10A NCAC 09 .0304 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/21/2025 Number Present: 18 Completed Date: 7/21/2025 Age: From 0 To 5 Total Minutes: 421 Time In: 09:49 AM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program and staff records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of July 18, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. The program’s compliance history was 87 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children and staff were participating in outdoor gross motor activity, handwashing protocols, lunch, and rest time. Three new staff members have been hired since the annual compliance visit on January 13, 2025. New staff files were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, and Special Training. The last monthly fire drill was practiced on June 26, 2025. The last shelter-in-place drill was practiced on May 28, 2025. The last monthly playground inspection was completed on June 26, 2025. The most recent approved fire inspection for your facility was conducted on March 25, 2025. The most recent sanitation inspection for your facility was conducted on June 23, 2025. A superior sanitation classification was issued with 3 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina. This website also indicated your program is exempt from the required asbestos and lead-based paint testing. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violation(s) were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current approved fire inspection was completed 3/25/25 which was not obtained within 12 months of the previous inspection completed on 2/14/24. 10A NCAC 09 .0304(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3 there was a leftover tube of A & D ointment labeled for a two year old child that is no longer in use. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, four markers with lids were stored in a drawer accessible to children under three years of age. In space #3, two packages of diapers with plastic packaging with warnings were stored under the changing table accessible to children under three years of age. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed 5/19/25 did not have a medical report on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 5/6/25 had emergency information on file dated 6/23/25. One staff member employed 7/15/25 had emergency information on file dated 7/17/25. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Brenda Logan had a qualification letter that expired on 6/23/25 and no steps for submitting the application for the five-year recheck process had begun at the time of today’s visit. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/9/21 had a First Aid certification on file that expired 6/2025. One staff member employed 4/17/24 did not verification of First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/9/21 had a CPR certification on file that expired 6/2025. One staff member employed 4/17/24 did not verification of CPR training on file. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. In space #1, One staff member employed 5/6/25 was providing care for infants and did not have verification of ITS-SIDS training on file. .1102(f) 1757 A valid qualification letter was not on file and available to review at the facility. Brenda Logan had a qualification letter on file that expired 6/23/25. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today's visit, one employee was listed in the ABCMS provider portal facility roster. G.S. 110-90.2 & .2703(r) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 5/6/25 had verification of the Shaken Baby Syndrome and Abusive Head Trauma policy review dated 6/23/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #3, there was authorization to administer Aquaphor to a one year old child enrolled 8/19/24 that did not include where or when the ointment was to be applied. There was authorization to administer A & D ointment to a one year old child enrolled 6/24/24 that did not include when the ointment was to be applied. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before August 4, 2025, 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. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. I suggested you contact the Fire Inspector at least one month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents or discarded within 72 hours. I suggest that you check all medications and permission forms monthly to ensure compliance. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested you remind staff members assigned to classrooms for children under three years of age to check for items that could potentially be a choking hazard, including art supplies that have removeable lids. Items stored in plastic packaging should be removed from the packages or stored in an area more than five feet from the ground. Prior to the expiration date of the current qualifying letter, all staff members must complete and submit the required forms and information to complete a criminal background check. Ms. Logan was not at the facility today so you called her and requested that she begin the CBC renewal process immediately. Later in the visit, Ms. Logan called back to report that she scheduled a fingerprinting appointment for 7/29/25. I suggested you create a calendar to track the expiration dates of the qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. A medical exam signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be completed prior to employment. I suggested you use the staff medical exam form found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. All staff must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. You may consider creating a new employee packet to ensure all required documentation is completed and on file prior to the staff member’s first day of employment. All staff members who provide direct care must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process and create a calendar to track existing staff certification expiration dates. Staff scheduled to work in the infant room must have current ITS-SIDS training within two months of assuming responsibilities in the infant room and the certificate of the completed training must be kept on file. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training, including substitutes and floaters that may be assigned to the classroom where infants are served. During the visit I reviewed the ABCMS provider portal facility roster and found one employee listed. You reported that you have completed the Moodle provider portal training but have not yet added any staff members to the facility roster. We discussed that you must add all current staff to the facility roster within the next two weeks. I emailed you a copy of the ABCMS Provider Portal Access guide for reference. All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to caring for children. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file for all staff members. Medication authorization, giving the caregiver standing authorization must include where and when the topical ointment is to be applied. I suggested you and the parent complete the over-the-counter topical medication authorization forms together to ensure that all required information is completed. Consultation or other topics discussed today: -We discussed space capacity for each classroom based on enhanced space requirements of 30 sq ft per child served. -Trashcans used for biocontaminants must be covered and plastic lined. -We discussed adding additional materials for the outdoor infant and toddler space to allow for children’s individual choice of play materials. -Activity plans should include specific activities chosen to meet the educational domains addressed in the plan. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .0701 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/21/2025 Number Present: 18 Completed Date: 7/21/2025 Age: From 0 To 5 Total Minutes: 421 Time In: 09:49 AM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program and staff records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of July 18, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. The program’s compliance history was 87 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children and staff were participating in outdoor gross motor activity, handwashing protocols, lunch, and rest time. Three new staff members have been hired since the annual compliance visit on January 13, 2025. New staff files were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, and Special Training. The last monthly fire drill was practiced on June 26, 2025. The last shelter-in-place drill was practiced on May 28, 2025. The last monthly playground inspection was completed on June 26, 2025. The most recent approved fire inspection for your facility was conducted on March 25, 2025. The most recent sanitation inspection for your facility was conducted on June 23, 2025. A superior sanitation classification was issued with 3 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina. This website also indicated your program is exempt from the required asbestos and lead-based paint testing. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violation(s) were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current approved fire inspection was completed 3/25/25 which was not obtained within 12 months of the previous inspection completed on 2/14/24. 10A NCAC 09 .0304(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3 there was a leftover tube of A & D ointment labeled for a two year old child that is no longer in use. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, four markers with lids were stored in a drawer accessible to children under three years of age. In space #3, two packages of diapers with plastic packaging with warnings were stored under the changing table accessible to children under three years of age. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed 5/19/25 did not have a medical report on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 5/6/25 had emergency information on file dated 6/23/25. One staff member employed 7/15/25 had emergency information on file dated 7/17/25. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Brenda Logan had a qualification letter that expired on 6/23/25 and no steps for submitting the application for the five-year recheck process had begun at the time of today’s visit. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/9/21 had a First Aid certification on file that expired 6/2025. One staff member employed 4/17/24 did not verification of First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/9/21 had a CPR certification on file that expired 6/2025. One staff member employed 4/17/24 did not verification of CPR training on file. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. In space #1, One staff member employed 5/6/25 was providing care for infants and did not have verification of ITS-SIDS training on file. .1102(f) 1757 A valid qualification letter was not on file and available to review at the facility. Brenda Logan had a qualification letter on file that expired 6/23/25. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today's visit, one employee was listed in the ABCMS provider portal facility roster. G.S. 110-90.2 & .2703(r) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 5/6/25 had verification of the Shaken Baby Syndrome and Abusive Head Trauma policy review dated 6/23/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #3, there was authorization to administer Aquaphor to a one year old child enrolled 8/19/24 that did not include where or when the ointment was to be applied. There was authorization to administer A & D ointment to a one year old child enrolled 6/24/24 that did not include when the ointment was to be applied. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before August 4, 2025, 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. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. I suggested you contact the Fire Inspector at least one month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents or discarded within 72 hours. I suggest that you check all medications and permission forms monthly to ensure compliance. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested you remind staff members assigned to classrooms for children under three years of age to check for items that could potentially be a choking hazard, including art supplies that have removeable lids. Items stored in plastic packaging should be removed from the packages or stored in an area more than five feet from the ground. Prior to the expiration date of the current qualifying letter, all staff members must complete and submit the required forms and information to complete a criminal background check. Ms. Logan was not at the facility today so you called her and requested that she begin the CBC renewal process immediately. Later in the visit, Ms. Logan called back to report that she scheduled a fingerprinting appointment for 7/29/25. I suggested you create a calendar to track the expiration dates of the qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. A medical exam signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be completed prior to employment. I suggested you use the staff medical exam form found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. All staff must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. You may consider creating a new employee packet to ensure all required documentation is completed and on file prior to the staff member’s first day of employment. All staff members who provide direct care must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process and create a calendar to track existing staff certification expiration dates. Staff scheduled to work in the infant room must have current ITS-SIDS training within two months of assuming responsibilities in the infant room and the certificate of the completed training must be kept on file. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training, including substitutes and floaters that may be assigned to the classroom where infants are served. During the visit I reviewed the ABCMS provider portal facility roster and found one employee listed. You reported that you have completed the Moodle provider portal training but have not yet added any staff members to the facility roster. We discussed that you must add all current staff to the facility roster within the next two weeks. I emailed you a copy of the ABCMS Provider Portal Access guide for reference. All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to caring for children. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file for all staff members. Medication authorization, giving the caregiver standing authorization must include where and when the topical ointment is to be applied. I suggested you and the parent complete the over-the-counter topical medication authorization forms together to ensure that all required information is completed. Consultation or other topics discussed today: -We discussed space capacity for each classroom based on enhanced space requirements of 30 sq ft per child served. -Trashcans used for biocontaminants must be covered and plastic lined. -We discussed adding additional materials for the outdoor infant and toddler space to allow for children’s individual choice of play materials. -Activity plans should include specific activities chosen to meet the educational domains addressed in the plan. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/21/2025 Number Present: 18 Completed Date: 7/21/2025 Age: From 0 To 5 Total Minutes: 421 Time In: 09:49 AM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program and staff records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of July 18, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. The program’s compliance history was 87 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children and staff were participating in outdoor gross motor activity, handwashing protocols, lunch, and rest time. Three new staff members have been hired since the annual compliance visit on January 13, 2025. New staff files were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, and Special Training. The last monthly fire drill was practiced on June 26, 2025. The last shelter-in-place drill was practiced on May 28, 2025. The last monthly playground inspection was completed on June 26, 2025. The most recent approved fire inspection for your facility was conducted on March 25, 2025. The most recent sanitation inspection for your facility was conducted on June 23, 2025. A superior sanitation classification was issued with 3 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina. This website also indicated your program is exempt from the required asbestos and lead-based paint testing. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violation(s) were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current approved fire inspection was completed 3/25/25 which was not obtained within 12 months of the previous inspection completed on 2/14/24. 10A NCAC 09 .0304(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3 there was a leftover tube of A & D ointment labeled for a two year old child that is no longer in use. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, four markers with lids were stored in a drawer accessible to children under three years of age. In space #3, two packages of diapers with plastic packaging with warnings were stored under the changing table accessible to children under three years of age. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed 5/19/25 did not have a medical report on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 5/6/25 had emergency information on file dated 6/23/25. One staff member employed 7/15/25 had emergency information on file dated 7/17/25. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Brenda Logan had a qualification letter that expired on 6/23/25 and no steps for submitting the application for the five-year recheck process had begun at the time of today’s visit. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/9/21 had a First Aid certification on file that expired 6/2025. One staff member employed 4/17/24 did not verification of First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/9/21 had a CPR certification on file that expired 6/2025. One staff member employed 4/17/24 did not verification of CPR training on file. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. In space #1, One staff member employed 5/6/25 was providing care for infants and did not have verification of ITS-SIDS training on file. .1102(f) 1757 A valid qualification letter was not on file and available to review at the facility. Brenda Logan had a qualification letter on file that expired 6/23/25. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today's visit, one employee was listed in the ABCMS provider portal facility roster. G.S. 110-90.2 & .2703(r) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 5/6/25 had verification of the Shaken Baby Syndrome and Abusive Head Trauma policy review dated 6/23/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #3, there was authorization to administer Aquaphor to a one year old child enrolled 8/19/24 that did not include where or when the ointment was to be applied. There was authorization to administer A & D ointment to a one year old child enrolled 6/24/24 that did not include when the ointment was to be applied. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before August 4, 2025, 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. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. I suggested you contact the Fire Inspector at least one month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents or discarded within 72 hours. I suggest that you check all medications and permission forms monthly to ensure compliance. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested you remind staff members assigned to classrooms for children under three years of age to check for items that could potentially be a choking hazard, including art supplies that have removeable lids. Items stored in plastic packaging should be removed from the packages or stored in an area more than five feet from the ground. Prior to the expiration date of the current qualifying letter, all staff members must complete and submit the required forms and information to complete a criminal background check. Ms. Logan was not at the facility today so you called her and requested that she begin the CBC renewal process immediately. Later in the visit, Ms. Logan called back to report that she scheduled a fingerprinting appointment for 7/29/25. I suggested you create a calendar to track the expiration dates of the qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. A medical exam signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be completed prior to employment. I suggested you use the staff medical exam form found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. All staff must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. You may consider creating a new employee packet to ensure all required documentation is completed and on file prior to the staff member’s first day of employment. All staff members who provide direct care must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process and create a calendar to track existing staff certification expiration dates. Staff scheduled to work in the infant room must have current ITS-SIDS training within two months of assuming responsibilities in the infant room and the certificate of the completed training must be kept on file. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training, including substitutes and floaters that may be assigned to the classroom where infants are served. During the visit I reviewed the ABCMS provider portal facility roster and found one employee listed. You reported that you have completed the Moodle provider portal training but have not yet added any staff members to the facility roster. We discussed that you must add all current staff to the facility roster within the next two weeks. I emailed you a copy of the ABCMS Provider Portal Access guide for reference. All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to caring for children. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file for all staff members. Medication authorization, giving the caregiver standing authorization must include where and when the topical ointment is to be applied. I suggested you and the parent complete the over-the-counter topical medication authorization forms together to ensure that all required information is completed. Consultation or other topics discussed today: -We discussed space capacity for each classroom based on enhanced space requirements of 30 sq ft per child served. -Trashcans used for biocontaminants must be covered and plastic lined. -We discussed adding additional materials for the outdoor infant and toddler space to allow for children’s individual choice of play materials. -Activity plans should include specific activities chosen to meet the educational domains addressed in the plan. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/21/2025 Number Present: 18 Completed Date: 7/21/2025 Age: From 0 To 5 Total Minutes: 421 Time In: 09:49 AM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program and staff records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of July 18, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space, and meets enhanced ratios minus one. The program’s compliance history was 87 percent prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children and staff were participating in outdoor gross motor activity, handwashing protocols, lunch, and rest time. Three new staff members have been hired since the annual compliance visit on January 13, 2025. New staff files were reviewed. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, and Special Training. The last monthly fire drill was practiced on June 26, 2025. The last shelter-in-place drill was practiced on May 28, 2025. The last monthly playground inspection was completed on June 26, 2025. The most recent approved fire inspection for your facility was conducted on March 25, 2025. The most recent sanitation inspection for your facility was conducted on June 23, 2025. A superior sanitation classification was issued with 3 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina. This website also indicated your program is exempt from the required asbestos and lead-based paint testing. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you. The following violation(s) were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current approved fire inspection was completed 3/25/25 which was not obtained within 12 months of the previous inspection completed on 2/14/24. 10A NCAC 09 .0304(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3 there was a leftover tube of A & D ointment labeled for a two year old child that is no longer in use. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, four markers with lids were stored in a drawer accessible to children under three years of age. In space #3, two packages of diapers with plastic packaging with warnings were stored under the changing table accessible to children under three years of age. .0604(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One staff member employed 5/19/25 did not have a medical report on file. 10A NCAC 09 .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One staff member employed 5/6/25 had emergency information on file dated 6/23/25. One staff member employed 7/15/25 had emergency information on file dated 7/17/25. .0701(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Brenda Logan had a qualification letter that expired on 6/23/25 and no steps for submitting the application for the five-year recheck process had begun at the time of today’s visit. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member employed 12/9/21 had a First Aid certification on file that expired 6/2025. One staff member employed 4/17/24 did not verification of First Aid training on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member employed 12/9/21 had a CPR certification on file that expired 6/2025. One staff member employed 4/17/24 did not verification of CPR training on file. .1102(d) 1065 Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. In space #1, One staff member employed 5/6/25 was providing care for infants and did not have verification of ITS-SIDS training on file. .1102(f) 1757 A valid qualification letter was not on file and available to review at the facility. Brenda Logan had a qualification letter on file that expired 6/23/25. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today's visit, one employee was listed in the ABCMS provider portal facility roster. G.S. 110-90.2 & .2703(r) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One staff member employed 5/6/25 had verification of the Shaken Baby Syndrome and Abusive Head Trauma policy review dated 6/23/25. .0608(d)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #3, there was authorization to administer Aquaphor to a one year old child enrolled 8/19/24 that did not include where or when the ointment was to be applied. There was authorization to administer A & D ointment to a one year old child enrolled 6/24/24 that did not include when the ointment was to be applied. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violation(s) documented must be corrected immediately. On or before August 4, 2025, 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. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Each operator must schedule and obtain a fire inspection within 12 months of the facility’s previous fire inspection. I suggested you contact the Fire Inspector at least one month prior to the due date of the next fire inspection to ensure an inspection is conducted in a timely manner. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization or medication has expired must be returned to the child's parents or discarded within 72 hours. I suggest that you check all medications and permission forms monthly to ensure compliance. Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed must be inaccessible to children under three years of age. I suggested you remind staff members assigned to classrooms for children under three years of age to check for items that could potentially be a choking hazard, including art supplies that have removeable lids. Items stored in plastic packaging should be removed from the packages or stored in an area more than five feet from the ground. Prior to the expiration date of the current qualifying letter, all staff members must complete and submit the required forms and information to complete a criminal background check. Ms. Logan was not at the facility today so you called her and requested that she begin the CBC renewal process immediately. Later in the visit, Ms. Logan called back to report that she scheduled a fingerprinting appointment for 7/29/25. I suggested you create a calendar to track the expiration dates of the qualifying letters for all staff members to ensure all staff members maintain a current and valid qualifying letter. A medical exam signed by a health care professional that indicates that the person is emotionally and physically fit to care for children must be completed prior to employment. I suggested you use the staff medical exam form found on the DCDEE website under the “Provider” tab to ensure the medical exams for staff members contain all information required by rule. All staff must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. You may consider creating a new employee packet to ensure all required documentation is completed and on file prior to the staff member’s first day of employment. All staff members who provide direct care must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process and create a calendar to track existing staff certification expiration dates. Staff scheduled to work in the infant room must have current ITS-SIDS training within two months of assuming responsibilities in the infant room and the certificate of the completed training must be kept on file. I suggested you create a document to track ITS SIDS certification for all staff members who are required to maintain ITS SIDS Training, including substitutes and floaters that may be assigned to the classroom where infants are served. During the visit I reviewed the ABCMS provider portal facility roster and found one employee listed. You reported that you have completed the Moodle provider portal training but have not yet added any staff members to the facility roster. We discussed that you must add all current staff to the facility roster within the next two weeks. I emailed you a copy of the ABCMS Provider Portal Access guide for reference. All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to caring for children. I suggested you create a new employee packet to ensure all required documentation is reviewed and on file for all staff members. Medication authorization, giving the caregiver standing authorization must include where and when the topical ointment is to be applied. I suggested you and the parent complete the over-the-counter topical medication authorization forms together to ensure that all required information is completed. Consultation or other topics discussed today: -We discussed space capacity for each classroom based on enhanced space requirements of 30 sq ft per child served. -Trashcans used for biocontaminants must be covered and plastic lined. -We discussed adding additional materials for the outdoor infant and toddler space to allow for children’s individual choice of play materials. -Activity plans should include specific activities chosen to meet the educational domains addressed in the plan. Reminders and Resources: Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: 0225-252L Visit Date: 3/3/2025 Number Present: 19 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 155 Time In: 09:45 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. You, Torrie Logan, Administrator assisted with the visit. The Secretary of State website was checked prior to today’s visit and U and I Child Care Center, Inc., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. On February 25, 2025, the following allegation was received. There is a concern that a child was handled in a rough manner. The allegation was made as a self-report to DCDEE intake unit. The allegation was discussed with you, Brenda Logan, Owner, and one staff member. You and staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. The facility had video cameras that records classroom footage. You and the facility owner reviewed the video footage with me and I observed in space #1, the lead teacher approached one child, nine months of age, and grabbed the child by both arms roughly and placed the child down hard onto the floor. The center’s operational policies were reviewed. A walk through of the facility and entire premises was completed. Children and staff were observed during group story time, outdoor gross motor time, and free play in activity areas. Based on staff interviews and my review of video footage, the allegation for “There is a concern that a child was handled in a rough manner” was confirmed, therefore substantiated. The following violation was cited today. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Based on my review of video footage on February 21, 2025 in space #1, the lead teacher approached one child, nine months of age, and grabbed the child by both arms roughly and placed the child down hard onto the floor. G.S. 110-91(10) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by March 17, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical assistance was provided on the following. We reviewed North Carolina General Statute 110-91. (10) Mandatory standards for a license: Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. You reported a staff member was terminated related to allegation in the self-reported complaint. You said that the owner conducted a voluntary staff meeting on February 26, 2025 to discuss nurture and care of children. We discussed that you may want to contact Crystal Williams with Southwestern Child Development Commission (828)393-5630 and request training and/or a technical assistance visit to provide guidance to staff about handling children in a nurturing and caring manner. Reminders: An unannounced follow-up visit will be made to monitor your compliance with applicable child care requirements. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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.

