G.S. 110-90 · Violation

Name of Operation: NANNY'S Facility ID: 40000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 20 Completed Date: 3/18/2025 Age: From 0 To 5 Total Minutes: 220 Time In: 08:20 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. G. Creech, Owner was present and assisted with the visit. This center currently operates with a three-star license, earning four points in education standards, two points in the program standards and 1 quality point for the administrator having at least (10) years of documented child care and administrative work experience in a license child care facility. This program continues to meet enhanced ratio requirements. The last annual compliance visit was completed on April 2, 2024. The last sanitation inspection was completed on February 25, 2025, earning a “Superior” classification. The last fire inspection was completed on May 2, 2024, and the center was approved for daytime care only. Twenty (20) children ranging from ages zero (0) to five (5) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, eating lunch, completing hand washing and toileting routines, and interacting with caregivers. Lunch consisted of chicken sandwiches on a bun, beans, bananas, and milk. The following violations were documented. Violation Number Comment Rule 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report completed on February 6, 2025, was not submitted to the Division within seven days as required. .0802(f) The violation documented was corrected during the visit. You gave me a copy of the incident report dated February 6, 2025, today during the annual compliance visit. I asked that you submit a compliance letter stating your understating of the child care requirements regarding submission of incident reports. You should also include what will be done in the future to ensure incident reports are submitted as required. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 94% as of March 17, 2025. OWNERSHIP STATUS: Gloria F. Creech is listed as the current owner of this center. Prior to making any changes in the ownership status, contact me to discuss changes of ownership procedures. Failure to comply could impact the program license status. FLOOR PLAN/SPACES: The floor plan shows two separate spaces for classroom #3 which is labeled 3a and 3b; however, the room has been changed to one space. I informed you the floor plan would be updated to reflect the accurate space instead of two separate groups. I will send the updated floor plan to you via postal mail. If you have questions once received contact me to discuss. INCIDENT REPORTS: During my review of the incident log, you informed me of an incident that occurred at the facility on February 6, 2025. You stated a child had on boots to large which caused a fall. You added a person that works with the Emergency Medical Team was onsite at the time and checked the child as a precautionary measure. You stated the parent was present during this time and was advised by you to take the child to the emergency room for further evaluation. According to you, the child’s parent called the center to report no injuries were sustained. You showed me the incident report that was completed for this incident. I informed you that the incident report should have been submitted to me within seven days from the date the incident happened, because child was taken to the hospital for evaluation. You explained you thought submission was only required if treatment was provided. I clarified that any visit to the hospital due to an incident at a child care program necessitates the submission of an incident report. I advise you to ensure all future incident reports are reported in accordance with the required timeline. TRANSPORTATION: You shared the vehicle (2003) Chevrolet Express van used for transportation was in the shop for repairs. You reported that children are now being transported using your personal vehicle (2023 Honda Odyssey) van. You stated children are transported in separate groups to each individual school to ensure safety laws are always met. I notified you the primary vehicle will be monitored for compliance with transportation requirements during the next visit. I recommended you check the vehicle for safety and transportation requirements prior to transported with children. QRIS PUBLIC COMMENT PERIOD: On March 26 at 1:00 p.m., the N.C. Child Care Commission will hold a special meeting including a Public Hearing at 1:15 p.m. to hear from the public about its proposed rules to modernize the state Quality Rating and Improvement System (QRIS). Members of the public wishing to comment on any of the proposed rules may sign up to speak upon arrival. Instructions for webinar attendees to sign up to speak will be shared once the webinar begins. On March 27 at 10 a.m., the Commission will meet to continue considering public comments. CRIMINAL BACKGROUND CHECK REQUIREMENTS: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, the visit summary report was completed, reviewed, and left with you. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: NANNY'S Facility ID: 40000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 18 Completed Date: 10/16/2024 Age: From 0 To 4 Total Minutes: 160 Time In: 08:20 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival A. Smith, Lead teacher assisted with the visit. You arrived shortly after and assisted. Eighteen (18) children were observed in care today ranging from zero to four years old. Children were engaged morning activities, free choice play with developmentally age-appropriate materials, interacting with the caregivers, and completing toileting, diapering and hand washing routines. Currently this program operates with a three-star license. The last sanitation inspection was completed on September 25, 2024, earning a superior classification. The last fire inspection was completed on May 2, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on April 2, 2024. The following violations were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for children between the dates of September 3, 2024, to October 15, 2024. 