving compliance with child care rule .1715(a) regarding operational policies. You stated your plan is to review all policies with parents during the enrollment process and obtain signatures prior to the child’s first day of attendance. We discussed health care needs and the questions listed on the child application form. Explain to parents during enrollment what a health care need means. We discussed options for completing the three-month self-assessment and I provided resources to you. If you choose to complete the Self Study then you must document information and progress for the months of November, December 2024, and January 2025. You will need to submit your three-month self-assessment to me no later than February 22, 2025. You have decided to have the Environment Rating Scale Assessment completed, and to allow enough time for the assessment to be requested, completed and score received prior to your temporary license expiring, the assessment will be ordered tomorrow, November 22, 2024. I requested that you apply for the position of family child care home operator in your DCDEE Works account. I suggested that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I would recommend that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the children’s transition from playing, preparing for lunch, and being served lunch. Handwashing before and after handling food and handwashing for children before and after eating. Reminders: You completed Recognizing and Responding to Suspicions of Child Maltreatment training on October 25, 2020. You must complete the Emergency Preparedness and Response Training by September 23, 2025. You must complete your Emergency Preparedness and Response Plan within four months from the date you complete the EPR Training. Place a hard copy of your EPR Plan on file for review with your Ready to Go file. Then you will begin completing and documenting Emergency Drills. You must complete Health and Safety Training prior to September 23, 2025, to be in compliance with the following child care requirements. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. The next visit will be an unannounced visit to monitor applicable child care requirements and confirm the rated license points earned. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by December 5, 2024. 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or 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: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 11/21/2024 Number Present: 3 Completed Date: 11/21/2024 Age: From 1 To 3 Total Minutes: 260 Time In: 11:16 AM Time Out: 03:36 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Ruby Thurman-Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include daytime care only, maximum of 5 preschool children at any time, children must play in fenced in area only, Trampoline may not be used by children in care, and fireplace/woodstove mot used during operating hours. The Secretary of State website was checked on November 21, 2024, and your business Precious Rubies is not listed, and you remain to be a Sole Proprietor business. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces for child care were monitored. The last monthly fire drill was completed on November 20, 2024, at 10:30 am. The last monthly outdoor inspection was completed on October 4, 2024. The first child enrolled in your program on September 25, 2024. Children’s files and your file were reviewed. Children were observed during free play, transition time, lunch, and nap/rest. You do not provide transportation. You completed the lead water test on June 1, 2024. I discussed the two-component rated license process with you. You said that you want to apply for the rated license, and you do want to have the Environment Rating Scale Assessment completed. We discussed quality point options and Self Study ideas. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete during the visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. We reviewed and discussed Education Standards, Program Standards and Quality point options. We discussed your education evaluation results in your WORKS account. You have not completed additional coursework since the last education evaluation was completed. An extension of time is not given, and your rated license points will be processed with the current points you have earned prior to the temporary license expiring. The following violations were cited today. Violation Number Comment Rule 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed parent acknowledgement on file regarding receipt of the discipline policy. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed statement from the parent on file regarding receipt of the Summary of the NC Child Care Law. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Four (4) children enrolled, did not have a copy of the written plan of care on file for review. .1712(e )(6) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. One (1) child, three years of age, with an enrollment date of November 21, 2024, and in attendance did not have an application on file for review. The application was not signed by the parent for one (1) child, one (1) year of age, with an enrollment date of November 12, 2024. .1721(a)(3) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two (2) packages of Pampers Baby Wipes, one (1) package of Huggies Baby Wipes, and one (1) package of Fisher Price Baby Wipes were stored in the child's cubbies, less than five feet from the floor surface and accessible to two (1) children, one year of age. The packages listed the following warnings-to avoid danger of suffocation, keep this plastic bag away from babies and children. Do not place in cribs, beds, carriages, or playpens. .1719(a)(18) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed acknowledgement by the parent on file regarding the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) Technical assistance was provided on the following: Children’s Application/Medical Information We discussed that each child must have a completed application on file with all required information documented on the form, including the name and phone number of the child’s physician. If the child does not have a physician, request the parent to document who they would use for medical care such as a county health department or urgent care facility. I suggested that you have parents complete the child’s application prior to the child’s first day of attendance to ensure that you have emergency