10A NCAC 09 .0601 · Violation

Name of Operation: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 24 Completed Date: 6/11/2025 Age: From 1 To 3 Total Minutes: 165 Time In: 08:25 AM Time Out: 11:10 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. Doris Barrett, the administrator, assisted with the visit. Twenty-four (24) children were observed in care today ranging from one (1) to three (3) years old. Children were engaged in free choice play with developmentally age-appropriate materials, outdoor play, completing toileting, diapering, and hand washing routines, interacting with the caregivers and eating breakfast. Breakfast consisted of cheerios cereal, pears and milk. Currently this program operates with a five-star license earning seven points in staff education, six points program standards, and one quality point for the administrator completing a 30-hour business training course. The sanitation inspection was completed on March 31, 2025, earning a superior classification. The last fire inspection was completed on January 10, 2025, and the center was approved for daytime care only. The last annual compliance visit was completed on November 9, 2024. The following violations were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for seven children between the dates of May 5, 2025, to June 10, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Two bolts were protruding from black barrier enclosing the surfacing around the large play equipment on the preschool playground. Toothpaste (Kids Crest) labeled “keep out of reach of children was observed on a counter less than 5ft. in Space #1 and 2. The fence on the two back playgrounds were covered with a residue that appeared to be mildew. Two active ant piles were observed on the preschool playground at the back on the right side of the building. A package of diaper wipes was on the counter in the children’s bathroom in Space #2. 10A NCAC 09 .0601(a) COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 92% percent as of June 10, 2025. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc., remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status STAFF/CHILD INTERACTIONS: During the observation, children across all spaces were observed eating breakfast. Staff were actively engaged with children, initiating conversations about the foods they were eating and sitting next to them. Once children finished breakfast, they independently cleaned their areas and proceeded to free choice play in various activity areas. Children were also observed engaged in outdoor play utilizing gross motor equipment such as bikes, cars, slides and climbing of large play structures. STAFFING CHANGES: Review of staff records revealed two new employees were hired since your program’s last visit on November 9, 2024. Based on my review of staff records, all documentation and regulatory requirements for recordkeeping were found in compliance. SAFETY REMINDERS: We discussed the importance of ensuring that diaper wipes and toothpaste used for brushing teeth are stored appropriately and in spaces inaccessible to children. Upon review of the packaging, safety warnings were noted, and it was determined that storing the wipes and toothpaste in areas accessible to children creates a safety concern and does not meet compliance. It has been identified that the plastic packaging for diaper wipes and toothpaste used with children include important safety warnings, such as “keep out of reach of children, babies and pets” and “warning of the risk of suffocation”. These warnings highlight the importance of proper storage to ensure safety of children in your care. You removed the toothpaste from the shelf during the visit, placed it up high on a shelf and stated you would install a shelf to store the toothpaste. The teacher stated she was going to change the children’s diapers in the bathroom; therefore, the wipes would be removed when finished. Please make sure all such items are stored safely and in compliance with child care and sanitation regulations. You indicated you received the email notification regarding proper storage of diaper wipes sent out to programs on June 6, 2025. You added you and staff were beginning to work on storing the wipes appropriately. I encouraged you to ensure ant piles were removed from the playground prior to children having access to it. You shared pest control sprays the playground monthly; however, the ants continue to resurface. I explained if the children were to encounter ant piles, injuries could be sustained from being bitten. During the visit, you notified the staff to refrain from using the areas where ant piles were observed during outside play. You stated the area would be blocked off to keep children from gaining access until the ant piles could be removed. ARRIVAL/DEPARTURE TIMES: Sign in/out logs showed departure times were not documented for multiple children between the dates of May 5, 2025, to June 10, 2025. I encouraged you to talk to staff about monitoring sign in/out logs periodically throughout the day to ensure parents are documenting the times. If parents do not record times for arrival or departure, staff could write it in along with their initials to reflect who provided the information. Maintaining accurate records is vital to operating a successful program. AUTOMATED CRIMINAL BACKGROUND CHECK MANAGEMENT SYSTEM (ABCMS) PORTAL: You stated the ABCMS training had been completed for your program; however, staff have not linked themselves to the programs yet. You shared technical assistance and guidance would be needed. I advised you to contact the criminal background check unit for further assistance. QRIS SURVEY COMPLETION REMINDER: While the new QRIS rules are not yet effective, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support the transition to the new pathways to earn your Two- through Five-Star Rated License. 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: ratio. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 24 Completed Date: 6/11/2025 Age: From 1 To 3 Total Minutes: 165 Time In: 08:25 AM Time Out: 11:10 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. Doris Barrett, the administrator, assisted with the visit. Twenty-four (24) children were observed in care today ranging from one (1) to three (3) years old. Children were engaged in free choice play with developmentally age-appropriate materials, outdoor play, completing toileting, diapering, and hand washing routines, interacting with the caregivers and eating breakfast. Breakfast consisted of cheerios cereal, pears and milk. Currently this program operates with a five-star license earning seven points in staff education, six points program standards, and one quality point for the administrator completing a 30-hour business training course. The sanitation inspection was completed on March 31, 2025, earning a superior classification. The last fire inspection was completed on January 10, 2025, and the center was approved for daytime care only. The last annual compliance visit was completed on November 9, 2024. The following violations were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for seven children between the dates of May 5, 2025, to June 10, 2025. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Two bolts were protruding from black barrier enclosing the surfacing around the large play equipment on the preschool playground. Toothpaste (Kids Crest) labeled “keep out of reach of children was observed on a counter less than 5ft. in Space #1 and 2. The fence on the two back playgrounds were covered with a residue that appeared to be mildew. Two active ant piles were observed on the preschool playground at the back on the right side of the building. A package of diaper wipes was on the counter in the children’s bathroom in Space #2. 10A NCAC 09 .0601(a) COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 92% percent as of June 10, 2025. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc., remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status STAFF/CHILD INTERACTIONS: During the observation, children across all spaces were observed eating breakfast. Staff were actively engaged with children, initiating conversations about the foods they were eating and sitting next to them. Once children finished breakfast, they independently cleaned their areas and proceeded to free choice play in various activity areas. Children were also observed engaged in outdoor play utilizing gross motor equipment such as bikes, cars, slides and climbing of large play structures. STAFFING CHANGES: Review of staff records revealed two new employees were hired since your program’s last visit on November 9, 2024. Based on my review of staff records, all documentation and regulatory requirements for recordkeeping were found in compliance. SAFETY REMINDERS: We discussed the importance of ensuring that diaper wipes and toothpaste used for brushing teeth are stored appropriately and in spaces inaccessible to children. Upon review of the packaging, safety warnings were noted, and it was determined that storing the wipes and toothpaste in areas accessible to children creates a safety concern and does not meet compliance. It has been identified that the plastic packaging for diaper wipes and toothpaste used with children include important safety warnings, such as “keep out of reach of children, babies and pets” and “warning of the risk of suffocation”. These warnings highlight the importance of proper storage to ensure safety of children in your care. You removed the toothpaste from the shelf during the visit, placed it up high on a shelf and stated you would install a shelf to store the toothpaste. The teacher stated she was going to change the children’s diapers in the bathroom; therefore, the wipes would be removed when finished. Please make sure all such items are stored safely and in compliance with child care and sanitation regulations. You indicated you received the email notification regarding proper storage of diaper wipes sent out to programs on June 6, 2025. You added you and staff were beginning to work on storing the wipes appropriately. I