G.S. 110-91 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: 0225-252L Visit Date: 3/3/2025 Number Present: 19 Completed Date: 3/3/2025 Age: From 0 To 5 Total Minutes: 155 Time In: 09:45 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. You, Torrie Logan, Administrator assisted with the visit. The Secretary of State website was checked prior to today’s visit and U and I Child Care Center, Inc., is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. On February 25, 2025, the following allegation was received. There is a concern that a child was handled in a rough manner. The allegation was made as a self-report to DCDEE intake unit. The allegation was discussed with you, Brenda Logan, Owner, and one staff member. You and staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. The facility had video cameras that records classroom footage. You and the facility owner reviewed the video footage with me and I observed in space #1, the lead teacher approached one child, nine months of age, and grabbed the child by both arms roughly and placed the child down hard onto the floor. The center’s operational policies were reviewed. A walk through of the facility and entire premises was completed. Children and staff were observed during group story time, outdoor gross motor time, and free play in activity areas. Based on staff interviews and my review of video footage, the allegation for “There is a concern that a child was handled in a rough manner” was confirmed, therefore substantiated. The following violation was cited today. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Based on my review of video footage on February 21, 2025 in space #1, the lead teacher approached one child, nine months of age, and grabbed the child by both arms roughly and placed the child down hard onto the floor. G.S. 110-91(10) The violation documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by March 17, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical assistance was provided on the following. We reviewed North Carolina General Statute 110-91. (10) Mandatory standards for a license: Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. You reported a staff member was terminated related to allegation in the self-reported complaint. You said that the owner conducted a voluntary staff meeting on February 26, 2025 to discuss nurture and care of children. We discussed that you may want to contact Crystal Williams with Southwestern Child Development Commission (828)393-5630 and request training and/or a technical assistance visit to provide guidance to staff about handling children in a nurturing and caring manner. Reminders: An unannounced follow-up visit will be made to monitor your compliance with applicable child care requirements. Any observed violations cited during visits will negatively affect the center's Compliance History Score. Your program must maintain a compliance score of at least 75% as required by G.S. 110-90 (4)(c). Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09. 0803 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 09.0508 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0605 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0803 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0901 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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 09.1102 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 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: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/13/2025 Number Present: 7 Completed Date: 1/13/2025 Age: From 0 To 3 Total Minutes: 362 Time In: 09:43 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety. The visit was conducted with you, Torrie Logan, Administrator. You provided me with applicable program, staff, and children’s records for review. The NC Secretary of State website was viewed before the visit and U and I Child Care Center, Inc. was current/active as of January 9, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Five star rated license effective April 7, 2022. The program’s compliance history was 91% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play indoor activities, lunch, and nap. A sample of three children’s files were reviewed. A sample of one existing staff file and five new staff files were reviewed. The last monthly fire drill was practiced on December 3, 2024. The last shelter-in-place drill was practiced on November 26, 2024 . The last monthly playground inspection was completed on December 31, 2024. The most recent sanitation inspection for your facility was conducted on December 11, 2024. A superior sanitation classification was issued with 11 demerits noted on the grade card. The most recent lead water test results were completed on September 12, 2024. Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “exempt” for required asbestos and lead paint testing. The most recent approved fire inspection for your facility was conducted on February 14, 2024. Due to time constraints, violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was emailed to you on January 14, 2025 for your records. The following violations were observed: Violation Number Comment Rule 606 Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the space #2 bathroom, there were no paper towels were available. 15A NCAC 18A .2818(b) & (d) 807 A safe indoor and outdoor environment was not provided for the children. In the classroom for infants, a bottle warmer was on a counter top accessible to children. 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. A bottle of Clorox Bleach was in an unlocked cabinet in the unlocked kitchen. .2820(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report dated 1/9/2025 did not have a parent's signature, did not list the time the parent was notified, or who gave the parent notification. .0802 (e) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Sleep checks for a child eight months of age on 1/2/25 and 1/9/25 were not available for review. Sleep checks for a child nine months of age on 1/2/25, 1/3/25, 1/6/25, 1/8/25, and 1/9/25 were not available for review. .0606(g) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #1, there was no medication authorization for a tube of A and D ointment. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by January 27, 2025. Please send your letter to Beth.Archer@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Paper Towels: In the space #2 bathroom, there were no paper towels available. Running water, soap, and paper towels must be available in each bathroom. Staff reported that the automatic paper towel dispenser had run out of towels and a new roll would be installed later today. I encouraged you to have staff to check the bathrooms for needed supplies before children arrive and at the end of the day. Hazardous Products: A bottle of Clorox Bleach was in an unlocked cabinet in the kitchen. 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 shall be stored in a locked room or cabinet. 15A NCAC 18A .2820(b). You said that the lock for the kitchen cabinet is broken and you have ordered a replacement. We discussed that you will need to lock up hazardous products in another area of the facility until the kitchen lock can be replaced. Safe Indoor Environment: In the classroom for infants, there was a bottle warmer accessible to children. A safe indoor environment must be provided for all children in care per 10A NCAC 09 .0601(a) We discussed moving the bottle warmer to a shelf in the classroom that is over five fee from the floor. You moved the bottle warmer making it inaccessible to the children in care. Incident Reports: An incident report dated 1/9/2025 did not have a parent’s signature, did not list the time the parent was notified or who gave the parent notification. We reviewed the required information for incident reports in 10A NCAC 09 .0802(e). I encouraged you to consider a staff training on completing incident reports. You said you will make incident reports a topic in an upcoming staff meeting. Sleep Checks: Two infant children were missing verification of sleep checks.10A NCAC 09 .0606(6)specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes. We reviewed how to document a visual check. Moving forward, you plan to review the sleep checks for compliance. Topical Ointment Permission: In space #1, there was a tube of A and D ointment with no authorization to administer. We reviewed the information required for topical ointment authorization. (10A NCAC 09. 0803(7). We discussed that authorization to administer must be obtained for each topical ointment brought into the facility. You stated that you will have the topical ointment permission form signed as soon as you see the parent. *As a result of tropical storm Helene and a declared natural disaster in Western North Carolina, technical assistance was provided to assist the child care provider in achieving compliance with the following: Menu: There was no posted menu for the week of 1/13/25-1/17/25. Upon my arrival, you listed today's breakfast and lunch on a blank menu, stating that you had not had time to complete this week's menu. We discussed that menus must be planned at least one week in advance and the current week's menu posted where it can be seen by parents and where the food is prepared. 10A NCAC 09.0901(b). You told me you plan to complete the rest of this week's menu today and post it. I encouraged you to consider sharing menu responsibilities to with your cook staff to ensure the menus are planned and posted timely. Activity Plan: Posted activity plans for space #1 and #3 were for the week of 1/6-1/10/25.A current schedule and activity plan for each group of children must be posted for reference by parents and by caregivers. 10A NCAC 09.0508(a) both classroom teachers said they had not yet completed a plan for this week. You made sure that each teacher had a blank activity template and instructed them to complete this week's activity plans today. I encourage you and staff to consider completing activity plans each Thursday for the following week. This would allow the administrator time to review the plan and post the completed plan before the week begins. Playground Inspections: The playground inspections for October and November 2024 were completed by a staff member, who was not trained in playground safety. A trained staff person must complete and record each inspection using a playground inspection checklist. 10A NCAC 09.0605(q) We discussed that you have a new employee, with playground safety training, that can assist with completion of the inspections in the future. Medical Exam and Immunization Records: A child three years of age who enrolled on 5/14/24, had a medical exam on file dated 10/15/24 and immunization records on file dated 10/22/24. A medical exam and immunization records must be on file within 30 days of enrollment. G.S. 110-91(1) We discussed that moving forward, you may consider requiring medical exam and immunization records prior to the child’s first day of care. CPR/First Aid: A staff member employed 8/16/24, did not have verification of First Aid or CPR training on file. All staff, who provide care for children, must have current First Aid and CPR certification. Verification of this training must be kept in the staff file. 10A NCAC 09.1102(c)(d) You reported at the time of hire, the staff member told you she had a current CPR/First Aid certificate but no verification has been provided. If current training verification cannot be provided, CPR and First Aid training must be scheduled. You may contact McDowell Technical Community College to enroll in the monthly training offered, if more local training opportunities are not available. Within the next two weeks, contact me with the date of the scheduled training. ITS/SIDS: A staff member, employed 8/16/24, who works with infants four days per week, had not completed ITS/SIDS training .ITS/SIDS training must be completed within two months of a staff member assuming responsibilities in the infant room. 10A NCAC 09.1102(f) You reported that the staff member was scheduled for an ITS/SIDS training that was cancelled. You have contacted Crystal Williams at Southwestern Child Care Development Commission to enroll the staff member in the next scheduled training. Contact me within the next two weeks to give me the scheduled training date. Recognizing and Responding to Suspicions of Child Maltreatment Training: A staff member employed 8/16/24, did not have verification of completed Recognizing and Responding to Suspicions of Child Maltreatment training on file. New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 10A NCAC 09.1102(g) You told me you think that the staff member has completed the training. Verification of the completed training must be on file within the next two weeks. I recommend you implement a plan for new staff to complete Recognizing and Responding to Suspicions of Child Maltreatment training within the first two weeks of employment and place the completed certificate in the employee file. Storage of Personal Belongings: In space #2, children’s coats were stacked on top of one another in front of the bathroom door. Storage space must be available for each child’s personal belongings. G.S. 110-91-(6) We discussed that children’s coats may to be kept in an individual cubby or placed on an individual coat hook. You told me you will work with the staff to rearrange the classroom storage to allow for individual coats and other personal items. We discussed the following during the visit: The current fire inspection was completed February 14, 2024. I encourage you to contact the fire inspector to request a fire inspection to be completed before February 14, 2025. We reviewed requirements for prescription medications in 10A NCAC 09.0803(2) and (3). Written instructions must include the child’s name, names of medication, amount/frequency of dosage. We discussed that permission should be limited to the length of time the medication is prescribed to be taken. We discussed that bathrooms should not be used for storage. 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. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 828-748-7893 or Beth.Archer@dhhs.nc.gov. Beth Archer, Child Care Consultant PO Box 64, Rutherfordton, NC 28139 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0304 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/24/2024 Number Present: 23 Completed Date: 7/24/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 11:05 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Torrie Logan, Administrator. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. The Secretary of State website was checked on July 19, 2024 and your business U and I Child Care, Inc. is active and not current. Please contact the Secretary of State’s office to resolve the not current status. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in lunch time and rest time. Infants were engaged in tummy time, feeding and napping. Sleep checks were completed, recorded, and maintained as required. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 84% as of July 19, 2024. 