contact information on file. Conduct enrollment interviews and assist parents with forms to be completed and have them leave the completed forms with you. Policy Reviews/Acknowledgements I suggested that you the Children’s File Checklist as a guide and a reminder for the policies that must be reviewed with parents and an acknowledgement on file on or by the child’s first day of attendance. We discussed creating and implementing an acknowledgement page for parents to sign as you review your operational policies, Summary of the NC Law, Discipline Policy, and shaken baby syndrome and abusive head trauma policy. Written Plan of Care You must review your Written Plan of Care with the parent(s) of all children enrolled or enrolling into your program. I suggested that you make copies of the Written Plan of Care and review it with parents during enrollment and retain the plan as soon as the parent signs it. Plastic Packaging I suggested that you purchase a hard plastic pencil boxes to store baby wipes in or store the baby wipes in the plastic packaging on a shelf at least five feet from the floor surface. Consultation was provided on the following: As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance is provided to assist the child care provider in achieving compliance with child care rule .1715(a) regarding operational policies. You stated your plan is to review all policies with parents during the enrollment process and obtain signatures prior to the child’s first day of attendance. We discussed health care needs and the questions listed on the child application form. Explain to parents during enrollment what a health care need means. We discussed options for completing the three-month self-assessment and I provided resources to you. If you choose to complete the Self Study then you must document information and progress for the months of November, December 2024, and January 2025. You will need to submit your three-month self-assessment to me no later than February 22, 2025. You have decided to have the Environment Rating Scale Assessment completed, and to allow enough time for the assessment to be requested, completed and score received prior to your temporary license expiring, the assessment will be ordered tomorrow, November 22, 2024. I requested that you apply for the position of family child care home operator in your DCDEE Works account. I suggested that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I would recommend that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the children’s transition from playing, preparing for lunch, and being served lunch. Handwashing before and after handling food and handwashing for children before and after eating. Reminders: You completed Recognizing and Responding to Suspicions of Child Maltreatment training on October 25, 2020. You must complete the Emergency Preparedness and Response Training by September 23, 2025. You must complete your Emergency Preparedness and Response Plan within four months from the date you complete the EPR Training. Place a hard copy of your EPR Plan on file for review with your Ready to Go file. Then you will begin completing and documenting Emergency Drills. You must complete Health and Safety Training prior to September 23, 2025, to be in compliance with the following child care requirements. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. The next visit will be an unannounced visit to monitor applicable child care requirements and confirm the rated license points earned. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by December 5, 2024. 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or 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

G.S.110-91 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 11/21/2024 Number Present: 3 Completed Date: 11/21/2024 Age: From 1 To 3 Total Minutes: 260 Time In: 11:16 AM Time Out: 03:36 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Ruby Thurman-Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include daytime care only, maximum of 5 preschool children at any time, children must play in fenced in area only, Trampoline may not be used by children in care, and fireplace/woodstove mot used during operating hours. The Secretary of State website was checked on November 21, 2024, and your business Precious Rubies is not listed, and you remain to be a Sole Proprietor business. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces for child care were monitored. The last monthly fire drill was completed on November 20, 2024, at 10:30 am. The last monthly outdoor inspection was completed on October 4, 2024. The first child enrolled in your program on September 25, 2024. Children’s files and your file were reviewed. Children were observed during free play, transition time, lunch, and nap/rest. You do not provide transportation. You completed the lead water test on June 1, 2024. I discussed the two-component rated license process with you. You said that you want to apply for the rated license, and you do want to have the Environment Rating Scale Assessment completed. We discussed quality point options and Self Study ideas. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete during the visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. We reviewed and discussed Education Standards, Program Standards and Quality point options. We discussed your education evaluation results in your WORKS account. You have not completed additional coursework since the last education evaluation was completed. An extension of time is not given, and your rated license points will be processed with the current points you have earned prior to the temporary license expiring. The following violations were cited today. Violation Number Comment Rule 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed parent acknowledgement on file regarding receipt of the discipline policy. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed statement from the parent on file regarding receipt of the Summary of the NC Child Care Law. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Four (4) children enrolled, did not have a copy of the written plan of care on file for review. .1712(e )(6) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. One (1) child, three years of age, with an enrollment date of November 21, 2024, and in attendance did not have an application on file for review. The application was not signed by the parent for one (1) child, one (1) year of age, with an enrollment date of November 12, 2024. .1721(a)(3) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two (2) packages of Pampers Baby Wipes, one (1) package of Huggies Baby Wipes, and one (1) package of Fisher Price Baby Wipes were stored in the child's cubbies, less than five feet from the floor surface and accessible to two (1) children, one year of age. The packages listed the following warnings-to avoid danger of suffocation, keep this plastic bag away from babies and children. Do not place in cribs, beds, carriages, or playpens. .1719(a)(18) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed acknowledgement by the parent on file regarding the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) Technical assistance was provided on the following: Children’s Application/Medical Information We discussed that each child must have a completed application on file with all required information documented on the form, including the name and phone number of the child’s physician. If the child does not have a physician, request the parent to document who they would use for medical care such as a county health department or urgent care facility. I suggested that you have parents complete the child’s application prior to the child’s first day of attendance to ensure that you have emergency contact information on file. Conduct enrollment interviews and assist parents with forms to be completed and have them leave the completed forms with you. Policy Reviews/Acknowledgements I suggested that you the Children’s File Checklist as a guide and a reminder for the policies that must be reviewed with parents and an acknowledgement on file on or by the child’s first day of attendance. We discussed creating and implementing an acknowledgement page for parents to sign as you review your operational policies, Summary of the NC Law, Discipline Policy, and shaken baby syndrome and abusive head trauma policy. Written Plan of Care You must review your Written Plan of Care with the parent(s) of all children enrolled or enrolling into your program. I suggested that you make copies of the Written Plan of Care and review it with parents during enrollment and retain the plan as soon as the parent signs it. Plastic Packaging I suggested that you purchase a hard plastic pencil boxes to store baby wipes in or store the baby wipes in the plastic packaging on a shelf at least five feet from the floor surface. Consultation was provided on the following: As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance is provided to assist the child care provider in achieving compliance with child care rule .1715(a) regarding operational policies. You stated your plan is to review all policies with parents during the enrollment process and obtain signatures prior to the child’s first day of attendance. We discussed health care needs and the questions listed on the child application form. Explain to parents during enrollment what a health care need means. We discussed options for completing the three-month self-assessment and I provided resources to you. If you choose to complete the Self Study then you must document information and progress for the months of November, December 2024, and January 2025. You will need to submit your three-month self-assessment to me no later than February 22, 2025. You have decided to have the Environment Rating Scale Assessment completed, and to allow enough time for the assessment to be requested, completed and score received prior to your temporary license expiring, the assessment will be ordered tomorrow, November 22, 2024. I requested that you apply for the position of family child care home operator in your DCDEE Works account. I suggested that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I would recommend that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the children’s transition from playing, preparing for lunch, and being served lunch. Handwashing before and after handling food and handwashing for children before and after eating. Reminders: You completed Recognizing and Responding to Suspicions of Child Maltreatment training on October 25, 2020. You must complete the Emergency Preparedness and Response Training by September 23, 2025. You must complete your Emergency Preparedness and Response Plan within four months from the date you complete the EPR Training. Place a hard copy of your EPR Plan on file for review with your Ready to Go file. Then you will begin completing and documenting Emergency Drills. You must complete Health and Safety Training prior to September 23, 2025, to be in compliance with the following child care requirements. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. The next visit will be an unannounced visit to monitor applicable child care requirements and confirm the rated license points earned. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by December 5, 2024. 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or 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

GS 110-102 · Violation

Name of Operation: Precious Rubies Facility ID: 23000511 Consultant: JENNIFER H ROBERTS Operation Type: Family CC Home Case Number: Visit Date: 11/21/2024 Number Present: 3 Completed Date: 11/21/2024 Age: From 1 To 3 Total Minutes: 260 Time In: 11:16 AM Time Out: 03:36 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your compliance with all applicable child care requirements during the first temporary time period visit. You, Ruby Thurman-Harbison, Operator, assisted me with the visit today. Currently this family child care home operates with a Temporary License, issued on September 23, 2024. The restrictions include daytime care only, maximum of 5 preschool children at any time, children must play in fenced in area only, Trampoline may not be used by children in care, and fireplace/woodstove mot used during operating hours. The Secretary of State website was checked on November 21, 2024, and your business Precious Rubies is not listed, and you remain to be a Sole Proprietor business. If any changes to the business type need to be made or you decide to sell your business, then you must notify me, 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. All designated indoor and outdoor spaces for child care were monitored. The last monthly fire drill was completed on November 20, 2024, at 10:30 am. The last monthly outdoor inspection was completed on October 4, 2024. The first child enrolled in your program on September 25, 2024. Children’s files and your file were reviewed. Children were observed during