10A NCAC 09 .0302(d)(4) 405 A child's hands were not washed after each diaper change. One infant’s hand was not washed after diapering in classroom #3 15A NCAC 18A .2803(c)(2) 544 Screen time was offered to children under three years of age. Upon arrival. the television was playing for children ages one to two years old in classrooms 2a and 2b. .0510(f) 807 A safe indoor and outdoor environment was not provided for the children. – Five bolts were protruding above the flush of the base in the black border enclosing the surfacing around the large equipment on the playgrounds. Hand sanitizer was on a shelf lower than 5ft. from the finished floor in classroom #2b. 10A NCAC 09 .0601(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 30, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. OWNERSHIP STATUS: Gloria F. Creech is listed as the current owner of this center. Prior to making changes to the ownership status, contact me to discuss ownership procedures. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 98% percent as of October 15, 2024. STAFF/CHILD INTERACTIONS: Upon arrival children in classrooms 2a and 2b were observed in free play; however, some of the children were watching television. Children in classroom 3 were engaged in floor play, feeding, diapering routines and napping. Staff interacted with children as they changed their diapers and fed the infants. The toys and materials used for play were in good repair. Staff encouraged children to play with Mr. Potatoes heads and the accessories. Children interacted with their peers in a positive and nurturing manner. SANITATION INSPECTION REPORT: You gave me a copy of the sanitation inspection report dated September 25, 2024. HAND WASHING: We discussed ensuring staff and children’s hands are washed as required after diapering. I talked to you about the diaper changing poster on the wall. I explained two steps of the diaper changing procedures were missing. It was recommended retrieving an updated hand washing sign to post in the infant classroom. SAFE ENVIRONMENT: I informed you the bolts were protruding from the flush of the base on the black border enclosing the surfacing on the playgrounds. You stated you would have the bolts hammered down. It was suggested checking the bolts during outdoor play inspections to monitor protrusion. If identified, the bolts should be reinserted. SCREEN TIME: I reminded you screen time should be prohibited for children under the age of three. Staff turned the televisions off soon after I entered the classroom. You stated staff use the television to play music for children to dance to. It was suggested covering the screen when playing the music to avoid providing screen time to children. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: NANNY'S Facility ID: 40000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 18 Completed Date: 10/16/2024 Age: From 0 To 4 Total Minutes: 160 Time In: 08:20 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival A. Smith, Lead teacher assisted with the visit. You arrived shortly after and assisted. Eighteen (18) children were observed in care today ranging from zero to four years old. Children were engaged morning activities, free choice play with developmentally age-appropriate materials, interacting with the caregivers, and completing toileting, diapering and hand washing routines. Currently this program operates with a three-star license. The last sanitation inspection was completed on September 25, 2024, earning a superior classification. The last fire inspection was completed on May 2, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on April 2, 2024. The following violations were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for children between the dates of September 3, 2024, to October 15, 2024. 10A NCAC 09 .0302(d)(4) 405 A child's hands were not washed after each diaper change. One infant’s hand was not washed after diapering in classroom #3 15A NCAC 18A .2803(c)(2) 544 Screen time was offered to children under three years of age. Upon arrival. the television was playing for children ages one to two years old in classrooms 2a and 2b. .0510(f) 807 A safe indoor and outdoor environment was not provided for the children. – Five bolts were protruding above the flush of the base in the black border enclosing the surfacing around the large equipment on the playgrounds. Hand sanitizer was on a shelf lower than 5ft. from the finished floor in classroom #2b. 10A NCAC 09 .0601(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 30, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. OWNERSHIP STATUS: Gloria F. Creech is listed as the current owner of this center. Prior to making changes to the ownership status, contact me to discuss ownership procedures. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 98% percent as of October 15, 2024. STAFF/CHILD INTERACTIONS: Upon arrival children in classrooms 2a and 2b were observed in free play; however, some of the children were watching television. Children in classroom 3 were engaged in floor play, feeding, diapering routines and napping. Staff interacted with children as they changed their diapers and fed the infants. The toys and materials used for play were in good repair. Staff encouraged children to play with Mr. Potatoes heads and the accessories. Children interacted with their peers in a positive and nurturing manner. SANITATION INSPECTION REPORT: You gave me a copy of the sanitation inspection report dated September 25, 2024. HAND WASHING: We discussed ensuring staff and children’s hands are washed as required after diapering. I talked to you about the diaper changing poster on the wall. I explained two steps of the diaper changing procedures were missing. It was recommended retrieving an updated hand washing sign to post in the infant classroom. SAFE ENVIRONMENT: I informed you the bolts were protruding from the flush of the base on the black border enclosing the surfacing on the playgrounds. You stated you would have the bolts hammered down. It was suggested checking the bolts during outdoor play inspections to monitor protrusion. If identified, the bolts should be reinserted. SCREEN TIME: I reminded you screen time should be prohibited for children under the age of three. Staff turned the televisions off soon after I entered the classroom. You stated staff use the television to play music for children to dance to. It was suggested covering the screen when playing the music to avoid providing screen time to children. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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: NANNY'S Facility ID: 40000043 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/16/2024 Number Present: 18 Completed Date: 10/16/2024 Age: From 0 To 4 Total Minutes: 160 Time In: 08:20 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival A. Smith, Lead teacher assisted with the visit. You arrived shortly after and assisted. Eighteen (18) children were observed in care today ranging from zero to four years old. Children were engaged morning activities, free choice play with developmentally age-appropriate materials, interacting with the caregivers, and completing toileting, diapering and hand washing routines. Currently this program operates with a three-star license. The last sanitation inspection was completed on September 25, 2024, earning a superior classification. The last fire inspection was completed on May 2, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on April 2, 2024. The following violations were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for children between the dates of September 3, 2024, to October 15, 2024. 10A NCAC 09 .0302(d)(4) 405 A child's hands were not washed after each diaper change. One infant’s hand was not washed after diapering in classroom #3 15A NCAC 18A .2803(c)(2) 544 Screen time was offered to children under three years of age. Upon arrival. the television was playing for children ages one to two years old in classrooms 2a and 2b. .0510(f) 807 A safe indoor and outdoor environment was not provided for the children. – Five bolts were protruding above the flush of the base in the black border enclosing the surfacing around the large equipment on the playgrounds. Hand sanitizer was on a shelf lower than 5ft. from the finished floor in classroom #2b. 10A NCAC 09 .0601(a) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 30, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. OWNERSHIP STATUS: Gloria F. Creech is listed as the current owner of this center. Prior to making changes to the ownership status, contact me to discuss ownership procedures. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 98% percent as of October 15, 2024. STAFF/CHILD INTERACTIONS: Upon arrival children in classrooms 2a and 2b were observed in free play; however, some of the children were watching television. Children in classroom 3 were engaged in floor play, feeding, diapering routines and napping. Staff interacted with children as they changed their diapers and fed the infants. The toys and materials used for play were in good repair. Staff encouraged children to play with Mr. Potatoes heads and the accessories. Children interacted with their peers in a positive and nurturing manner. SANITATION INSPECTION REPORT: You gave me a copy of the sanitation inspection report dated September 25, 2024. HAND WASHING: We discussed ensuring staff and children’s hands are washed as required after diapering. I talked to you about the diaper changing poster on the wall. I explained two steps of the diaper changing procedures were missing. It was recommended retrieving an updated hand washing sign to post in the infant classroom. SAFE ENVIRONMENT: I informed you the bolts were protruding from the flush of the base on the black border enclosing the surfacing on the playgrounds. You stated you would have the bolts hammered down. It was suggested checking the bolts during outdoor play inspections to monitor protrusion. If identified, the bolts should be reinserted. SCREEN TIME: I reminded you screen time should be prohibited for children under the age of three. Staff turned the televisions off soon after I entered the classroom. You stated staff use the television to play music for children to dance to. It was suggested covering the screen when playing the music to avoid providing screen time to children. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at 1-800-859-0829 and someone will assist you. QRIS UPDATE: GET READY for the 3’s Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@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 .0901 · Violation