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. One new staff member has been hired since the annual compliance visit on February 1, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent lead water testing results were completed on July 27, 2021. Lead testing must be completed every three years. I encouraged you to contact the Clean Water for US kids program to complete the testing process. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on February 12, 2024. The facility was approved for day and night time care. The following violation(s) were observed today: Violation Number Comment Rule 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. In the bathroom in space #2, there was one aerosol can of Wizard magic spray and one aerosol can of Glade fresh spray on an unlocked shelf. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, there was an authorization form for Aquaphor diaper ointment that expired 7/13/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, there was a plastic grocery bag in an unlocked cabinet, accessible to children under three years of age. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #3, a staff member pulled one child, two years of age, by the arms and turned them over onto their stomach and forcefully placed them onto the nap mat. G.S. 110-91(10) The violation(s) documented must be corrected immediately. On or before August 7, 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. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item # 902 Nurture and Care: Per G.S.110-91(10), each child must be attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs. During the visit, you went and addressed the occurrence with the staff member. I encouraged you to consider a 1:1 classroom training with Crystal Williams, Quality Support with Southwestern Child Development, regarding nurturing interaction with children under three years of age. A follow up visit will be conducted. Item #840 Hazardous Products: Hazardous items in an aerosol can require locked storage. We discussed that aerosol products must to be moved back into locked storage immediately following use. Item #849 Medication permission: If permission forms expire, remove the topical ointment from the classroom until an updated permission form has been completed by the parent. You plan to discuss this permission form with the parent at departure time today. Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags and plastic packaging in spaces that serve children under three years of age. The plastic bag was removed. This violation was corrected at visit. Consultation or other topics discussed today: Due to the DCDEE website technical issues, I provided you with a copy of the staff orientation form for a new employee that you recently hired. I encouraged you to rake and fluff the mulch to make sure that there is adequate surfacing around the play structure. We discussed that glitter in art centers is not appropriate for classrooms with children under the age of three, due to risk of choking/swallowing of the glitter. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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.

G.S. 110-91 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/24/2024 Number Present: 23 Completed Date: 7/24/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 11:05 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Torrie Logan, Administrator. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. The Secretary of State website was checked on July 19, 2024 and your business U and I Child Care, Inc. is active and not current. Please contact the Secretary of State’s office to resolve the not current status. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in lunch time and rest time. Infants were engaged in tummy time, feeding and napping. Sleep checks were completed, recorded, and maintained as required. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 84% as of July 19, 2024. 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. One new staff member has been hired since the annual compliance visit on February 1, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent lead water testing results were completed on July 27, 2021. Lead testing must be completed every three years. I encouraged you to contact the Clean Water for US kids program to complete the testing process. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on February 12, 2024. The facility was approved for day and night time care. The following violation(s) were observed today: Violation Number Comment Rule 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. In the bathroom in space #2, there was one aerosol can of Wizard magic spray and one aerosol can of Glade fresh spray on an unlocked shelf. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, there was an authorization form for Aquaphor diaper ointment that expired 7/13/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, there was a plastic grocery bag in an unlocked cabinet, accessible to children under three years of age. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #3, a staff member pulled one child, two years of age, by the arms and turned them over onto their stomach and forcefully placed them onto the nap mat. G.S. 110-91(10) The violation(s) documented must be corrected immediately. On or before August 7, 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. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item # 902 Nurture and Care: Per G.S.110-91(10), each child must be attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs. During the visit, you went and addressed the occurrence with the staff member. I encouraged you to consider a 1:1 classroom training with Crystal Williams, Quality Support with Southwestern Child Development, regarding nurturing interaction with children under three years of age. A follow up visit will be conducted. Item #840 Hazardous Products: Hazardous items in an aerosol can require locked storage. We discussed that aerosol products must to be moved back into locked storage immediately following use. Item #849 Medication permission: If permission forms expire, remove the topical ointment from the classroom until an updated permission form has been completed by the parent. You plan to discuss this permission form with the parent at departure time today. Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags and plastic packaging in spaces that serve children under three years of age. The plastic bag was removed. This violation was corrected at visit. Consultation or other topics discussed today: Due to the DCDEE website technical issues, I provided you with a copy of the staff orientation form for a new employee that you recently hired. I encouraged you to rake and fluff the mulch to make sure that there is adequate surfacing around the play structure. We discussed that glitter in art centers is not appropriate for classrooms with children under the age of three, due to risk of choking/swallowing of the glitter. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S.110-91 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/24/2024 Number Present: 23 Completed Date: 7/24/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 11:05 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Torrie Logan, Administrator. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. The Secretary of State website was checked on July 19, 2024 and your business U and I Child Care, Inc. is active and not current. Please contact the Secretary of State’s office to resolve the not current status. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in lunch time and rest time. Infants were engaged in tummy time, feeding and napping. Sleep checks were completed, recorded, and maintained as required. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 84% as of July 19, 2024. 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. One new staff member has been hired since the annual compliance visit on February 1, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent lead water testing results were completed on July 27, 2021. Lead testing must be completed every three years. I encouraged you to contact the Clean Water for US kids program to complete the testing process. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on February 12, 2024. The facility was approved for day and night time care. The following violation(s) were observed today: Violation Number Comment Rule 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. In the bathroom in space #2, there was one aerosol can of Wizard magic spray and one aerosol can of Glade fresh spray on an unlocked shelf. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, there was an authorization form for Aquaphor diaper ointment that expired 7/13/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, there was a plastic grocery bag in an unlocked cabinet, accessible to children under three years of age. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #3, a staff member pulled one child, two years of age, by the arms and turned them over onto their stomach and forcefully placed them onto the nap mat. G.S. 110-91(10) The violation(s) documented must be corrected immediately. On or before August 7, 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. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item # 902 Nurture and Care: Per G.S.110-91(10), each child must be attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs. During the visit, you went and addressed the occurrence with the staff member. I encouraged you to consider a 1:1 classroom training with Crystal Williams, Quality Support with Southwestern Child Development, regarding nurturing interaction with children under three years of age. A follow up visit will be conducted. Item #840 Hazardous Products: Hazardous items in an aerosol can require locked storage. We discussed that aerosol products must to be moved back into locked storage immediately following use. Item #849 Medication permission: If permission forms expire, remove the topical ointment from the classroom until an updated permission form has been completed by the parent. You plan to discuss this permission form with the parent at departure time today. Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags and plastic packaging in spaces that serve children under three years of age. The plastic bag was removed. This violation was corrected at visit. Consultation or other topics discussed today: Due to the DCDEE website technical issues, I provided you with a copy of the staff orientation form for a new employee that you recently hired. I encouraged you to rake and fluff the mulch to make sure that there is adequate surfacing around the play structure. We discussed that glitter in art centers is not appropriate for classrooms with children under the age of three, due to risk of choking/swallowing of the glitter. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/24/2024 Number Present: 23 Completed Date: 7/24/2024 Age: From 0 To 5 Total Minutes: 145 Time In: 11:05 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Torrie Logan, Administrator. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets ratios reduced by one in each group. The Secretary of State website was checked on July 19, 2024 and your business U and I Child Care, Inc. is active and not current. Please contact the Secretary of State’s office to resolve the not current status. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in lunch time and rest time. Infants were engaged in tummy time, feeding and napping. Sleep checks were completed, recorded, and maintained as required. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 84% as of July 19, 2024. 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. One new staff member has been hired since the annual compliance visit on February 1, 2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. The most recent lead water testing results were completed on July 27, 2021. Lead testing must be completed every three years. I encouraged you to contact the Clean Water for US kids program to complete the testing process. The most recent sanitation inspection for your facility was conducted on May 29, 2024. A supervisor sanitation classification was issued with six demerits. The most recent fire inspection for your facility was conducted on February 12, 2024. The facility was approved for day and night time care. The following violation(s) were observed today: Violation Number Comment Rule 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. In the bathroom in space #2, there was one aerosol can of Wizard magic spray and one aerosol can of Glade fresh spray on an unlocked shelf. .2820(b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, there was an authorization form for Aquaphor diaper ointment that expired 7/13/24. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #1, there was a plastic grocery bag in an unlocked cabinet, accessible to children under three years of age. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #3, a staff member pulled one child, two years of age, by the arms and turned them over onto their stomach and forcefully placed them onto the nap mat. G.S. 110-91(10) The violation(s) documented must be corrected immediately. On or before August 7, 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. Please send the information to beth.archer@dhhs.nc.gov Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical assistance on violations was reviewed with you. Areas discussed included: Item # 902 Nurture and Care: Per G.S.110-91(10), each child must be attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs. During the visit, you went and addressed the occurrence with the staff member. I encouraged you to consider a 1:1 classroom training with Crystal Williams, Quality Support with Southwestern Child Development, regarding nurturing interaction with children under three years of age. A follow up visit will be conducted. Item #840 Hazardous Products: Hazardous items in an aerosol can require locked storage. We discussed that aerosol products must to be moved back into locked storage immediately following use. Item #849 Medication permission: If permission forms expire, remove the topical ointment from the classroom until an updated permission form has been completed by the parent. You plan to discuss this permission form with the parent at departure time today. Item #858 Have staff complete daily safety checks before children arrive and remove any safety hazards such as plastic bags and plastic packaging in spaces that serve children under three years of age. The plastic bag was removed. This violation was corrected at visit. Consultation or other topics discussed today: Due to the DCDEE website technical issues, I provided you with a copy of the staff orientation form for a new employee that you recently hired. I encouraged you to rake and fluff the mulch to make sure that there is adequate surfacing around the play structure. We discussed that glitter in art centers is not appropriate for classrooms with children under the age of three, due to risk of choking/swallowing of the glitter. Lead & Asbestos Testing The Clean Classrooms for Carolina Kids Program is providing free facility-wide testing and inspections without any out-of-pocket cost to child care centers and public schools. Enroll today at www.cleanwaterforuskids.org/carolina. The program is free, and the first step is to watch one of the pre-enrollment webinars, which are available at www.cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar. Facilities that have not yet enrolled should complete the online process by November 1, 2024. Due to the volume of testing and inspections, completion of the online enrollment process in the program is considered temporary compliance with the testing and inspection requirement. You must enroll in both sections including lead based paint and asbestos testing to comply with the rule requirements. As a reminder: The required water testing for child care centers is not affected by the November 1, 2024 deadline. Lead testing must be completed every three years. You complete this process by visiting https://www.cleanwaterforuskids.org/en/carolina/ Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. Per 10A NCAC 09.0304, The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. If the fire inspection report is not submitted to your Child Care Consultant within one week after the fire inspection is conducted, a violation will be cited during the facilities next monitoring visit. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 27 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:20 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 unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Torrie Logan, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on February 1, 2024, and your business U and I Child Care Center, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. Children throughout the facility were participating in group art time, outdoor gross motor time and personal care routines. Infants were engaged in tummy time, napping, feeding and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. There are currently no enrolled children on the 2nd shift of care. The center's compliance history was at 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of four children’s files were reviewed. There were no new staff members since the facility’s last visit. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 1/29/24. The last Shelter-in-Place drill was practiced on 11/22/23. The last monthly playground inspection was completed on 1/25/24. The most recent sanitation inspection for your facility was conducted on November 30, 2023. A superior sanitation classification was issued with ten demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The facility was approved for day time care. Since you have 2nd shift on your license, you will need to contact the fire inspector and have them to complete a new division approved fire inspection form that includes approval for nighttime care or the 2nd shift restriction will need to be removed from the license. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 1/8/24, did not have a signed statement acknowledging receipt of the Summary of the Law on file. GS 110-102 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space #3, there was one sippy cup in the refrigerator that was not dated or labelled to identify the child it was indented for. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one feeding plan did not include the date when the plan was received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, there was no thermometer in the classroom refrigerator to verify that temperature was at 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the playground for infant and toddlers, one ride on worm toy had wheels that no longer roll. On the playground for preschool age children, an anchored bus play structure has splintered wood on the base of the toy, where children would stand. G.S. 110-91(6); .0601(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report completed 1/18/24 did not have listed the type of injury, the medical treatment received and the cause of the injury. .0802 (e) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 6/4/21 had completed 5 of 8 required hours of training since 1/2023. .1103(a) 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. One child enrolled 3/24/21, did not have verification of immunizations on file. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. One child enrolled 1/22/24 did not have fears, behaviors, allergies or health concerns listed on the application for enrollment. .0801(a)(1-7) The violation(s) documented must be corrected immediately. On or before February 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Labelled beverages: Formula and other beverages that require refrigeration must be identified for each child. 10A NCAC 18A.2804(d). The sippy cup was dated and labelled for the child it was identified for. This violation was corrected at visit. Feeding Plan: The feeding plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. 10A NCAC 09 .0902 (a) We discussed that the feeding plan should be reviewed with the parent and signed when reviewed to verify the date when received by the center. Refrigerator Temperature: Each refrigerator must maintain a temperature of 45 degrees F or below. We discussed the need for a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(f)(h) Equipment in Good repair: SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. G.S. 110-91(6); .0601(b). We discussed that the ride on toy on the playground for infants and toddlers should be removed since the wheels no long move for proper use. We discussed that the splintered wood on the anchored bus play structure will need to be repaired or removed from the playground for preschool care children. The equipment will need to be repaired or removed immediately. Incident Reports: Incident reports must list all the information required by 10A NCAC 09.0802(e). I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. 10A NCAC 09.0802(e) Immunizations: Each child must have an immunization record on file before or within 30 days after beginning care. 10A NCAC 09 .0302(d)(2) GS 110-91(1). The child enrolled 3/24/21, did not have any verification of immunizations in the child’s file. This verification will need to be provided within the next 2 weeks. Application for Enrollment: The application form for one child’s file reviewed today, did not have all required information documented on the children’s application forms for health care needs. The application on file did not list if the child had any particular fears or unique behavior characteristics, health concerns or allergies. I discussed the children’s application forms with you and to make sure that all information has been filled out on the form and missing information added to the form. Review forms with parents during enrollment to ensure that all information has been completed. If a question is not applicable to the child, then have the parent document N/A or no. You must add the missing information and have the parents complete all required information on the child application forms to correct this violation. 10A NCAC 09.0801(a)(1-7) Summary of the Law: Summary of the Child Care Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. GS 110-102 Staff On-going training Hours: Staff must receive the required number of on-going training hours, according to their education/experience. Staff may receive training in person or on-line. There are on-line trainings available through Moodle. 10A NCAC 09 .1103(a). We discussed that the staff member employed 6/4/21, will need to complete three additional training hours within the next 2 weeks. Consultation or other topics discussed today: I recommend that you rake and fluff the mulch on the outdoor play spaces. You should also have a staff member to do a safety check before the children go outside each day to remove any trash or debris from the play area. We discussed that Administrative Action has been recommended. Please notify me when the action paperwork is received to review this information. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0902 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 27 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:20 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 unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Torrie Logan, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on February 1, 2024, and your business U and I Child Care Center, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. Children throughout the facility were participating in group art time, outdoor gross motor time and personal care routines. Infants were engaged in tummy time, napping, feeding and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. There are currently no enrolled children on the 2nd shift of care. The center's compliance history was at 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of four children’s files were reviewed. There were no new staff members since the facility’s last visit. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 1/29/24. The last Shelter-in-Place drill was practiced on 11/22/23. The last monthly playground inspection was completed on 1/25/24. The most recent sanitation inspection for your facility was conducted on November 30, 2023. A superior sanitation classification was issued with ten demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The facility was approved for day time care. Since you have 2nd shift on your license, you will need to contact the fire inspector and have them to complete a new division approved fire inspection form that includes approval for nighttime care or the 2nd shift restriction will need to be removed from the license. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 1/8/24, did not have a signed statement acknowledging receipt of the Summary of the Law on file. GS 110-102 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space #3, there was one sippy cup in the refrigerator that was not dated or labelled to identify the child it was indented for. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one feeding plan did not include the date when the plan was received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, there was no thermometer in the classroom refrigerator to verify that temperature was at 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the playground for infant and toddlers, one ride on worm toy had wheels that no longer roll. On the playground for preschool age children, an anchored bus play structure has splintered wood on the base of the toy, where children would stand. G.S. 110-91(6); .0601(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report completed 1/18/24 did not have listed the type of injury, the medical treatment received and the cause of the injury. .0802 (e) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 6/4/21 had completed 5 of 8 required hours of training since 1/2023. .1103(a) 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. One child enrolled 3/24/21, did not have verification of immunizations on file. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. One child enrolled 1/22/24 did not have fears, behaviors, allergies or health concerns listed on the application for enrollment. .0801(a)(1-7) The violation(s) documented must be corrected immediately. On or before February 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Labelled beverages: Formula and other beverages that require refrigeration must be identified for each child. 10A NCAC 18A.2804(d). The sippy cup was dated and labelled for the child it was identified for. This violation was corrected at visit. Feeding Plan: The feeding plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. 10A NCAC 09 .0902 (a) We discussed that the feeding plan should be reviewed with the parent and signed when reviewed to verify the date when received by the center. Refrigerator Temperature: Each refrigerator must maintain a temperature of 45 degrees F or below. We discussed the need for a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(f)(h) Equipment in Good repair: SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. G.S. 110-91(6); .0601(b). We discussed that the ride on toy on the playground for infants and toddlers should be removed since the wheels no long move for proper use. We discussed that the splintered wood on the anchored bus play structure will need to be repaired or removed from the playground for preschool care children. The equipment will need to be repaired or removed immediately. Incident Reports: Incident reports must list all the information required by 10A NCAC 09.0802(e). I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. 10A NCAC 09.0802(e) Immunizations: Each child must have an immunization record on file before or within 30 days after beginning care. 10A NCAC 09 .0302(d)(2) GS 110-91(1). The child enrolled 3/24/21, did not have any verification of immunizations in the child’s file. This verification will need to be provided within the next 2 weeks. Application for Enrollment: The application form for one child’s file reviewed today, did not have all required information documented on the children’s application forms for health care needs. The application on file did not list if the child had any particular fears or unique behavior characteristics, health concerns or allergies. I discussed the children’s application forms with you and to make sure that all information has been filled out on the form and missing information added to the form. Review forms with parents during enrollment to ensure that all information has been completed. If a question is not applicable to the child, then have the parent document N/A or no. You must add the missing information and have the parents complete all required information on the child application forms to correct this violation. 10A NCAC 09.0801(a)(1-7) Summary of the Law: Summary of the Child Care Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. GS 110-102 Staff On-going training Hours: Staff must receive the required number of on-going training hours, according to their education/experience. Staff may receive training in person or on-line. There are on-line trainings available through Moodle. 10A NCAC 09 .1103(a). We discussed that the staff member employed 6/4/21, will need to complete three additional training hours within the next 2 weeks. Consultation or other topics discussed today: I recommend that you rake and fluff the mulch on the outdoor play spaces. You should also have a staff member to do a safety check before the children go outside each day to remove any trash or debris from the play area. We discussed that Administrative Action has been recommended. Please notify me when the action paperwork is received to review this information. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .1103 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 27 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:20 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 unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Torrie Logan, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on February 1, 2024, and your business U and I Child Care Center, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. Children throughout the facility were participating in group art time, outdoor gross motor time and personal care routines. Infants were engaged in tummy time, napping, feeding and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. There are currently no enrolled children on the 2nd shift of care. The center's compliance history was at 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of four children’s files were reviewed. There were no new staff members since the facility’s last visit. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 1/29/24. The last Shelter-in-Place drill was practiced on 11/22/23. The last monthly playground inspection was completed on 1/25/24. The most recent sanitation inspection for your facility was conducted on November 30, 2023. A superior sanitation classification was issued with ten demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The facility was approved for day time care. Since you have 2nd shift on your license, you will need to contact the fire inspector and have them to complete a new division approved fire inspection form that includes approval for nighttime care or the 2nd shift restriction will need to be removed from the license. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 1/8/24, did not have a signed statement acknowledging receipt of the Summary of the Law on file. GS 110-102 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space #3, there was one sippy cup in the refrigerator that was not dated or labelled to identify the child it was indented for. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one feeding plan did not include the date when the plan was received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, there was no thermometer in the classroom refrigerator to verify that temperature was at 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the playground for infant and toddlers, one ride on worm toy had wheels that no longer roll. On the playground for preschool age children, an anchored bus play structure has splintered wood on the base of the toy, where children would stand. G.S. 110-91(6); .0601(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report completed 1/18/24 did not have listed the type of injury, the medical treatment received and the cause of the injury. .0802 (e) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 6/4/21 had completed 5 of 8 required hours of training since 1/2023. .1103(a) 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. One child enrolled 3/24/21, did not have verification of immunizations on file. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. One child enrolled 1/22/24 did not have fears, behaviors, allergies or health concerns listed on the application for enrollment. .0801(a)(1-7) The violation(s) documented must be corrected immediately. On or before February 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Labelled beverages: Formula and other beverages that require refrigeration must be identified for each child. 