free play, transition time, lunch, and nap/rest. You do not provide transportation. You completed the lead water test on June 1, 2024. I discussed the two-component rated license process with you. You said that you want to apply for the rated license, and you do want to have the Environment Rating Scale Assessment completed. We discussed quality point options and Self Study ideas. We discussed and I gave you a copy of the Initial Application for Assessment for a Two Component Star Rated License form today to complete during the visit. I discussed with you that programs with less than a three-star license will not be eligible to receive subsidy funding. We reviewed and discussed Education Standards, Program Standards and Quality point options. We discussed your education evaluation results in your WORKS account. You have not completed additional coursework since the last education evaluation was completed. An extension of time is not given, and your rated license points will be processed with the current points you have earned prior to the temporary license expiring. The following violations were cited today. Violation Number Comment Rule 925 Signed and dated statement which attests that a copy of the discipline policy was given to and discussed with a parent/guardian of each child prior to enrollment was not on file in the home. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed parent acknowledgement on file regarding receipt of the discipline policy. G.S.110-91(10); .1727(a)&(b) 1704 Summary of the NC Child Care Law was not given to each child's parent, guardian, or full-time custodian before the child was enrolled in the home and/or signed statement was not on file. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed statement from the parent on file regarding receipt of the Summary of the NC Child Care Law. GS 110-102 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. Four (4) children enrolled, did not have a copy of the written plan of care on file for review. .1712(e )(6) 1892 Application was not on file for each enrolled child, including his/her own preschool child(ren) who are not school-age. One (1) child, three years of age, with an enrollment date of November 21, 2024, and in attendance did not have an application on file for review. The application was not signed by the parent for one (1) child, one (1) year of age, with an enrollment date of November 12, 2024. .1721(a)(3) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two (2) packages of Pampers Baby Wipes, one (1) package of Huggies Baby Wipes, and one (1) package of Fisher Price Baby Wipes were stored in the child's cubbies, less than five feet from the floor surface and accessible to two (1) children, one year of age. The packages listed the following warnings-to avoid danger of suffocation, keep this plastic bag away from babies and children. Do not place in cribs, beds, carriages, or playpens. .1719(a)(18) 2031 Operator did not provide a copy of the shaken baby syndrome and abusive head trauma policy to parents at time of enrollment, and / or within fourteen days of a changes to the policy. Two (2) children with enrollment date of November 12, 2024, and one (1) child with an enrollment date of November 21, 2024, did not have a signed acknowledgement by the parent on file regarding the shaken baby syndrome and abusive head trauma policy. .1726(b)&(c) Technical assistance was provided on the following: Children’s Application/Medical Information We discussed that each child must have a completed application on file with all required information documented on the form, including the name and phone number of the child’s physician. If the child does not have a physician, request the parent to document who they would use for medical care such as a county health department or urgent care facility. I suggested that you have parents complete the child’s application prior to the child’s first day of attendance to ensure that you have emergency contact information on file. Conduct enrollment interviews and assist parents with forms to be completed and have them leave the completed forms with you. Policy Reviews/Acknowledgements I suggested that you the Children’s File Checklist as a guide and a reminder for the policies that must be reviewed with parents and an acknowledgement on file on or by the child’s first day of attendance. We discussed creating and implementing an acknowledgement page for parents to sign as you review your operational policies, Summary of the NC Law, Discipline Policy, and shaken baby syndrome and abusive head trauma policy. Written Plan of Care You must review your Written Plan of Care with the parent(s) of all children enrolled or enrolling into your program. I suggested that you make copies of the Written Plan of Care and review it with parents during enrollment and retain the plan as soon as the parent signs it. Plastic Packaging I suggested that you purchase a hard plastic pencil boxes to store baby wipes in or store the baby wipes in the plastic packaging on a shelf at least five feet from the floor surface. Consultation was provided on the following: As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance is provided to assist the child care provider in achieving compliance with child care rule .1715(a) regarding operational policies. You stated your plan is to review all policies with parents during the enrollment process and obtain signatures prior to the child’s first day of attendance. We discussed health care needs and the questions listed on the child application form. Explain to parents during enrollment what a health care need means. We discussed options for completing the three-month self-assessment and I provided resources to you. If you choose to complete the Self Study then you must document information and progress for the months of November, December 2024, and January 2025. You will need to submit your three-month self-assessment to me no later than February 22, 2025. You have decided to have the Environment Rating Scale Assessment completed, and to allow enough time for the assessment to be requested, completed and score received prior to your temporary license expiring, the assessment will be ordered tomorrow, November 22, 2024. I requested that you apply for the position of family child care home operator in your DCDEE Works account. I suggested that you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessment. Additional notes to the Family Child Care Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. I