Name of Operation: NANNY'S Facility ID: 40000043 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 27 Completed Date: 4/2/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an unannounced annual compliance visit. G. Creech, Owner/Administrator was present and available to assist with today’s visit. Your program currently operates with a three-star license issued on September 9, 2019, earning 4 points in the education component, 2 points in the program standards component and 1 quality point for having an administrator with at least ten (10) years documented child care administration work experience in a licensed program. The last annual compliance visit was conducted on May 25, 2023. The sanitation inspection was completed on February 26, 2024, with a “Superior” classification “2” demerits. The fire inspection was completed on May 22, 2023, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-seven (27) children from ages zero (0) to ten (10) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor environment and found supervision and staff/child ratios to be in compliance. When I arrived, the children were participating in gross-motor activities in the outdoor learning environment. The caregivers in the classroom with the infants were interacting in a positive and nurturing manner and the children were engaging in playtime on the floor. The caregivers were interacting and meeting the developmental needs for each of the children. All requirements for transportation were in compliance. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The lunch served today consisted of fish sticks, pears, backed beans, and milk. The lunch was missing a grain component (rice, bread, or pasta). 10A NCAC 09 .0901(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your program’s Compliance History score, over an 18-month period time frame, is 91%. OWNER/FACILITY PROFILE INFORMATION: Gloria Creech is listed as the current owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF RECORDS/NEW EMPLOYEE STAFF RECORD: Ten percent (10%) of staff records were reviewed today. All files were found to be in compliance. As a reminder the following staff will need to complete CPR/FA on or prior to July 31, 2024: Gloria, Ashleigh, Kate, and Rodney. CHILDRENS RECORDS: Ten (10%) percent of children’s records were reviewed today and found to be incompliance. NUTRITION: Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The following food components are required: milk, meat/meat alternative, grain, fruit, and vegetables. The lunch you served today consisted of fish sticks, pears, backed beans, and milk. The lunch was missing a grain component (rice, bread, or pasta). When asked, you stated, you thought the breading on the fish sticks counted as a grain. We reviewed the USDA Meal Guidelines together. When you are not sure of what counts as a meal component, please review the USDA Meal Guidelines at the following website: https://www.fns.usda.gov/cacfp/meals-and-snacks OUTDOOR ENVIROMENT: As we are entering the warmer months, please continue to check on the outdoor environment, ensuring there are no active ant hills on the playground, the grass remains cut and check under climbing equipment and any awnings to make sure there are not insect hives in these places. RMINDERS/RESOURCES: ANNUAL COMPLIANCE VISIT MONTH: The annual compliance month has changed to April due to me conducting today’s visit in the month of April. I will update this in our system and document on a facility input form. FIRE INSPECTIONS: Your annual fire inspection will be due on or prior to May 22, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESUMMING STAR RATED LICENSE-COHORT (2): Please be aware that your facility is in Cohort two (2) for resuming the NC Start Rated License. Your preparation year will be July 1, 2024, through June 30, 2025. Your reassessment year will be July 1, 2025, through June 30, 2026. You stated you do not plan to go through an Environment Rating Scale. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. You stated you have received your water test kit to complete the lead testing for the water. You have also enrolled in the lead paint and asbestos testing. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: NANNY'S Facility ID: 40000043 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 27 Completed Date: 4/2/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an unannounced annual compliance visit. G. Creech, Owner/Administrator was present and available to assist with today’s visit. Your program currently operates with a three-star license issued on September 9, 2019, earning 4 points in the education component, 2 points in the program standards component and 1 quality point for having an administrator with at least ten (10) years documented child care administration work experience in a licensed program. The last annual compliance visit was conducted on May 25, 2023. The sanitation inspection was completed on February 26, 2024, with a “Superior” classification “2” demerits. The fire inspection was completed on May 22, 2023, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-seven (27) children from ages zero (0) to ten (10) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor environment and found supervision and staff/child ratios to be in compliance. When I arrived, the children were participating in gross-motor activities in the outdoor learning environment. The caregivers in the classroom with the infants were interacting in a positive and nurturing manner and the children were engaging in playtime on the floor. The caregivers were interacting and meeting the developmental needs for each of the children. All requirements for transportation were in compliance. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The lunch served today consisted of fish sticks, pears, backed beans, and milk. The lunch was missing a grain component (rice, bread, or pasta). 