encouraged you to ensure ant piles were removed from the playground prior to children having access to it. You shared pest control sprays the playground monthly; however, the ants continue to resurface. I explained if the children were to encounter ant piles, injuries could be sustained from being bitten. During the visit, you notified the staff to refrain from using the areas where ant piles were observed during outside play. You stated the area would be blocked off to keep children from gaining access until the ant piles could be removed. ARRIVAL/DEPARTURE TIMES: Sign in/out logs showed departure times were not documented for multiple children between the dates of May 5, 2025, to June 10, 2025. I encouraged you to talk to staff about monitoring sign in/out logs periodically throughout the day to ensure parents are documenting the times. If parents do not record times for arrival or departure, staff could write it in along with their initials to reflect who provided the information. Maintaining accurate records is vital to operating a successful program. AUTOMATED CRIMINAL BACKGROUND CHECK MANAGEMENT SYSTEM (ABCMS) PORTAL: You stated the ABCMS training had been completed for your program; however, staff have not linked themselves to the programs yet. You shared technical assistance and guidance would be needed. I advised you to contact the criminal background check unit for further assistance. QRIS SURVEY COMPLETION REMINDER: While the new QRIS rules are not yet effective, the Division is preparing for a gradual transition to the new requirements. Resources, forms, and training will be provided to support the transition to the new pathways to earn your Two- through Five-Star Rated License. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 47 Completed Date: 11/19/2024 Age: From 1 To 6 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 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 your program for compliance with applicable child care requirements during an annual compliance visit, including compliance with requirements located in Child Care Rule Section .2900 in space number seven (#7), as required for certified developmental day programs. Doris Barrett, Administrator, assisted me with today’s visit. Your program currently operates as a Greene Lamp Early Head Start Program and a Developmental Day Program. You have a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and reduced ratios) and 1 quality point for the administrator having completed a business training course of at least 30 clock hours. There is also a restriction on the permit indicating this is a certified developmental day program. Forty-seven children were observed in care today. Children were observed eating breakfast and lunch, completing hand washing routines, engaged in free choice play, outdoor play, interacting with teachers and napping. Breakfast consisted of eggs, oranges, and milk. Lunch consisted on hamburger with gravy, field beans, mashed potatoes, bread and milk. The last annual compliance visit was conducted December 18, 2023. The sanitation inspection was completed January 10, 2024, with a “Superior” classification. The last fire inspection was conducted January 11, 2024, and your facility was approved for daytime care only. The following violations were documented today. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. Toys were on the diaper changing table in Space #2. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Two bolts were protruding above the flush of the black barrier enclosing the surfacing around the play structure on the playground at the back of the building on the right side. A tube of sanitizer attached to keys was in a basket top of a cubby less than 5ft. in Space #5. A red picnic table was cracked exposing sharp edges on the side on playground #1 in front of the building. Tubes of toothpaste labeled “keep out of reach of children” were sitting on the sink counter below 5ft. from the finished floor in Spaces #3 and 4. An asthma inhaler was on top of the printer below 5ft. from the floor and accessible to children in Space #2. The lattice has detached from the rails on the ramp leading outside from Space #4 exposing sharp points from staples. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Febreze air freshener in an aerosol dispensed container was on top a cubby in Space #2. A container of white out was in a basket next to the computer in Space #3. The items were accessible to children. .2820(b) 1302 Individual applications were not on file for each child. An application was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam was not on file for one child enrolled on August 1, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization report was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio was not maintained when one teacher was providing care to seven children ranging from ages one to two years old in Space#1from 8:36am-8:44am. 10A NCAC 09 .2818 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 December 3, 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. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of November 18, 2024. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO: Upon arrival a staff member left the kitchen and went around counting the number of children in each classroom. The same staff member was also observed transitioning children from one classroom to another. When I entered Space #1, one teacher was providing care to seven children ranging form ages one to two years old. You were notified the space was out of compliance with staff/child ratio after monitoring for that space was finished. You stated you were not aware the teacher had seven children. You added two children must have arrived without knowledge. You said the second teacher in that class was currently working in the kitchen. The individual observed working in the kitchen was asked to go into Space #1 and assist with care. I informed you staff/child ratio must always be maintained. I explained staff should only provide care for the number or children allowed to meet staff/child ratio. We talked about changes in staffing. You reported the program is short staffed. During nap time the teacher in Space #1 left the classroom to warm her lunch in the break area behind the office. This left one person providing care to seven children ranging from ages one to two years old. I notified you staff/child ratio must be maintained even during nap time for children under the age of three. You asked all the staff to remain in their classrooms until someone was available to release them. I suggested recruiting and hiring additional staff to ensure adequate staffing is available to provide care to the number for children enrolled and present daily. You and staff could monitor arrival times of children and make transition adjustments within compliance as needed to ensure staff/child ratio is not compromised. It was also suggested if feasible networking with local colleagues to share substitutes and part time staff. Be reminded you must always maintain compliance with all applicable child care requirement including but not limited to staff/child ratio and grouping of children. You shared the cook usually release staff for breaks; however, she was in the classroom today. I reminded you steps must be implemented to ensure staff/child ratio is always maintained even when short staffed. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. SAFE ENVIRONMENT: We talked about the potential hazards identified during the observation. It was suggested periodically conducting safety checks to identify and remove potential hazards accessible to children. Potential hazards could also be monitored during outdoor play inspections. Staff could also check their classrooms each morning prior to children arriving to ensure items such as white out, sanitizer and aerosol cans are stored appropriately. Medication (rescue medications) should be put in a space inaccessible to children at least 5ft. from the finished floor when received from a parent. The teacher stated she had just received medication from a parent. I explained to the teacher medication should always be stored in a safe space and out of reach of children. The medication was removed and placed in a higher location. HEALTH RECORDS: A health assessment and immunization report were not on file for one child enrolled on August 1, 2024. You stated the documents are retrieved by early head start and are typically sent when the child comes to the facility. You stated you would contact the office of head start and request the documentation. I recommended you and staff review the files of children when enrolled to ensure all required information is included. If it is identified information is missing, contact should be made to retrieve the documentation prior to the due dates. LICENSE FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. 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. 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 this visit, the visit summary report was completed, reviewed, and left with you. 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: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 47 Completed Date: 11/19/2024 Age: From 1 To 6 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 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 your program for compliance with applicable child care requirements during an annual compliance visit, including compliance with requirements located in Child Care Rule Section .2900 in space number seven (#7), as required for certified developmental day programs. Doris Barrett, Administrator, assisted me with today’s visit. Your program currently operates as a Greene Lamp Early Head Start Program and a Developmental Day Program. You have a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and reduced ratios) and 1 quality point for the administrator having completed a business training course of at least 30 clock hours. There is also a restriction on the permit indicating this is a certified developmental day program. Forty-seven children were observed in care today. Children were observed eating breakfast and lunch, completing hand washing routines, engaged in free choice play, outdoor play, interacting with teachers and napping. Breakfast consisted of eggs, oranges, and milk. Lunch consisted on hamburger with gravy, field beans, mashed potatoes, bread and milk. The last annual compliance visit was conducted December 18, 2023. The sanitation inspection was completed January 10, 2024, with a “Superior” classification. The last fire inspection was conducted January 11, 2024, and your facility was approved for daytime care only. The following violations were documented today. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. Toys were on the diaper changing table in Space #2. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Two bolts were protruding above the flush of the black barrier enclosing the surfacing around the play structure on the playground at the back of the building on the right side. A tube of sanitizer attached to keys was in a basket top of a cubby less than 5ft. in Space #5. A red picnic table was cracked exposing sharp edges on the side on playground #1 in front of the building. Tubes of toothpaste labeled “keep out of reach of children” were sitting on the sink counter below 5ft. from the finished floor in Spaces #3 and 4. An asthma inhaler was on top of the printer below 5ft. from the floor and accessible to children in Space #2. The lattice has detached from the rails on the ramp leading outside from Space #4 exposing sharp points from staples. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Febreze air freshener in an aerosol dispensed container was on top a cubby in Space #2. A container of white out was in a basket next to the computer in Space #3. The items were accessible to children. .2820(b) 1302 Individual applications were not on file for each child. An application was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam was not on file for one child enrolled on August 1, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization report was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio was not maintained when one teacher was providing care to seven children ranging from ages one to two years old in Space#1from 8:36am-8:44am. 10A NCAC 09 .2818 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 December 3, 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. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of November 18, 2024. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO: Upon arrival a staff member left the kitchen and went around counting the number of children in each classroom. The same staff member was also observed transitioning children from one classroom to another. When I entered Space #1, one teacher was providing care to seven children ranging form ages one to two years old. You were notified the space was out of compliance with staff/child ratio after monitoring for that space was finished. You stated you were not aware the teacher had seven children. You added two children must have arrived without knowledge. You said the second teacher in that class was currently working in the kitchen. The individual observed working in the kitchen was asked to go into Space #1 and assist with care. I informed you staff/child ratio must always be maintained. I explained staff should only provide care for the number or children allowed to meet staff/child ratio. We talked about changes in staffing. You reported the program is short staffed. During nap time the teacher in Space #1 left the classroom to warm her lunch in the break area behind the office. This left one person providing care to seven children ranging from ages one to two years old. I notified you staff/child ratio must be maintained even during nap time for children under the age of three. You asked all the staff to remain in their classrooms until someone was available to release them. I suggested recruiting and hiring additional staff to ensure adequate staffing is available to provide care to the number for children enrolled and present daily. You and staff could monitor arrival times of children and make transition adjustments within compliance as needed to ensure staff/child ratio is not compromised. It was also suggested if feasible networking with local colleagues to share substitutes and part time staff. Be reminded you must always maintain compliance with all applicable child care requirement including but not limited to staff/child ratio and grouping of children. You shared the cook usually release staff for breaks; however, she was in the classroom today. I reminded you steps must be implemented to ensure staff/child ratio is always maintained even when short staffed. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. SAFE ENVIRONMENT: We talked about the potential hazards identified during the observation. It was suggested periodically conducting safety checks to identify and remove potential hazards accessible to children. Potential hazards could also be monitored during outdoor play inspections. Staff could also check their classrooms each morning prior to children arriving to ensure items such as white out, sanitizer and aerosol cans are stored appropriately. Medication (rescue medications) should be put in a space inaccessible to children at least 5ft. from the finished floor when received from a parent. The teacher stated she had just received medication from a parent. I explained to the teacher medication should always be stored in a safe space and out of reach of children. The medication was removed and placed in a higher location. HEALTH RECORDS: A health assessment and immunization report were not on file for one child enrolled on August 1, 2024. You stated the documents are retrieved by early head start and are typically sent when the child comes to the facility. You stated you would contact the office of head start and request the documentation. I recommended you and staff review the files of children when enrolled to ensure all required information is included. If it is identified information is missing, contact should be made to retrieve the documentation prior to the due dates. LICENSE FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. 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. 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 this visit, the visit summary report was completed, reviewed, and left with you. 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 .0801 · Violation

Name of Operation: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 47 Completed Date: 11/19/2024 Age: From 1 To 6 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 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 your program for compliance with applicable child care requirements during an annual compliance visit, including compliance with requirements located in Child Care Rule Section .2900 in space number seven (#7), as required for certified developmental day programs. Doris Barrett, Administrator, assisted me with today’s visit. Your program currently operates as a Greene Lamp Early Head Start Program and a Developmental Day Program. You have a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and reduced ratios) and 1 quality point for the administrator having completed a business training course of at least 30 clock hours. There is also a restriction on the permit indicating this is a certified developmental day program. Forty-seven children were observed in care today. Children were observed eating breakfast and lunch, completing hand washing routines, engaged in free choice play, outdoor play, interacting with teachers and napping. Breakfast consisted of eggs, oranges, and milk. Lunch consisted on hamburger with gravy, field beans, mashed potatoes, bread and milk. The last annual compliance visit was conducted December 18, 2023. The sanitation inspection was completed January 10, 2024, with a “Superior” classification. The last fire inspection was conducted January 11, 2024, and your facility was approved for daytime care only. The following violations were documented today. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. Toys were on the diaper changing table in Space #2. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Two bolts were protruding above the flush of the black barrier enclosing the surfacing around the play structure on the playground at the back of the building on the right side. A tube of sanitizer attached to keys was in a basket top of a cubby less than 5ft. in Space #5. A red picnic table was cracked exposing sharp edges on the side on playground #1 in front of the building. Tubes of toothpaste labeled “keep out of reach of children” were sitting on the sink counter below 5ft. from the finished floor in Spaces #3 and 4. An asthma inhaler was on top of the printer below 5ft. from the floor and accessible to children in Space #2. The lattice has detached from the rails on the ramp leading outside from Space #4 exposing sharp points from staples. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Febreze air freshener in an aerosol dispensed container was on top a cubby in Space #2. A container of white out was in a basket next to the computer in Space #3. The items were accessible to children. .2820(b) 1302 Individual applications were not on file for each child. An application was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam was not on file for one child enrolled on August 1, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization report was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio was not maintained when one teacher was providing care to seven children ranging from ages one to two years old in Space#1from 8:36am-8:44am. 10A NCAC 09 .2818 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 December 3, 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. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of November 18, 2024. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO: Upon arrival a staff member left the kitchen and went around counting the number of children in each classroom. The same staff member was also observed transitioning children from one classroom to another. When I entered Space #1, one teacher was providing care to seven children ranging form ages one to two years old. You were notified the space was out of compliance with staff/child ratio after monitoring for that space was finished. You stated you were not aware the teacher had seven children. You added two children must have arrived without knowledge. You said the second teacher in that class was currently working in the kitchen. The individual observed working in the kitchen was asked to go into Space #1 and assist with care. I informed you staff/child ratio must always be maintained. I explained staff should only provide care for the number or children allowed to meet staff/child ratio. We talked about changes in staffing. You reported the program is short staffed. During nap time the teacher in Space #1 left the classroom to warm her lunch in the break area behind the office. This left one person providing care to seven children ranging from ages one to two years old. I notified you staff/child ratio must be maintained even during nap time for children under the age of three. You asked all the staff to remain in their classrooms until someone was available to release them. I suggested recruiting and hiring additional staff to ensure adequate staffing is available to provide care to the number for children enrolled and present daily. You and staff could monitor arrival times of children and make transition adjustments within compliance as needed to ensure staff/child ratio is not compromised. It was also suggested if feasible networking with local colleagues to share substitutes and part time staff. Be reminded you must always maintain compliance with all applicable child care requirement including but not limited to staff/child ratio and grouping of children. You shared the cook usually release staff for breaks; however, she was in the classroom today. I reminded you steps must be implemented to ensure staff/child ratio is always maintained even when short staffed. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. SAFE ENVIRONMENT: We talked about the potential hazards identified during the observation. It was suggested periodically conducting safety checks to identify and remove potential hazards accessible to children. Potential hazards could also be monitored during outdoor play inspections. Staff could also check their classrooms each morning prior to children arriving to ensure items such as white out, sanitizer and aerosol cans are stored appropriately. Medication (rescue medications) should be put in a space inaccessible to children at least 5ft. from the finished floor when received from a parent. The teacher stated she had just received medication from a parent. I explained to the teacher medication should always be stored in a safe space and out of reach of children. The medication was removed and placed in a higher location. HEALTH RECORDS: A health assessment and immunization report were not on file for one child enrolled on August 1, 2024. You stated the documents are retrieved by early head start and are typically sent when the child comes to the facility. You stated you would contact the office of head start and request the documentation. I recommended you and staff review the files of children when enrolled to ensure all required information is included. If it is identified information is missing, contact should be made to retrieve the documentation prior to the due dates. LICENSE FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. 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. 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 this visit, the visit summary report was completed, reviewed, and left with you. 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 .2818 · Violation

Name of Operation: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 47 Completed Date: 11/19/2024 Age: From 1 To 6 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 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 your program for compliance with applicable child care requirements during an annual compliance visit, including compliance with requirements located in Child Care Rule Section .2900 in space number seven (#7), as required for certified developmental day programs. Doris Barrett, Administrator, assisted me with today’s visit. Your program currently operates as a Greene Lamp Early Head Start Program and a Developmental Day Program. You have a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and reduced ratios) and 1 quality point for the administrator having completed a business training course of at least 30 clock hours. There is also a restriction on the permit indicating this is a certified developmental day program. Forty-seven children were observed in care today. Children were observed eating breakfast and lunch, completing hand washing routines, engaged in free choice play, outdoor play, interacting with teachers and napping. Breakfast consisted of eggs, oranges, and milk. Lunch consisted on hamburger with gravy, field beans, mashed potatoes, bread and milk. The last annual compliance visit was conducted December 18, 2023. The sanitation inspection was completed January 10, 2024, with a “Superior” classification. The last fire inspection was conducted January 11, 2024, and your facility was approved for daytime care only. The following violations were documented today. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. Toys were on the diaper changing table in Space #2. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Two bolts were protruding above the flush of the black barrier enclosing the surfacing around the play structure on the playground at the back of the building on the right side. A tube of sanitizer attached to keys was in a basket top of a cubby less than 5ft. in Space #5. A red picnic table was cracked exposing sharp edges on the side on playground #1 in front of the building. Tubes of toothpaste labeled “keep out of reach of children” were sitting on the sink counter below 5ft. from the finished floor in Spaces #3 and 4. An asthma inhaler was on top of the printer below 5ft. from the floor and accessible to children in Space #2. The lattice has detached from the rails on the ramp leading outside from Space #4 exposing sharp points from staples. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Febreze air freshener in an aerosol dispensed container was on top a cubby in Space #2. A container of white out was in a basket next to the computer in Space #3. The items were accessible to children. .2820(b) 1302 Individual applications were not on file for each child. An application was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam was not on file for one child enrolled on August 1, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization report was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio was not maintained when one teacher was providing care to seven children ranging from ages one to two years old in Space#1from 8:36am-8:44am. 10A NCAC 09 .2818 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 December 3, 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. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of November 18, 2024. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO: Upon arrival a staff member left the kitchen and went around counting the number of children in each classroom. The same staff member was also observed transitioning children from one classroom to another. When I entered Space #1, one teacher was providing care to seven children ranging form ages one to two years old. You were notified the space was out of compliance with staff/child ratio after monitoring for that space was finished. You stated you were not aware the teacher had seven children. You added two children must have arrived without knowledge. You said the second teacher in that class was currently working in the kitchen. The individual observed working in the kitchen was asked to go into Space #1 and assist with care. I informed you staff/child ratio must always be maintained. I explained staff should only provide care for the number or children allowed to meet staff/child ratio. We talked about changes in staffing. You reported the program is short staffed. During nap time the teacher in Space #1 left the classroom to warm her lunch in the break area behind the office. This left one person providing care to seven children ranging from ages one to two years old. I notified you staff/child ratio must be maintained even during nap time for children under the age of three. You asked all the staff to remain in their classrooms until someone was available to release them. I suggested recruiting and hiring additional staff to ensure adequate staffing is available to provide care to the number for children enrolled and present daily. You and staff could monitor arrival times of children and make transition adjustments within compliance as needed to ensure staff/child ratio is not compromised. It was also suggested if feasible networking with local colleagues to share substitutes and part time staff. Be reminded you must always maintain compliance with all applicable child care requirement including but not limited to staff/child ratio and grouping of children. You shared the cook usually release staff for breaks; however, she was in the classroom today. I reminded you steps must be implemented to ensure staff/child ratio is always maintained even when short staffed. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. SAFE ENVIRONMENT: We talked about the potential hazards identified during the observation. It was suggested periodically conducting safety checks to identify and remove potential hazards accessible to children. Potential hazards could also be monitored during outdoor play inspections. Staff could also check their classrooms each morning prior to children arriving to ensure items such as white out, sanitizer and aerosol cans are stored appropriately. Medication (rescue medications) should be put in a space inaccessible to children at least 5ft. from the finished floor when received from a parent. The teacher stated she had just received medication from a parent. I explained to the teacher medication should always be stored in a safe space and out of reach of children. The medication was removed and placed in a higher location. HEALTH RECORDS: A health assessment and immunization report were not on file for one child enrolled on August 1, 2024. You stated the documents are retrieved by early head start and are typically sent when the child comes to the facility. You stated you would contact the office of head start and request the documentation. I recommended you and staff review the files of children when enrolled to ensure all required information is included. If it is identified information is missing, contact should be made to retrieve the documentation prior to the due dates. LICENSE FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. 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. 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 this visit, the visit summary report was completed, reviewed, and left with you. 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: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 47 Completed Date: 11/19/2024 Age: From 1 To 6 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 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 your program for compliance with applicable child care requirements during an annual compliance visit, including compliance with requirements located in Child Care Rule Section .2900 in space number seven (#7), as required for certified developmental day programs. Doris Barrett, Administrator, assisted me with today’s visit. Your program currently operates as a Greene Lamp Early Head Start Program and a Developmental Day Program. You have a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and reduced ratios) and 1 quality point for the administrator having completed a business training course of at least 30 clock hours. There is also a restriction on the permit indicating this is a certified developmental day program. Forty-seven children were observed in care today. Children were observed eating breakfast and lunch, completing hand washing routines, engaged in free choice play, outdoor play, interacting with teachers and napping. Breakfast consisted of eggs, oranges, and milk. Lunch consisted on hamburger with gravy, field beans, mashed potatoes, bread and milk. The last annual compliance visit was conducted December 18, 2023. The sanitation inspection was completed January 10, 2024, with a “Superior” classification. The last fire inspection was conducted January 11, 2024, and your facility was approved for daytime care only. The following violations were documented today. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. Toys were on the diaper changing table in Space #2. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Two bolts were protruding above the flush of the black barrier enclosing the surfacing around the play structure on the playground at the back of the building on the right side. A tube of sanitizer attached to keys was in a basket top of a cubby less than 5ft. in Space #5. A red picnic table was cracked exposing sharp edges on the side on playground #1 in front of the building. Tubes of toothpaste labeled “keep out of reach of children” were sitting on the sink counter below 5ft. from the finished floor in Spaces #3 and 4. An asthma inhaler was on top of the printer below 5ft. from the floor and accessible to children in Space #2. The lattice has detached from the rails on the ramp leading outside from Space #4 exposing sharp points from staples. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Febreze air freshener in an aerosol dispensed container was on top a cubby in Space #2. A container of white out was in a basket next to the computer in Space #3. The items were accessible to children. .2820(b) 1302 Individual applications were not on file for each child. An application was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam was not on file for one child enrolled on August 1, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization report was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio was not maintained when one teacher was providing care to seven children ranging from ages one to two years old in Space#1from 8:36am-8:44am. 10A NCAC 09 .2818 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 December 3, 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. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of November 18, 2024. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO: Upon arrival a staff member left the kitchen and went around counting the number of children in each classroom. The same staff member was also observed transitioning children from one classroom to another. When I entered Space #1, one teacher was providing care to seven children ranging form ages one to two years old. You were notified the space was out of compliance with staff/child ratio after monitoring for that space was finished. You stated you were not aware the teacher had seven children. You added two children must have arrived without knowledge. You said the second teacher in that class was currently working in the kitchen. The individual observed working in the kitchen was asked to go into Space #1 and assist with care. I informed you staff/child ratio must always be maintained. I explained staff should only provide care for the number or children allowed to meet staff/child ratio. We talked about changes in staffing. You reported the program is short staffed. During nap time the teacher in Space #1 left the classroom to warm her lunch in the break area behind the office. This left one person providing care to seven children ranging from ages one to two years old. I notified you staff/child ratio must be maintained even during nap time for children under the age of three. You asked all the staff to remain in their classrooms until someone was available to release them. I suggested recruiting and hiring additional staff to ensure adequate staffing is available to provide care to the number for children enrolled and present daily. You and staff could monitor arrival times of children and make transition adjustments within compliance as needed to ensure staff/child ratio is not compromised. It was also suggested if feasible networking with local colleagues to share substitutes and part time staff. Be reminded you must always maintain compliance with all applicable child care requirement including but not limited to staff/child ratio and grouping of children. You shared the cook usually release staff for breaks; however, she was in the classroom today. I reminded you steps must be implemented to ensure staff/child ratio is always maintained even when short staffed. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. SAFE ENVIRONMENT: We talked about the potential hazards identified during the observation. It was suggested periodically conducting safety checks to identify and remove potential hazards accessible to children. Potential hazards could also be monitored during outdoor play inspections. Staff could also check their classrooms each morning prior to children arriving to ensure items such as white out, sanitizer and aerosol cans are stored appropriately. Medication (rescue medications) should be put in a space inaccessible to children at least 5ft. from the finished floor when received from a parent. The teacher stated she had just received medication from a parent. I explained to the teacher medication should always be stored in a safe space and out of reach of children. The medication was removed and placed in a higher location. HEALTH RECORDS: A health assessment and immunization report were not on file for one child enrolled on August 1, 2024. You stated the documents are retrieved by early head start and are typically sent when the child comes to the facility. You stated you would contact the office of head start and request the documentation. I recommended you and staff review the files of children when enrolled to ensure all required information is included. If it is identified information is missing, contact should be made to retrieve the documentation prior to the due dates. LICENSE FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. 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. 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 this visit, the visit summary report was completed, reviewed, and left with you. 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

GS110-91 · Violation