would recommend that you register staff now for the upcoming Webinar trainings listed on the ncrlap.org website. Contact your local Child Care Resource and Referral office for further technical assistance with the Environment Rating Scales. We discussed the children’s transition from playing, preparing for lunch, and being served lunch. Handwashing before and after handling food and handwashing for children before and after eating. Reminders: You completed Recognizing and Responding to Suspicions of Child Maltreatment training on October 25, 2020. You must complete the Emergency Preparedness and Response Training by September 23, 2025. You must complete your Emergency Preparedness and Response Plan within four months from the date you complete the EPR Training. Place a hard copy of your EPR Plan on file for review with your Ready to Go file. Then you will begin completing and documenting Emergency Drills. You must complete Health and Safety Training prior to September 23, 2025, to be in compliance with the following child care requirements. 10A NCAC 09 .1714 EMERGENCY PREPAREDNESS AND RESPONSE (a) For purposes of this Rule, the Emergency Preparedness and Response in Child Care is a training developed by the Division of Public Health for child care operators and providers on creating an Emergency Preparedness and Response Plan and practicing, responding to, and recovering from emergencies in child care facilities. (b) Existing family child care home operators (operator or operators) shall complete the Emergency Preparedness and Response in Child Care training. Within one year of the effective date of a new license, the operator of a new family child care home shall have completed the Emergency Preparedness and Response in Child Care training. When the trained staff member leaves employment, the center shall ensure that another staff member completes the required training within four months of the vacancy. Documentation of completion of the training shall be maintained in the operator's personnel file. (c) Upon completion of the Emergency Preparedness and Response in Child Care training, the operator shall develop the Emergency Preparedness and Response Plan. The Emergency Preparedness and Response Plan means a written plan that addresses how a child care facility will respond to both natural and man-made disasters, such as fire, tornado, flood, power failures, chemical spills, bomb threats, earthquakes, blizzards, nuclear disaster, or a dangerous person in the vicinity, to ensure the safety and protection of the children and additional caregivers. This Plan shall be on a template provided by the Division available at https://rmp.nc.gov/portal/#, completed within four months of completion of the Emergency Preparedness and Response in Child Care training, and available for review. (d) The Emergency Preparedness and Response Plan shall include the following: (1) written procedures for accounting for all in attendance, including: (A) the location of the children, staff, volunteer and visitor attendance lists; and (B) the name of the person(s) responsible for bringing the children, staff, volunteer and visitor attendance lists in the event of an emergency. (2) a description for how and when children shall be transported; (3) methods for communicating with parents and emergency personnel or law enforcement; (4) a description of how children's nutritional and health needs will be met; (5) the relocation and reunification process; (6) emergency telephone numbers; (7) evacuation diagrams showing how the operator, family members, children and any other individuals who may be present will evacuate during an emergency; (8) the date of the last revision of the plan (9) specific considerations for non-mobile children and children with special needs; and (10) the location of the Ready to Go File. A Ready to Go File means a collection of information on children, additional caregivers and the facility, to utilize, if an evacuation occurs. The file shall include a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and additional caregiver, additional caregiver contact information, Incident Report forms, an area map, and emergency telephone numbers. (e) The operator shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. (f) The operator shall review the Family Child Care Home's Emergency Preparedness and Response Plan with additional caregivers prior to the individual caring for children and on an annual basis. (g) All substitute providers and volunteers who provide care to children shall be informed of the Emergency Preparedness and Response Plan and its location. Documentation of this notice shall be maintained in the individual personnel files. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (b) Family child care home operators and staff members shall complete health and safety training within one year of employment, unless the operator or staff member has completed the training within the year prior to beginning employment or within the year prior to receiving a license. Health and safety training shall be in addition to the pre-licensing visit and new staff orientation requirements set forth in Rules .1702(d) and .1729(c) of this Section. The following persons shall be exempt from this requirement: (1) service providers such as speech therapists, occupational therapists, and physical therapists; and (2) substitutes who provide services for less than 10 days in a 12-month period. (c) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Rule .1102(c) and (d) of this Chapter; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. Your temporary license will end after March 23, 2025. The next visit will be an unannounced visit to monitor applicable child care requirements and confirm the rated license points earned. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. Health and Safety Training must be completed within one year of employment for new staff and every five years for staff that have already completed the training. Compliance Letter: You must correct the violations found during today's visit immediately. Please send me a letter verifying compliance by December 5, 2024. 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 jennifer.roberts@dhhs.nc.gov: Jennifer Roberts PO Box 426 Sherrills Ford, NC 28673 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 828-782-0945, Jennifer.roberts@dhhs.nc.gov or at PO Box 426, Sherrills Ford, NC 28673 or 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