10A NCAC 09 .0901(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your program’s Compliance History score, over an 18-month period time frame, is 91%. OWNER/FACILITY PROFILE INFORMATION: Gloria Creech is listed as the current owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF RECORDS/NEW EMPLOYEE STAFF RECORD: Ten percent (10%) of staff records were reviewed today. All files were found to be in compliance. As a reminder the following staff will need to complete CPR/FA on or prior to July 31, 2024: Gloria, Ashleigh, Kate, and Rodney. CHILDRENS RECORDS: Ten (10%) percent of children’s records were reviewed today and found to be incompliance. NUTRITION: Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The following food components are required: milk, meat/meat alternative, grain, fruit, and vegetables. The lunch you served today consisted of fish sticks, pears, backed beans, and milk. The lunch was missing a grain component (rice, bread, or pasta). When asked, you stated, you thought the breading on the fish sticks counted as a grain. We reviewed the USDA Meal Guidelines together. When you are not sure of what counts as a meal component, please review the USDA Meal Guidelines at the following website: https://www.fns.usda.gov/cacfp/meals-and-snacks OUTDOOR ENVIROMENT: As we are entering the warmer months, please continue to check on the outdoor environment, ensuring there are no active ant hills on the playground, the grass remains cut and check under climbing equipment and any awnings to make sure there are not insect hives in these places. RMINDERS/RESOURCES: ANNUAL COMPLIANCE VISIT MONTH: The annual compliance month has changed to April due to me conducting today’s visit in the month of April. I will update this in our system and document on a facility input form. FIRE INSPECTIONS: Your annual fire inspection will be due on or prior to May 22, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESUMMING STAR RATED LICENSE-COHORT (2): Please be aware that your facility is in Cohort two (2) for resuming the NC Start Rated License. Your preparation year will be July 1, 2024, through June 30, 2025. Your reassessment year will be July 1, 2025, through June 30, 2026. You stated you do not plan to go through an Environment Rating Scale. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. You stated you have received your water test kit to complete the lead testing for the water. You have also enrolled in the lead paint and asbestos testing. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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: NANNY'S Facility ID: 40000043 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 27 Completed Date: 4/2/2024 Age: From 0 To 10 Total Minutes: 195 Time In: 09:30 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an unannounced annual compliance visit. G. Creech, Owner/Administrator was present and available to assist with today’s visit. Your program currently operates with a three-star license issued on September 9, 2019, earning 4 points in the education component, 2 points in the program standards component and 1 quality point for having an administrator with at least ten (10) years documented child care administration work experience in a licensed program. The last annual compliance visit was conducted on May 25, 2023. The sanitation inspection was completed on February 26, 2024, with a “Superior” classification “2” demerits. The fire inspection was completed on May 22, 2023, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-seven (27) children from ages zero (0) to ten (10) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor environment and found supervision and staff/child ratios to be in compliance. When I arrived, the children were participating in gross-motor activities in the outdoor learning environment. The caregivers in the classroom with the infants were interacting in a positive and nurturing manner and the children were engaging in playtime on the floor. The caregivers were interacting and meeting the developmental needs for each of the children. All requirements for transportation were in compliance. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. The lunch served today consisted of fish sticks, pears, backed beans, and milk. The lunch was missing a grain component (rice, bread, or pasta). 10A NCAC 09 .0901(a) Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before April 16, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered 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 may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit your program’s Compliance History score, over an 18-month period time frame, is 91%. OWNER/FACILITY PROFILE INFORMATION: Gloria Creech is listed as the current owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF RECORDS/NEW EMPLOYEE STAFF RECORD: Ten percent (10%) of staff records were reviewed today. All files were found to be in compliance. As a reminder the following staff will need to complete CPR/FA on or prior to July 31, 2024: Gloria, Ashleigh, Kate, and Rodney. CHILDRENS RECORDS: Ten (10%) percent of children’s records were reviewed today and found to be incompliance. NUTRITION: Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The following food components are required: milk, meat/meat alternative, grain, fruit, and vegetables. The lunch you served today consisted of fish sticks, pears, backed beans, and milk. The lunch was missing a grain component (rice, bread, or pasta). When asked, you stated, you thought the breading on the fish sticks counted as a grain. We reviewed the USDA Meal Guidelines together. When you are not sure of what counts as a meal component, please