10A NCAC 18A.2804(d). The sippy cup was dated and labelled for the child it was identified for. This violation was corrected at visit. Feeding Plan: The feeding plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. 10A NCAC 09 .0902 (a) We discussed that the feeding plan should be reviewed with the parent and signed when reviewed to verify the date when received by the center. Refrigerator Temperature: Each refrigerator must maintain a temperature of 45 degrees F or below. We discussed the need for a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(f)(h) Equipment in Good repair: SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. G.S. 110-91(6); .0601(b). We discussed that the ride on toy on the playground for infants and toddlers should be removed since the wheels no long move for proper use. We discussed that the splintered wood on the anchored bus play structure will need to be repaired or removed from the playground for preschool care children. The equipment will need to be repaired or removed immediately. Incident Reports: Incident reports must list all the information required by 10A NCAC 09.0802(e). I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. 10A NCAC 09.0802(e) Immunizations: Each child must have an immunization record on file before or within 30 days after beginning care. 10A NCAC 09 .0302(d)(2) GS 110-91(1). The child enrolled 3/24/21, did not have any verification of immunizations in the child’s file. This verification will need to be provided within the next 2 weeks. Application for Enrollment: The application form for one child’s file reviewed today, did not have all required information documented on the children’s application forms for health care needs. The application on file did not list if the child had any particular fears or unique behavior characteristics, health concerns or allergies. I discussed the children’s application forms with you and to make sure that all information has been filled out on the form and missing information added to the form. Review forms with parents during enrollment to ensure that all information has been completed. If a question is not applicable to the child, then have the parent document N/A or no. You must add the missing information and have the parents complete all required information on the child application forms to correct this violation. 10A NCAC 09.0801(a)(1-7) Summary of the Law: Summary of the Child Care Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. GS 110-102 Staff On-going training Hours: Staff must receive the required number of on-going training hours, according to their education/experience. Staff may receive training in person or on-line. There are on-line trainings available through Moodle. 10A NCAC 09 .1103(a). We discussed that the staff member employed 6/4/21, will need to complete three additional training hours within the next 2 weeks. Consultation or other topics discussed today: I recommend that you rake and fluff the mulch on the outdoor play spaces. You should also have a staff member to do a safety check before the children go outside each day to remove any trash or debris from the play area. We discussed that Administrative Action has been recommended. Please notify me when the action paperwork is received to review this information. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 27 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:20 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 unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Torrie Logan, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on February 1, 2024, and your business U and I Child Care Center, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. Children throughout the facility were participating in group art time, outdoor gross motor time and personal care routines. Infants were engaged in tummy time, napping, feeding and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. There are currently no enrolled children on the 2nd shift of care. The center's compliance history was at 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of four children’s files were reviewed. There were no new staff members since the facility’s last visit. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 1/29/24. The last Shelter-in-Place drill was practiced on 11/22/23. The last monthly playground inspection was completed on 1/25/24. The most recent sanitation inspection for your facility was conducted on November 30, 2023. A superior sanitation classification was issued with ten demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The facility was approved for day time care. Since you have 2nd shift on your license, you will need to contact the fire inspector and have them to complete a new division approved fire inspection form that includes approval for nighttime care or the 2nd shift restriction will need to be removed from the license. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 1/8/24, did not have a signed statement acknowledging receipt of the Summary of the Law on file. GS 110-102 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space #3, there was one sippy cup in the refrigerator that was not dated or labelled to identify the child it was indented for. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one feeding plan did not include the date when the plan was received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, there was no thermometer in the classroom refrigerator to verify that temperature was at 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the playground for infant and toddlers, one ride on worm toy had wheels that no longer roll. On the playground for preschool age children, an anchored bus play structure has splintered wood on the base of the toy, where children would stand. G.S. 110-91(6); .0601(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report completed 1/18/24 did not have listed the type of injury, the medical treatment received and the cause of the injury. .0802 (e) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 6/4/21 had completed 5 of 8 required hours of training since 1/2023. .1103(a) 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. One child enrolled 3/24/21, did not have verification of immunizations on file. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. One child enrolled 1/22/24 did not have fears, behaviors, allergies or health concerns listed on the application for enrollment. .0801(a)(1-7) The violation(s) documented must be corrected immediately. On or before February 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Labelled beverages: Formula and other beverages that require refrigeration must be identified for each child. 10A NCAC 18A.2804(d). The sippy cup was dated and labelled for the child it was identified for. This violation was corrected at visit. Feeding Plan: The feeding plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. 10A NCAC 09 .0902 (a) We discussed that the feeding plan should be reviewed with the parent and signed when reviewed to verify the date when received by the center. Refrigerator Temperature: Each refrigerator must maintain a temperature of 45 degrees F or below. We discussed the need for a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(f)(h) Equipment in Good repair: SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. G.S. 110-91(6); .0601(b). We discussed that the ride on toy on the playground for infants and toddlers should be removed since the wheels no long move for proper use. We discussed that the splintered wood on the anchored bus play structure will need to be repaired or removed from the playground for preschool care children. The equipment will need to be repaired or removed immediately. Incident Reports: Incident reports must list all the information required by 10A NCAC 09.0802(e). I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. 10A NCAC 09.0802(e) Immunizations: Each child must have an immunization record on file before or within 30 days after beginning care. 10A NCAC 09 .0302(d)(2) GS 110-91(1). The child enrolled 3/24/21, did not have any verification of immunizations in the child’s file. This verification will need to be provided within the next 2 weeks. Application for Enrollment: The application form for one child’s file reviewed today, did not have all required information documented on the children’s application forms for health care needs. The application on file did not list if the child had any particular fears or unique behavior characteristics, health concerns or allergies. I discussed the children’s application forms with you and to make sure that all information has been filled out on the form and missing information added to the form. Review forms with parents during enrollment to ensure that all information has been completed. If a question is not applicable to the child, then have the parent document N/A or no. You must add the missing information and have the parents complete all required information on the child application forms to correct this violation. 10A NCAC 09.0801(a)(1-7) Summary of the Law: Summary of the Child Care Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. GS 110-102 Staff On-going training Hours: Staff must receive the required number of on-going training hours, according to their education/experience. Staff may receive training in person or on-line. There are on-line trainings available through Moodle. 10A NCAC 09 .1103(a). We discussed that the staff member employed 6/4/21, will need to complete three additional training hours within the next 2 weeks. Consultation or other topics discussed today: I recommend that you rake and fluff the mulch on the outdoor play spaces. You should also have a staff member to do a safety check before the children go outside each day to remove any trash or debris from the play area. We discussed that Administrative Action has been recommended. Please notify me when the action paperwork is received to review this information. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.0802 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 27 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:20 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 unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Torrie Logan, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on February 1, 2024, and your business U and I Child Care Center, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. Children throughout the facility were participating in group art time, outdoor gross motor time and personal care routines. Infants were engaged in tummy time, napping, feeding and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. There are currently no enrolled children on the 2nd shift of care. The center's compliance history was at 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of four children’s files were reviewed. There were no new staff members since the facility’s last visit. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 1/29/24. The last Shelter-in-Place drill was practiced on 11/22/23. The last monthly playground inspection was completed on 1/25/24. The most recent sanitation inspection for your facility was conducted on November 30, 2023. A superior sanitation classification was issued with ten demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The facility was approved for day time care. Since you have 2nd shift on your license, you will need to contact the fire inspector and have them to complete a new division approved fire inspection form that includes approval for nighttime care or the 2nd shift restriction will need to be removed from the license. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 1/8/24, did not have a signed statement acknowledging receipt of the Summary of the Law on file. GS 110-102 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space #3, there was one sippy cup in the refrigerator that was not dated or labelled to identify the child it was indented for. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one feeding plan did not include the date when the plan was received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, there was no thermometer in the classroom refrigerator to verify that temperature was at 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the playground for infant and toddlers, one ride on worm toy had wheels that no longer roll. On the playground for preschool age children, an anchored bus play structure has splintered wood on the base of the toy, where children would stand. G.S. 110-91(6); .0601(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report completed 1/18/24 did not have listed the type of injury, the medical treatment received and the cause of the injury. .0802 (e) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 6/4/21 had completed 5 of 8 required hours of training since 1/2023. .1103(a) 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. One child enrolled 3/24/21, did not have verification of immunizations on file. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. One child enrolled 1/22/24 did not have fears, behaviors, allergies or health concerns listed on the application for enrollment. .0801(a)(1-7) The violation(s) documented must be corrected immediately. On or before February 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Labelled beverages: Formula and other beverages that require refrigeration must be identified for each child. 10A NCAC 18A.2804(d). The sippy cup was dated and labelled for the child it was identified for. This violation was corrected at visit. Feeding Plan: The feeding plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. 10A NCAC 09 .0902 (a) We discussed that the feeding plan should be reviewed with the parent and signed when reviewed to verify the date when received by the center. Refrigerator Temperature: Each refrigerator must maintain a temperature of 45 degrees F or below. We discussed the need for a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(f)(h) Equipment in Good repair: SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. G.S. 110-91(6); .0601(b). We discussed that the ride on toy on the playground for infants and toddlers should be removed since the wheels no long move for proper use. We discussed that the splintered wood on the anchored bus play structure will need to be repaired or removed from the playground for preschool care children. The equipment will need to be repaired or removed immediately. Incident Reports: Incident reports must list all the information required by 10A NCAC 09.0802(e). I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. 10A NCAC 09.0802(e) Immunizations: Each child must have an immunization record on file before or within 30 days after beginning care. 10A NCAC 09 .0302(d)(2) GS 110-91(1). The child enrolled 3/24/21, did not have any verification of immunizations in the child’s file. This verification will need to be provided within the next 2 weeks. Application for Enrollment: The application form for one child’s file reviewed today, did not have all required information documented on the children’s application forms for health care needs. The application on file did not list if the child had any particular fears or unique behavior characteristics, health concerns or allergies. I discussed the children’s application forms with you and to make sure that all information has been filled out on the form and missing information added to the form. Review forms with parents during enrollment to ensure that all information has been completed. If a question is not applicable to the child, then have the parent document N/A or no. You must add the missing information and have the parents complete all required information on the child application forms to correct this violation. 10A NCAC 09.0801(a)(1-7) Summary of the Law: Summary of the Child Care Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. GS 110-102 Staff On-going training Hours: Staff must receive the required number of on-going training hours, according to their education/experience. Staff may receive training in person or on-line. There are on-line trainings available through Moodle. 10A NCAC 09 .1103(a). We discussed that the staff member employed 6/4/21, will need to complete three additional training hours within the next 2 weeks. Consultation or other topics discussed today: I recommend that you rake and fluff the mulch on the outdoor play spaces. You should also have a staff member to do a safety check before the children go outside each day to remove any trash or debris from the play area. We discussed that Administrative Action has been recommended. Please notify me when the action paperwork is received to review this information. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 27 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:20 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 unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Torrie Logan, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on February 1, 2024, and your business U and I Child Care Center, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. Children throughout the facility were participating in group art time, outdoor gross motor time and personal care routines. Infants were engaged in tummy time, napping, feeding and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. There are currently no enrolled children on the 2nd shift of care. The center's compliance history was at 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of four children’s files were reviewed. There were no new staff members since the facility’s last visit. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 1/29/24. The last Shelter-in-Place drill was practiced on 11/22/23. The last monthly playground inspection was completed on 1/25/24. The most recent sanitation inspection for your facility was conducted on November 30, 2023. A superior sanitation classification was issued with ten demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The facility was approved for day time care. Since you have 2nd shift on your license, you will need to contact the fire inspector and have them to complete a new division approved fire inspection form that includes approval for nighttime care or the 2nd shift restriction will need to be removed from the license. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 1/8/24, did not have a signed statement acknowledging receipt of the Summary of the Law on file. GS 110-102 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space #3, there was one sippy cup in the refrigerator that was not dated or labelled to identify the child it was indented for. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one feeding plan did not include the date when the plan was received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, there was no thermometer in the classroom refrigerator to verify that temperature was at 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the playground for infant and toddlers, one ride on worm toy had wheels that no longer roll. On the playground for preschool age children, an anchored bus play structure has splintered wood on the base of the toy, where children would stand. G.S. 110-91(6); .0601(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report completed 1/18/24 did not have listed the type of injury, the medical treatment received and the cause of the injury. .0802 (e) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 6/4/21 had completed 5 of 8 required hours of training since 1/2023. .1103(a) 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. One child enrolled 3/24/21, did not have verification of immunizations on file. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. One child enrolled 1/22/24 did not have fears, behaviors, allergies or health concerns listed on the application for enrollment. .0801(a)(1-7) The violation(s) documented must be corrected immediately. On or before February 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Labelled beverages: Formula and other beverages that require refrigeration must be identified for each child. 10A NCAC 18A.2804(d). The sippy cup was dated and labelled for the child it was identified for. This violation was corrected at visit. Feeding Plan: The feeding plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. 10A NCAC 09 .0902 (a) We discussed that the feeding plan should be reviewed with the parent and signed when reviewed to verify the date when received by the center. Refrigerator Temperature: Each refrigerator must maintain a temperature of 45 degrees F or below. We discussed the need for a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(f)(h) Equipment in Good repair: SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. G.S. 110-91(6); .0601(b). We discussed that the ride on toy on the playground for infants and toddlers should be removed since the wheels no long move for proper use. We discussed that the splintered wood on the anchored bus play structure will need to be repaired or removed from the playground for preschool care children. The equipment will need to be repaired or removed immediately. Incident Reports: Incident reports must list all the information required by 10A NCAC 09.0802(e). I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. 10A NCAC 09.0802(e) Immunizations: Each child must have an immunization record on file before or within 30 days after beginning care. 10A NCAC 09 .0302(d)(2) GS 110-91(1). The child enrolled 3/24/21, did not have any verification of immunizations in the child’s file. This verification will need to be provided within the next 2 weeks. Application for Enrollment: The application form for one child’s file reviewed today, did not have all required information documented on the children’s application forms for health care needs. The application on file did not list if the child had any particular fears or unique behavior characteristics, health concerns or allergies. I discussed the children’s application forms with you and to make sure that all information has been filled out on the form and missing information added to the form. Review forms with parents during enrollment to ensure that all information has been completed. If a question is not applicable to the child, then have the parent document N/A or no. You must add the missing information and have the parents complete all required information on the child application forms to correct this violation. 10A NCAC 09.0801(a)(1-7) Summary of the Law: Summary of the Child Care Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. GS 110-102 Staff On-going training Hours: Staff must receive the required number of on-going training hours, according to their education/experience. Staff may receive training in person or on-line. There are on-line trainings available through Moodle. 10A NCAC 09 .1103(a). We discussed that the staff member employed 6/4/21, will need to complete three additional training hours within the next 2 weeks. Consultation or other topics discussed today: I recommend that you rake and fluff the mulch on the outdoor play spaces. You should also have a staff member to do a safety check before the children go outside each day to remove any trash or debris from the play area. We discussed that Administrative Action has been recommended. Please notify me when the action paperwork is received to review this information. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-102 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 27 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:20 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 unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Torrie Logan, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on February 1, 2024, and your business U and I Child Care Center, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. Children throughout the facility were participating in group art time, outdoor gross motor time and personal care routines. Infants were engaged in tummy time, napping, feeding and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. There are currently no enrolled children on the 2nd shift of care. The center's compliance history was at 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of four children’s files were reviewed. There were no new staff members since the facility’s last visit. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 1/29/24. The last Shelter-in-Place drill was practiced on 11/22/23. The last monthly playground inspection was completed on 1/25/24. The most recent sanitation inspection for your facility was conducted on November 30, 2023. A superior sanitation classification was issued with ten demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The facility was approved for day time care. Since you have 2nd shift on your license, you will need to contact the fire inspector and have them to complete a new division approved fire inspection form that includes approval for nighttime care or the 2nd shift restriction will need to be removed from the license. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 1/8/24, did not have a signed statement acknowledging receipt of the Summary of the Law on file. GS 110-102 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space #3, there was one sippy cup in the refrigerator that was not dated or labelled to identify the child it was indented for. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one feeding plan did not include the date when the plan was received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, there was no thermometer in the classroom refrigerator to verify that temperature was at 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the playground for infant and toddlers, one ride on worm toy had wheels that no longer roll. On the playground for preschool age children, an anchored bus play structure has splintered wood on the base of the toy, where children would stand. G.S. 110-91(6); .0601(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report completed 1/18/24 did not have listed the type of injury, the medical treatment received and the cause of the injury. .0802 (e) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 6/4/21 had completed 5 of 8 required hours of training since 1/2023. .1103(a) 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. One child enrolled 3/24/21, did not have verification of immunizations on file. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. One child enrolled 1/22/24 did not have fears, behaviors, allergies or health concerns listed on the application for enrollment. .0801(a)(1-7) The violation(s) documented must be corrected immediately. On or before February 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Labelled beverages: Formula and other beverages that require refrigeration must be identified for each child. 10A NCAC 18A.2804(d). The sippy cup was dated and labelled for the child it was identified for. This violation was corrected at visit. Feeding Plan: The feeding plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. 10A NCAC 09 .0902 (a) We discussed that the feeding plan should be reviewed with the parent and signed when reviewed to verify the date when received by the center. Refrigerator Temperature: Each refrigerator must maintain a temperature of 45 degrees F or below. We discussed the need for a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(f)(h) Equipment in Good repair: SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. G.S. 110-91(6); .0601(b). We discussed that the ride on toy on the playground for infants and toddlers should be removed since the wheels no long move for proper use. We discussed that the splintered wood on the anchored bus play structure will need to be repaired or removed from the playground for preschool care children. The equipment will need to be repaired or removed immediately. Incident Reports: Incident reports must list all the information required by 10A NCAC 09.0802(e). I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. 10A NCAC 09.0802(e) Immunizations: Each child must have an immunization record on file before or within 30 days after beginning care. 10A NCAC 09 .0302(d)(2) GS 110-91(1). The child enrolled 3/24/21, did not have any verification of immunizations in the child’s file. This verification will need to be provided within the next 2 weeks. Application for Enrollment: The application form for one child’s file reviewed today, did not have all required information documented on the children’s application forms for health care needs. The application on file did not list if the child had any particular fears or unique behavior characteristics, health concerns or allergies. I discussed the children’s application forms with you and to make sure that all information has been filled out on the form and missing information added to the form. Review forms with parents during enrollment to ensure that all information has been completed. If a question is not applicable to the child, then have the parent document N/A or no. You must add the missing information and have the parents complete all required information on the child application forms to correct this violation. 10A NCAC 09.0801(a)(1-7) Summary of the Law: Summary of the Child Care Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. GS 110-102 Staff On-going training Hours: Staff must receive the required number of on-going training hours, according to their education/experience. Staff may receive training in person or on-line. There are on-line trainings available through Moodle. 10A NCAC 09 .1103(a). We discussed that the staff member employed 6/4/21, will need to complete three additional training hours within the next 2 weeks. Consultation or other topics discussed today: I recommend that you rake and fluff the mulch on the outdoor play spaces. You should also have a staff member to do a safety check before the children go outside each day to remove any trash or debris from the play area. We discussed that Administrative Action has been recommended. Please notify me when the action paperwork is received to review this information. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 27 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:20 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 unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Torrie Logan, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on February 1, 2024, and your business U and I Child Care Center, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. Children throughout the facility were participating in group art time, outdoor gross motor time and personal care routines. Infants were engaged in tummy time, napping, feeding and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. There are currently no enrolled children on the 2nd shift of care. The center's compliance history was at 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of four children’s files were reviewed. There were no new staff members since the facility’s last visit. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 1/29/24. The last Shelter-in-Place drill was practiced on 11/22/23. The last monthly playground inspection was completed on 1/25/24. The most recent sanitation inspection for your facility was conducted on November 30, 2023. A superior sanitation classification was issued with ten demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The facility was approved for day time care. Since you have 2nd shift on your license, you will need to contact the fire inspector and have them to complete a new division approved fire inspection form that includes approval for nighttime care or the 2nd shift restriction will need to be removed from the license. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 1/8/24, did not have a signed statement acknowledging receipt of the Summary of the Law on file. GS 110-102 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space #3, there was one sippy cup in the refrigerator that was not dated or labelled to identify the child it was indented for. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one feeding plan did not include the date when the plan was received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, there was no thermometer in the classroom refrigerator to verify that temperature was at 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the playground for infant and toddlers, one ride on worm toy had wheels that no longer roll. On the playground for preschool age children, an anchored bus play structure has splintered wood on the base of the toy, where children would stand. G.S. 110-91(6); .0601(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report completed 1/18/24 did not have listed the type of injury, the medical treatment received and the cause of the injury. .0802 (e) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 6/4/21 had completed 5 of 8 required hours of training since 1/2023. .1103(a) 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. One child enrolled 3/24/21, did not have verification of immunizations on file. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. One child enrolled 1/22/24 did not have fears, behaviors, allergies or health concerns listed on the application for enrollment. .0801(a)(1-7) The violation(s) documented must be corrected immediately. On or before February 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Labelled beverages: Formula and other beverages that require refrigeration must be identified for each child. 