Name of Operation: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 11/19/2024 Number Present: 47 Completed Date: 11/19/2024 Age: From 1 To 6 Total Minutes: 315 Time In: 08:30 AM Time Out: 01:45 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 your program for compliance with applicable child care requirements during an annual compliance visit, including compliance with requirements located in Child Care Rule Section .2900 in space number seven (#7), as required for certified developmental day programs. Doris Barrett, Administrator, assisted me with today’s visit. Your program currently operates as a Greene Lamp Early Head Start Program and a Developmental Day Program. You have a five-star license, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and reduced ratios) and 1 quality point for the administrator having completed a business training course of at least 30 clock hours. There is also a restriction on the permit indicating this is a certified developmental day program. Forty-seven children were observed in care today. Children were observed eating breakfast and lunch, completing hand washing routines, engaged in free choice play, outdoor play, interacting with teachers and napping. Breakfast consisted of eggs, oranges, and milk. Lunch consisted on hamburger with gravy, field beans, mashed potatoes, bread and milk. The last annual compliance visit was conducted December 18, 2023. The sanitation inspection was completed January 10, 2024, with a “Superior” classification. The last fire inspection was conducted January 11, 2024, and your facility was approved for daytime care only. The following violations were documented today. Violation Number Comment Rule 618 Diaper changing surfaces were not kept free of storage. Toys were on the diaper changing table in Space #2. 15A NCAC 18A .2819(b) 807 A safe indoor and outdoor environment was not provided for the children. Two bolts were protruding above the flush of the black barrier enclosing the surfacing around the play structure on the playground at the back of the building on the right side. A tube of sanitizer attached to keys was in a basket top of a cubby less than 5ft. in Space #5. A red picnic table was cracked exposing sharp edges on the side on playground #1 in front of the building. Tubes of toothpaste labeled “keep out of reach of children” were sitting on the sink counter below 5ft. from the finished floor in Spaces #3 and 4. An asthma inhaler was on top of the printer below 5ft. from the floor and accessible to children in Space #2. The lattice has detached from the rails on the ramp leading outside from Space #4 exposing sharp points from staples. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Febreze air freshener in an aerosol dispensed container was on top a cubby in Space #2. A container of white out was in a basket next to the computer in Space #3. The items were accessible to children. .2820(b) 1302 Individual applications were not on file for each child. An application was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0801(a) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A medical exam was not on file for one child enrolled on August 1, 2024. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. An immunization report was not on file for one child enrolled on August 1, 2024. 10A NCAC 09 .0302(d)(2) 1756 Enhanced staff/child ratios and group sizes were not met. Enhanced staff/child ratio was not maintained when one teacher was providing care to seven children ranging from ages one to two years old in Space#1from 8:36am-8:44am. 10A NCAC 09 .2818 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 December 3, 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. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc. remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 95% as of November 18, 2024. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. STAFF/CHILD RATIO: Upon arrival a staff member left the kitchen and went around counting the number of children in each classroom. The same staff member was also observed transitioning children from one classroom to another. When I entered Space #1, one teacher was providing care to seven children ranging form ages one to two years old. You were notified the space was out of compliance with staff/child ratio after monitoring for that space was finished. You stated you were not aware the teacher had seven children. You added two children must have arrived without knowledge. You said the second teacher in that class was currently working in the kitchen. The individual observed working in the kitchen was asked to go into Space #1 and assist with care. I informed you staff/child ratio must always be maintained. I explained staff should only provide care for the number or children allowed to meet staff/child ratio. We talked about changes in staffing. You reported the program is short staffed. During nap time the teacher in Space #1 left the classroom to warm her lunch in the break area behind the office. This left one person providing care to seven children ranging from ages one to two years old. I notified you staff/child ratio must be maintained even during nap time for children under the age of three. You asked all the staff to remain in their classrooms until someone was available to release them. I suggested recruiting and hiring additional staff to ensure adequate staffing is available to provide care to the number for children enrolled and present daily. You and staff could monitor arrival times of children and make transition adjustments within compliance as needed to ensure staff/child ratio is not compromised. It was also suggested if feasible networking with local colleagues to share substitutes and part time staff. Be reminded you must always maintain compliance with all applicable child care requirement including but not limited to staff/child ratio and grouping of children. You shared the cook usually release staff for breaks; however, she was in the classroom today. I reminded you steps must be implemented to ensure staff/child ratio is always maintained even when short staffed. Research indicates that group size and staff/child ratios are strong indicators of the quality of child care. Sufficient staff should be available to provide children with supervision, frequent personal contact, meaningful learning activities, and immediate care as needed. Smaller groups and lower staff to child ratios are related to positive outcomes for children, An unannounced follow-up visit will be conducted to monitor staff/child ratio requirements. SAFE ENVIRONMENT: We talked about the potential hazards identified during the observation. It was suggested periodically conducting safety checks to identify and remove potential hazards accessible to children. Potential hazards could also be monitored during outdoor play inspections. Staff could also check their classrooms each morning prior to children arriving to ensure items such as white out, sanitizer and aerosol cans are stored appropriately. Medication (rescue medications) should be put in a space inaccessible to children at least 5ft. from the finished floor when received from a parent. The teacher stated she had just received medication from a parent. I explained to the teacher medication should always be stored in a safe space and out of reach of children. The medication was removed and placed in a higher location. HEALTH RECORDS: A health assessment and immunization report were not on file for one child enrolled on August 1, 2024. You stated the documents are retrieved by early head start and are typically sent when the child comes to the facility. You stated you would contact the office of head start and request the documentation. I recommended you and staff review the files of children when enrolled to ensure all required information is included. If it is identified information is missing, contact should be made to retrieve the documentation prior to the due dates. LICENSE FEES: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. In accordance with North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024, not the number of children enrolled at your facility. Please note that annual license fees do not apply to state or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. The Division of Child Development and Early Education remains available to assist you. For questions regarding license fees, visit the Frequently Asked Questions (FAQs) on our website. For further assistance regarding your annual license fee, please email DCDEE_LF@dhhs.nc.gov. 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. 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 this visit, the visit summary report was completed, reviewed, and left with you. 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 .0713 · Violation

Name of Operation: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 29 Completed Date: 6/3/2024 Age: From 1 To 6 Total Minutes: 240 Time In: 09:35 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit, You, D. Barrett, Administrator, were present and available to assist with today’s visit. Your program currently operates as a Greene Lamp Early Head Start Program and a Developmental Day Program. You have a five-star license, issued May 11, 2018, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and reduced ratios) and 1 quality point for the administrator having completed a business training course of at least 30 clock hours. There is also a restriction on the permit indicating this is a certified developmental day program. The last annual compliance visit was conducted January 13, 2023. The sanitation inspection was completed January 10, 2024, with a “Superior” classification. The last fire inspection was conducted (January 11, 2024) and your facility was approved for daytime care only. Twenty-Nine (29) children from ages one (1) to six (6) years old 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 indoor learning environments. Children were participating in free play in activity areas, transitions, and personal care routines. Caregivers were interacting with the children in a developmentally appropriate manner and meeting the developmental needs of the children. You stated you do not provide transportation. Children who receive developmental day services are currently cared for in space number seven (#7). Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified 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 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. In the following spaces: space #2, #3, and #4, there was at least one (1) one year-old child grouped with a three year-old child. 10A NCAC 09 .0713(a)(6) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. R. Gonzales began employment on October 16, 2023. Ms. Gonzales did not completed the Recognizing and Responding to Suspicions of Child Maltreatment on or prior to January 16, 2024. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The following staff had documentation of completing the required Health and Safety trainings; however, the trainings were not renewed on or prior to the expiration date: D. Barrett needed to complete the trainings on or prior to February 1, 2024, C. Ward needed to complete the trainings on or prior to February 4, 2024, and C. Tuten needed to complete the trainings on or prior to February 3, 2024. .1103(b) 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 June 17, 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 center’s Compliance History score, over an 18-month period time frame, is 91%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: 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 CHILD RATIO (GROUPING): In space number two (#2) there was A one (1) one-year-old child grouped with two (2) three (3)-year-olds. In space number three (#3) there was a one-year-old child grouped with a three (3)- year-old child and in space number four (#4) there was a one (1) year-old child grouped with a three (3) year-old child. Please remember a one (1) year old child cannot be grouped with children over two (2) years of age. You stated the children were originally two (2) when the children were enrolled in the classrooms; however, the children turned three (3) and you needed to get permission from Greene Lamp Early Head Start to transition the children to other classrooms. During the visit you contacted Greene Lamp, and they gave you permission to move the children. I informed you an unannounced visit would be conducted to verify the children were no longer enrolled in those spaces. RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT: R. Gonzales began employment on October 16, 2023. Ms. Gonzales should have completed Recognizing and Responding to Suspicions of Child Maltreatment on or prior to January 16, 2024. Please remember new employees have 90 days from the first day of employment to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Please have Ms. Gonzales complete the training at the Positive Childhood Alliance of North Carolina https://preventchildabusenc.org/ . HEALTH AND SAFETY TRAININGS: The following staff had documentation of completing the required Health and Safety trainings; however, the trainings were not renewed on or prior to the expiration date: D. Barrett needed to complete the trainings on or prior to February 1, 2024 C. Ward needed to complete the trainings on or prior to February 4, 2024 C. Tuten needed to complete the trainings on or prior to February 3, 2024 As a reminder, T. Jenkins will need to complete her health and safety trainings on or prior to September 2, 2024. Please remember the health and safety trainings need to be completed every five (5). You and your staff may access the health and safety trainings at the Division of Child Development and Early Education website: https://www.dcdee.moodle.nc.gov/ Step 1: Login (right-hand side with My NCID username and password). Step 2: Look at the picture carousel for the one that reads “View Early Childhood Professional Development” (click). Step 3: You will see the different Units at DCDEE. Click on the Unit to see if have training opportunities (e.g., CCDF – Serving Young Children Experiencing Homelessness --> CCDF - Solutions to the Dilemma: Reducing Suspension and Expulsion --> CBC - ABCMS Child Care Provider Portal Training --> Regulatory - 2024 Health and Safety in Child Care --> Regulatory - 2024 Medication in Child Care --> Regulatory – CCDF Child Care Rule Rollout --> Foundations – Intermediate NC Foundations --> Foundations - Early Childhood Mental Health Modules --> Foundations - Advanced course Emotional and Social Development --> Subsidy – Subsidized Child Care Assistance Program Rules). Step 4: If you see a training you like, click on title then look for enrollment options – click ENROLL Me. NOTE: If you are unfamiliar with how to navigate Moodle, please click this link for more directions https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle Steps to enroll in Moodle training, if do NOT have My NCID account. Step 1: Create a MyNCID username and password if you do NOT already have one. Step 2: You may follow steps above or after you have your My NCID, email DCDEE_MOODLE_SUPPORT@dhhs.nc.gov with the name of the training you want to register for in Moodle online training. Step 3: After 48 hours of request (except weekends and holidays), click “MY COURSES” and you will see the training listed for you. Step 4: Click the training link and read thoroughly directions for the training. Unable to access Moodle, then follow the steps below: Go to MyNCID https://myncid.nc.gov Login Change your password Wait approximately 1 hour, then login on Moodle . 5.If still unable to login, change your password, do the following: Call MyNCID helpline at (800) 722-3946 share with representative unable to change password to access Moodle for assistance. 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. According to the Clean Water for Us Kids website you tested your water for lead on April 7, 2024, and the analysis is complete. You have also started enrollment in the lead paint and asbestos testing. Please continue to review the Clean Water for Us Kids website for updates. 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 .2902 · Violation

Name of Operation: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 29 Completed Date: 6/3/2024 Age: From 1 To 6 Total Minutes: 240 Time In: 09:35 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit, You, D. Barrett, Administrator, were present and available to assist with today’s visit. Your program currently operates as a Greene Lamp Early Head Start Program and a Developmental Day Program. You have a five-star license, issued May 11, 2018, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and reduced ratios) and 1 quality point for the administrator having completed a business training course of at least 30 clock hours. There is also a restriction on the permit indicating this is a certified developmental day program. The last annual compliance visit was conducted January 13, 2023. The sanitation inspection was completed January 10, 2024, with a “Superior” classification. The last fire inspection was conducted (January 11, 2024) and your facility was approved for daytime care only. Twenty-Nine (29) children from ages one (1) to six (6) years old 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 indoor learning environments. Children were participating in free play in activity areas, transitions, and personal care routines. Caregivers were interacting with the children in a developmentally appropriate manner and meeting the developmental needs of the children. You stated you do not provide transportation. Children who receive developmental day services are currently cared for in space number seven (#7). Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified 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 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. In the following spaces: space #2, #3, and #4, there was at least one (1) one year-old child grouped with a three year-old child. 10A NCAC 09 .0713(a)(6) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. R. Gonzales began employment on October 16, 2023. Ms. Gonzales did not completed the Recognizing and Responding to Suspicions of Child Maltreatment on or prior to January 16, 2024. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The following staff had documentation of completing the required Health and Safety trainings; however, the trainings were not renewed on or prior to the expiration date: D. Barrett needed to complete the trainings on or prior to February 1, 2024, C. Ward needed to complete the trainings on or prior to February 4, 2024, and C. Tuten needed to complete the trainings on or prior to February 3, 2024. .1103(b) 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 June 17, 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 center’s Compliance History score, over an 18-month period time frame, is 91%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: 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 CHILD RATIO (GROUPING): In space number two (#2) there was A one (1) one-year-old child grouped with two (2) three (3)-year-olds. In space number three (#3) there was a one-year-old child grouped with a three (3)- year-old child and in space number four (#4) there was a one (1) year-old child grouped with a three (3) year-old child. Please remember a one (1) year old child cannot be grouped with children over two (2) years of age. You stated the children were originally two (2) when the children were enrolled in the classrooms; however, the children turned three (3) and you needed to get permission from Greene Lamp Early Head Start to transition the children to other classrooms. During the visit you contacted Greene Lamp, and they gave you permission to move the children. I informed you an unannounced visit would be conducted to verify the children were no longer enrolled in those spaces. RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT: R. Gonzales began employment on October 16, 2023. Ms. Gonzales should have completed Recognizing and Responding to Suspicions of Child Maltreatment on or prior to January 16, 2024. Please remember new employees have 90 days from the first day of employment to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Please have Ms. Gonzales complete the training at the Positive Childhood Alliance of North Carolina https://preventchildabusenc.org/ . HEALTH AND SAFETY TRAININGS: The following staff had documentation of completing the required Health and Safety trainings; however, the trainings were not renewed on or prior to the expiration date: D. Barrett needed to complete the trainings on or prior to February 1, 2024 C. Ward needed to complete the trainings on or prior to February 4, 2024 C. Tuten needed to complete the trainings on or prior to February 3, 2024 As a reminder, T. Jenkins will need to complete her health and safety trainings on or prior to September 2, 2024. Please remember the health and safety trainings need to be completed every five (5). You and your staff may access the health and safety trainings at the Division of Child Development and Early Education website: https://www.dcdee.moodle.nc.gov/ Step 1: Login (right-hand side with My NCID username and password). Step 2: Look at the picture carousel for the one that reads “View Early Childhood Professional Development” (click). Step 3: You will see the different Units at DCDEE. Click on the Unit to see if have training opportunities (e.g., CCDF – Serving Young Children Experiencing Homelessness --> CCDF - Solutions to the Dilemma: Reducing Suspension and Expulsion --> CBC - ABCMS Child Care Provider Portal Training --> Regulatory - 2024 Health and Safety in Child Care --> Regulatory - 2024 Medication in Child Care --> Regulatory – CCDF Child Care Rule Rollout --> Foundations – Intermediate NC Foundations --> Foundations - Early Childhood Mental Health Modules --> Foundations - Advanced course Emotional and Social Development --> Subsidy – Subsidized Child Care Assistance Program Rules). Step 4: If you see a training you like, click on title then look for enrollment options – click ENROLL Me. NOTE: If you are unfamiliar with how to navigate Moodle, please click this link for more directions https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle Steps to enroll in Moodle training, if do NOT have My NCID account. Step 1: Create a MyNCID username and password if you do NOT already have one. Step 2: You may follow steps above or after you have your My NCID, email DCDEE_MOODLE_SUPPORT@dhhs.nc.gov with the name of the training you want to register for in Moodle online training. Step 3: After 48 hours of request (except weekends and holidays), click “MY COURSES” and you will see the training listed for you. Step 4: Click the training link and read thoroughly directions for the training. Unable to access Moodle, then follow the steps below: Go to MyNCID https://myncid.nc.gov Login Change your password Wait approximately 1 hour, then login on Moodle . 