review the USDA Meal Guidelines at the following website: https://www.fns.usda.gov/cacfp/meals-and-snacks OUTDOOR ENVIROMENT: As we are entering the warmer months, please continue to check on the outdoor environment, ensuring there are no active ant hills on the playground, the grass remains cut and check under climbing equipment and any awnings to make sure there are not insect hives in these places. RMINDERS/RESOURCES: ANNUAL COMPLIANCE VISIT MONTH: The annual compliance month has changed to April due to me conducting today’s visit in the month of April. I will update this in our system and document on a facility input form. FIRE INSPECTIONS: Your annual fire inspection will be due on or prior to May 22, 2024. As a reminder the following child care rule is a requirement, and a violation will be written when a fire inspection is not submitted to your child care consultant within the time period stated below: 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a)Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. RESUMMING STAR RATED LICENSE-COHORT (2): Please be aware that your facility is in Cohort two (2) for resuming the NC Start Rated License. Your preparation year will be July 1, 2024, through June 30, 2025. Your reassessment year will be July 1, 2025, through June 30, 2026. You stated you do not plan to go through an Environment Rating Scale. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CLEAN WATER FOR CAROLINA KIDS: We discussed the Clean Water for Carolina Kids program and what that means for you as a child care center. I also informed you that I sent an email to you on March 5, 2024, with the following information included. I also attached to that email three (3) flyers that discuss the process for testing, for lead in the water, lead in paint, and asbestos. You stated you have received your water test kit to complete the lead testing for the water. You have also enrolled in the lead paint and asbestos testing. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: NANNY'S Facility ID: 40000043 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 25 Completed Date: 2/21/2024 Age: From 0 To 4 Total Minutes: 140 Time In: 09:30 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. G. Creech, Owner/Administrator was present and available to assist with today’s visit. Your program currently operates with a three-star license issued on September 9, 2019, earning 4 points in the education component, 2 points in the program standards component and 1 quality point for having an administrator with at least ten (10) years documented child care administration work experience in a licensed program. The last annual compliance visit was conducted on May 25, 2023. The sanitation inspection was completed on November 27, 2023, with a “Superior” classification “2” demerits. The fire inspection was completed on May 23, 2023, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-five (25) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor environment and found supervision and staff/child ratios to be in compliance. When I arrived, the children were participating in group time, free play, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The children were observed eating the following for lunch: hot dog with bun, applesauce, baked beans, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, License Posted, Permit Restrictions, and Program Records. One (1) volunteer record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted in room three (3) was not current. The dates on the activity plan were for the week of January 22, 2023-January 26, 2023. GS 110-91(12); .0508(a) 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. COMPLIANCE HISTORY: Prior to conducting today’s visit your program’s Compliance History score, over an 18-month period time frame, is 90%. OWNER/FACILITY PROFILE INFORMATION: Gloria Creech is listed as the current owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ACITIVITY PLAN: The activity plan posted in room three (3) was not current. The dates on the activity plan were for the week of January 22, 2023-January 26, 2023. When asked why the activity plan was not current, Ms. Clemente stated she was having a difficult time developing activities for the different ages in her classroom. We discussed the development of each age child in the room, and I printed some activities from Zero to Three (https://www.zerotothree.org/resource/play-activities-for-12-to-24-months/ ) to help with planning activities. Ms. Clemente was given the opportunity to write the lesson plan before the visit was completed. This was corrected during the visit. RMINDERS: SIDS TRAINING: Shelby Heath ITS SIDS certificate expires on March 17, 2024. You stated Ms. Heath is scheduled to ITS SIDS training on February 22, 2024. FIRE INSPECTION: Your last fire inspection was conducted on May 23, 2023, please contact your local fire inspector to schedule a fire inspection on or prior to May 23, 2024. Please be sure the fire inspector uses the approved DCDEE fire inspection form for your fire inspection. You can locate this form on DCDEE’s website at https://ncchildcare.ncdhhs.gov/ . Once the inspection has been completed, please send the original fire inspection to your child care consultant within one week of the completed inspection. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the DCDEE “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. RESUMING STAR RATED LICENSE-COHORT TWO (2): Please be aware that your facility is in Cohort TWO (2) for resuming the NC Start Rated License. Your preparation year will begin July 1, 2024, through June 30, 2025. Your reassessment year will be July 1, 2025, through June 30, 2026. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You may also want to contact the Partnership for Children of Lenoir and Greene Counties at 252-939-1200 to request technical assistance in preparing for the ERS. RESOURCES: CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. MATERIALS GIVEN DURING VISIT: -Zero to Three 12-24 months activities -Permission to Administer Medication Form -Child Care Health Consultant News Letter CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: NANNY'S Facility ID: 40000043 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 25 Completed Date: 2/21/2024 Age: From 0 To 4 Total Minutes: 140 Time In: 09:30 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. G. Creech, Owner/Administrator was present and available to assist with today’s visit. Your program currently operates with a three-star license issued on September 9, 2019, earning 4 points in the education component, 2 points in the program standards component and 1 quality point for having an administrator with at least ten (10) years documented child care administration work experience in a licensed program. The last annual compliance visit was conducted on May 25, 2023. The sanitation inspection was completed on November 27, 2023, with a “Superior” classification “2” demerits. The fire inspection was completed on May 23, 2023, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-five (25) children from ages zero (0) to four (4) were present during the visit. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor environment and found supervision and staff/child ratios to be in compliance. When I arrived, the children were participating in group time, free play, transitions, and personal care routines. The caregivers were interacting and meeting the developmental needs for each of the children. The children were observed eating the following for lunch: hot dog with bun, applesauce, baked beans, and milk. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, License Posted, Permit Restrictions, and Program Records. One (1) volunteer record was reviewed today. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan posted in room three (3) was not current. The dates on the activity plan were for the week of January 22, 2023-January 26, 2023. GS 110-91(12); .0508(a) 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. COMPLIANCE HISTORY: Prior to conducting today’s visit your program’s Compliance History score, over an 18-month period time frame, is 90%. OWNER/FACILITY PROFILE INFORMATION: Gloria Creech is listed as the current owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: ACITIVITY PLAN: The activity plan posted in room three (3) was not current. The dates on the activity plan were for the week of January 22, 2023-January 26, 2023. When asked why the activity plan was not current, Ms. Clemente stated she was having a difficult time developing activities for the different ages in her classroom. We discussed the development of each age child in the room, and I printed some activities from Zero to Three (https://www.zerotothree.org/resource/play-activities-for-12-to-24-months/ ) to help with planning activities. Ms. Clemente was given the opportunity to write the lesson plan before the visit was completed. This was corrected during the visit. RMINDERS: SIDS TRAINING: Shelby Heath ITS SIDS certificate expires on March 17, 2024. You stated Ms. Heath is scheduled to ITS SIDS training on February 22, 2024. FIRE INSPECTION: Your last fire inspection was conducted on May 23, 2023, please contact your local fire inspector to schedule a fire inspection on or prior to May 23, 2024. Please be sure the fire inspector uses the approved DCDEE fire inspection form for your fire inspection. You can locate this form on DCDEE’s website at https://ncchildcare.ncdhhs.gov/ . Once the inspection has been completed, please send the original fire inspection to your child care consultant within one week of the completed inspection. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the DCDEE “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. RESUMING STAR RATED LICENSE-COHORT TWO (2): Please be aware that your facility is in Cohort TWO (2) for resuming the NC Start Rated License. Your preparation year will begin July 1, 2024, through June 30, 2025. Your reassessment year will be July 1, 2025, through June 30, 2026. To help your facility prepare for the environment rating scale, please review the North Carolina Rated License Assessment Project’s (NCRLAP) website: https://ncrlap.org/ for videos and written resources to help prepare you for the environment rating scale (ERS). You may also want to contact the Partnership for Children of Lenoir and Greene Counties at 252-939-1200 to request technical assistance in preparing for the ERS. RESOURCES: CHILD A CARE RULE CHANGES: The Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Consultants will assist as you begin to review and implement the changes, but please note, some of the rule changes may or may not impact your facility. An example is the rules in section .2600 for multi-unit child care center. These rules are specific to child care centers with multiple licensed centers within one building. Please ensure you are using the updated January 2024 rule book, and view information in the DCDEE Moodle (enroll if necessary). You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. MATERIALS GIVEN DURING VISIT: -Zero to Three 12-24 months activities -Permission to Administer Medication Form -Child Care Health Consultant News Letter CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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