5.If still unable to login, change your password, do the following: Call MyNCID helpline at (800) 722-3946 share with representative unable to change password to access Moodle for assistance. 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. According to the Clean Water for Us Kids website you tested your water for lead on April 7, 2024, and the analysis is complete. You have also started enrollment in the lead paint and asbestos testing. Please continue to review the Clean Water for Us Kids website for updates. 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: TENDER LOVE CHILD CARE CENTER, INC Facility ID: 40000046 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 6/3/2024 Number Present: 29 Completed Date: 6/3/2024 Age: From 1 To 6 Total Minutes: 240 Time In: 09:35 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit, You, D. Barrett, Administrator, were present and available to assist with today’s visit. Your program currently operates as a Greene Lamp Early Head Start Program and a Developmental Day Program. You have a five-star license, issued May 11, 2018, earning 7 points in the education component, 6 points in the program standards component (meeting enhanced space and reduced ratios) and 1 quality point for the administrator having completed a business training course of at least 30 clock hours. There is also a restriction on the permit indicating this is a certified developmental day program. The last annual compliance visit was conducted January 13, 2023. The sanitation inspection was completed January 10, 2024, with a “Superior” classification. The last fire inspection was conducted (January 11, 2024) and your facility was approved for daytime care only. Twenty-Nine (29) children from ages one (1) to six (6) years old 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 indoor learning environments. Children were participating in free play in activity areas, transitions, and personal care routines. Caregivers were interacting with the children in a developmentally appropriate manner and meeting the developmental needs of the children. You stated you do not provide transportation. Children who receive developmental day services are currently cared for in space number seven (#7). Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .2902(f) were verified 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 318 Children between 12 and 24 months of age were grouped with children 3 years of age or older. In the following spaces: space #2, #3, and #4, there was at least one (1) one year-old child grouped with a three year-old child. 10A NCAC 09 .0713(a)(6) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. R. Gonzales began employment on October 16, 2023. Ms. Gonzales did not completed the Recognizing and Responding to Suspicions of Child Maltreatment on or prior to January 16, 2024. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. The following staff had documentation of completing the required Health and Safety trainings; however, the trainings were not renewed on or prior to the expiration date: D. Barrett needed to complete the trainings on or prior to February 1, 2024, C. Ward needed to complete the trainings on or prior to February 4, 2024, and C. Tuten needed to complete the trainings on or prior to February 3, 2024. .1103(b) 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 June 17, 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 center’s Compliance History score, over an 18-month period time frame, is 91%. The violations documented could impact the center’s overall Compliance History score. Your compliance score must be maintained at 75% or higher or an Administrative Action may be warranted. CORPORATION STATUS: Tender Love Child Care Center, Inc. is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Tender Love Child Care Center, Inc. remains current and active. Prior to making any changes to the corporation status, please contact me to discuss change of ownership procedures. The corporation status for your program must always remain current and active. Failure to comply may affect your license. FACILITY PROFILE INFORMATION: 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 CHILD RATIO (GROUPING): In space number two (#2) there was A one (1) one-year-old child grouped with two (2) three (3)-year-olds. In space number three (#3) there was a one-year-old child grouped with a three (3)- year-old child and in space number four (#4) there was a one (1) year-old child grouped with a three (3) year-old child. Please remember a one (1) year old child cannot be grouped with children over two (2) years of age. You stated the children were originally two (2) when the children were enrolled in the classrooms; however, the children turned three (3) and you needed to get permission from Greene Lamp Early Head Start to transition the children to other classrooms. During the visit you contacted Greene Lamp, and they gave you permission to move the children. I informed you an unannounced visit would be conducted to verify the children were no longer enrolled in those spaces. RECOGNIZING AND RESPONDING TO SUSPICIONS OF CHILD MALTREATMENT: R. Gonzales began employment on October 16, 2023. Ms. Gonzales should have completed Recognizing and Responding to Suspicions of Child Maltreatment on or prior to January 16, 2024. Please remember new employees have 90 days from the first day of employment to complete the Recognizing and Responding to Suspicions of Child Maltreatment. Please have Ms. Gonzales complete the training at the Positive Childhood Alliance of North Carolina https://preventchildabusenc.org/ . HEALTH AND SAFETY TRAININGS: The following staff had documentation of completing the required Health and Safety trainings; however, the trainings were not renewed on or prior to the expiration date: D. Barrett needed to complete the trainings on or prior to February 1, 2024 C. Ward needed to complete the trainings on or prior to February 4, 2024 C. Tuten needed to complete the trainings on or prior to February 3, 2024 As a reminder, T. Jenkins will need to complete her health and safety trainings on or prior to September 2, 2024. Please remember the health and safety trainings need to be completed every five (5). You and your staff may access the health and safety trainings at the Division of Child Development and Early Education website: https://www.dcdee.moodle.nc.gov/ Step 1: Login (right-hand side with My NCID username and password). Step 2: Look at the picture carousel for the one that reads “View Early Childhood Professional Development” (click). Step 3: You will see the different Units at DCDEE. Click on the Unit to see if have training opportunities (e.g., CCDF – Serving Young Children Experiencing Homelessness --> CCDF - Solutions to the Dilemma: Reducing Suspension and Expulsion --> CBC - ABCMS Child Care Provider Portal Training --> Regulatory - 2024 Health and Safety in Child Care --> Regulatory - 2024 Medication in Child Care --> Regulatory – CCDF Child Care Rule Rollout --> Foundations – Intermediate NC Foundations --> Foundations - Early Childhood Mental Health Modules --> Foundations - Advanced course Emotional and Social Development --> Subsidy – Subsidized Child Care Assistance Program Rules). Step 4: If you see a training you like, click on title then look for enrollment options – click ENROLL Me. NOTE: If you are unfamiliar with how to navigate Moodle, please click this link for more directions https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle Steps to enroll in Moodle training, if do NOT have My NCID account. Step 1: Create a MyNCID username and password if you do NOT already have one. Step 2: You may follow steps above or after you have your My NCID, email DCDEE_MOODLE_SUPPORT@dhhs.nc.gov with the name of the training you want to register for in Moodle online training. Step 3: After 48 hours of request (except weekends and holidays), click “MY COURSES” and you will see the training listed for you. Step 4: Click the training link and read thoroughly directions for the training. Unable to access Moodle, then follow the steps below: Go to MyNCID https://myncid.nc.gov Login Change your password Wait approximately 1 hour, then login on Moodle . 5.If still unable to login, change your password, do the following: Call MyNCID helpline at (800) 722-3946 share with representative unable to change password to access Moodle for assistance. 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. According to the Clean Water for Us Kids website you tested your water for lead on April 7, 2024, and the analysis is complete. You have also started enrollment in the lead paint and asbestos testing. Please continue to review the Clean Water for Us Kids website for updates. 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