10A NCAC 18A.2804(d). The sippy cup was dated and labelled for the child it was identified for. This violation was corrected at visit. Feeding Plan: The feeding plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. 10A NCAC 09 .0902 (a) We discussed that the feeding plan should be reviewed with the parent and signed when reviewed to verify the date when received by the center. Refrigerator Temperature: Each refrigerator must maintain a temperature of 45 degrees F or below. We discussed the need for a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(f)(h) Equipment in Good repair: SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. G.S. 110-91(6); .0601(b). We discussed that the ride on toy on the playground for infants and toddlers should be removed since the wheels no long move for proper use. We discussed that the splintered wood on the anchored bus play structure will need to be repaired or removed from the playground for preschool care children. The equipment will need to be repaired or removed immediately. Incident Reports: Incident reports must list all the information required by 10A NCAC 09.0802(e). I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. 10A NCAC 09.0802(e) Immunizations: Each child must have an immunization record on file before or within 30 days after beginning care. 10A NCAC 09 .0302(d)(2) GS 110-91(1). The child enrolled 3/24/21, did not have any verification of immunizations in the child’s file. This verification will need to be provided within the next 2 weeks. Application for Enrollment: The application form for one child’s file reviewed today, did not have all required information documented on the children’s application forms for health care needs. The application on file did not list if the child had any particular fears or unique behavior characteristics, health concerns or allergies. I discussed the children’s application forms with you and to make sure that all information has been filled out on the form and missing information added to the form. Review forms with parents during enrollment to ensure that all information has been completed. If a question is not applicable to the child, then have the parent document N/A or no. You must add the missing information and have the parents complete all required information on the child application forms to correct this violation. 10A NCAC 09.0801(a)(1-7) Summary of the Law: Summary of the Child Care Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. GS 110-102 Staff On-going training Hours: Staff must receive the required number of on-going training hours, according to their education/experience. Staff may receive training in person or on-line. There are on-line trainings available through Moodle. 10A NCAC 09 .1103(a). We discussed that the staff member employed 6/4/21, will need to complete three additional training hours within the next 2 weeks. Consultation or other topics discussed today: I recommend that you rake and fluff the mulch on the outdoor play spaces. You should also have a staff member to do a safety check before the children go outside each day to remove any trash or debris from the play area. We discussed that Administrative Action has been recommended. Please notify me when the action paperwork is received to review this information. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 27 Completed Date: 2/1/2024 Age: From 0 To 5 Total Minutes: 265 Time In: 09:20 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 unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Torrie Logan, Administrator, assisted me with the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective April 7, 2022. The permit restrictions were in compliance including 1st shift, 2nd shift, meets enhanced ratios, meets enhanced space and meets enhanced ratios minus one. The Secretary of State website was checked on February 1, 2024, and your business U and I Child Care Center, Inc, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments and found supervision and staff/child ratios to in compliance. Children throughout the facility were participating in group art time, outdoor gross motor time and personal care routines. Infants were engaged in tummy time, napping, feeding and diapering routines. The caregivers were interacting and meeting the developmental needs for each of the children. There are currently no enrolled children on the 2nd shift of care. The center's compliance history was at 82% prior to today’s visit. Child care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. A sample of four children’s files were reviewed. There were no new staff members since the facility’s last visit. A sample of two existing staff files were reviewed. The last monthly fire drill was practiced on 1/29/24. The last Shelter-in-Place drill was practiced on 11/22/23. The last monthly playground inspection was completed on 1/25/24. The most recent sanitation inspection for your facility was conducted on November 30, 2023. A superior sanitation classification was issued with ten demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The facility was approved for day time care. Since you have 2nd shift on your license, you will need to contact the fire inspector and have them to complete a new division approved fire inspection form that includes approval for nighttime care or the 2nd shift restriction will need to be removed from the license. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child enrolled 1/8/24, did not have a signed statement acknowledging receipt of the Summary of the Law on file. GS 110-102 536 Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated. In space #3, there was one sippy cup in the refrigerator that was not dated or labelled to identify the child it was indented for. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In space #1, one feeding plan did not include the date when the plan was received by the center. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, there was no thermometer in the classroom refrigerator to verify that temperature was at 45 degrees F or below. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. On the playground for infant and toddlers, one ride on worm toy had wheels that no longer roll. On the playground for preschool age children, an anchored bus play structure has splintered wood on the base of the toy, where children would stand. G.S. 110-91(6); .0601(b) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report completed 1/18/24 did not have listed the type of injury, the medical treatment received and the cause of the injury. .0802 (e) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 6/4/21 had completed 5 of 8 required hours of training since 1/2023. .1103(a) 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. One child enrolled 3/24/21, did not have verification of immunizations on file. 10A NCAC 09 .0302(d)(2) 1329 Application for enrollment did not include all required information. One child enrolled 1/22/24 did not have fears, behaviors, allergies or health concerns listed on the application for enrollment. .0801(a)(1-7) The violation(s) documented must be corrected immediately. On or before February 15, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Labelled beverages: Formula and other beverages that require refrigeration must be identified for each child. 10A NCAC 18A.2804(d). The sippy cup was dated and labelled for the child it was identified for. This violation was corrected at visit. Feeding Plan: The feeding plan must include the child's name, be signed by the parent or health care provider, and be dated when received by the center. 10A NCAC 09 .0902 (a) We discussed that the feeding plan should be reviewed with the parent and signed when reviewed to verify the date when received by the center. Refrigerator Temperature: Each refrigerator must maintain a temperature of 45 degrees F or below. We discussed the need for a thermometer for each refrigerator to ensure proper temperature readings. 15A NCAC 18A.2806(f)(h) Equipment in Good repair: SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. G.S. 110-91(6); .0601(b). We discussed that the ride on toy on the playground for infants and toddlers should be removed since the wheels no long move for proper use. We discussed that the splintered wood on the anchored bus play structure will need to be repaired or removed from the playground for preschool care children. The equipment will need to be repaired or removed immediately. Incident Reports: Incident reports must list all the information required by 10A NCAC 09.0802(e). I suggested that you review all incident reports to ensure the incident report is being completed accurately. Complete training with staff on how to properly complete the Incident Report Form. Develop a plan for processing and reviewing these forms for accuracy and completion. 10A NCAC 09.0802(e) Immunizations: Each child must have an immunization record on file before or within 30 days after beginning care. 10A NCAC 09 .0302(d)(2) GS 110-91(1). The child enrolled 3/24/21, did not have any verification of immunizations in the child’s file. This verification will need to be provided within the next 2 weeks. Application for Enrollment: The application form for one child’s file reviewed today, did not have all required information documented on the children’s application forms for health care needs. The application on file did not list if the child had any particular fears or unique behavior characteristics, health concerns or allergies. I discussed the children’s application forms with you and to make sure that all information has been filled out on the form and missing information added to the form. Review forms with parents during enrollment to ensure that all information has been completed. If a question is not applicable to the child, then have the parent document N/A or no. You must add the missing information and have the parents complete all required information on the child application forms to correct this violation. 10A NCAC 09.0801(a)(1-7) Summary of the Law: Summary of the Child Care Law: Parents must receive a copy of the Summary of the North Carolina Child Care Law and sign a statement acknowledging receipt before enrollment. Consider creating an enrollment packet with all required forms to ensure forms are completed and on file in a timely manner. GS 110-102 Staff On-going training Hours: Staff must receive the required number of on-going training hours, according to their education/experience. Staff may receive training in person or on-line. There are on-line trainings available through Moodle. 10A NCAC 09 .1103(a). We discussed that the staff member employed 6/4/21, will need to complete three additional training hours within the next 2 weeks. Consultation or other topics discussed today: I recommend that you rake and fluff the mulch on the outdoor play spaces. You should also have a staff member to do a safety check before the children go outside each day to remove any trash or debris from the play area. We discussed that Administrative Action has been recommended. Please notify me when the action paperwork is received to review this information. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0604 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: 1223-104L Visit Date: 12/15/2023 Number Present: 18 Completed Date: 12/15/2023 Age: From 0 To 5 Total Minutes: 82 Time In: 11:08 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a report alleging violations of child care requirements. Torrie Logan, administrator, assisted with the visit. The Secretary of State website was checked on December 13, 2023 and your business, U and I Child Care Center, Inc, is still active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. On December 11, 2023, the following allegations were received. There is a concern that a teacher was vaping in the classroom while children were present. The allegations were discussed with you and other staff members. You and other staff members had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. I reviewed your tobacco policy, your posted no tobacco sign, children’s attendance reports, arrival and departure records and conducted staff interviews. When I arrived, a walk-through of the facility was completed. Children were observed in free play indoors and lunch time. Based on the walk through of the facility and premises and staff interviews, there was evidence that a staff member was vaping in the classroom; therefore the allegation for “There is a concern that a teacher was vaping in the classroom while children were present” was confirmed, therefore substantiated. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 1848 The child care environment was not smoke and/or tobacco free. On December 8, 2023, one staff member was observed vaping in the classroom for infants while five infant and toddler age children were present. .0604(h) The violation(s) documented must be corrected immediately. On or before December 29, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. 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. 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. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Tobacco use: Children shall be in a smoke free and tobacco free environment. Smoking and the use of any product containing, made or derived from tobacco, including e-cigarettes, cigars, little cigars, smokeless tobacco, and hookah, shall not be permitted on the premises of the child care center. All smoking materials shall be kept in locked storage. 10A NCAC 09 .0604(h) We discussed that the employee has been placed on leave and a decision about permanent employment has not been made. The owner is considering moving the staff member to another classroom location if employment continues. Consultation was offered on the following items: For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0508 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 24 Completed Date: 9/5/2023 Age: From 1 To 4 Total Minutes: 243 Time In: 09:12 AM Time Out: 12:15 PM Time In: 01:15 PM Time Out: 02:15 PM List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on April 27, 2023. You, Torrie Logan, Administrator, assisted with the visit. Your program currently operates with a five star license effective June 9, 2017. The permit restrictions were in compliance including 1st shift, 2nd shift, and meets enhanced ratios. The NC Secretary of State website was reviewed on September 5, 2023 and U and I Child Care Center, Inc. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children were observed during center play time, group story time and outdoor play time. I observed a copy of the administrative action, cover letter, and CAP posted as required. I also reminded you the information must remain posted for three months and upon receipt of a closure letter from the Division stating the corrective action plan has been completed for a final notice of administrative action containing a written warning. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan Status: Item #1-One violation was observed today regarding TB test for a new employee. This is a repeated violation. You will need to maintain compliance with all applicable child care requirements listed on the CAP. Item #2-The mandatory training was conducted on May 30, 2023. All staff: full-time, part-time, auxiliary, substitute, and volunteer staff, employed at the time attended this training. Item #3-Ms. Logan conducted a staff meeting with all staff members to discuss expectations with compliance and implementation on June 5, 2023. The meeting was documented with the topics discussed and staff completed an attendance roster. The date, time, and length of the meeting was on the attendance roster. I reviewed the documentation. The most recent sanitation inspection for your facility was conducted on June 22, 2023. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The following violations were observed during the visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was no group activity plan posted for children in Space #3. GS 110-91(12); .0508(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One employee hired 8/30/23, did not have a signed Shaken Baby Policy acknowledgement for review. .0608(d)(1-4) The violation(s) documented must be corrected immediately. On or before September 19, 2023, 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 78 percent as of September 5, 2023. You must maintain at least 75% Compliance History for each 18-month period as required. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was offered on the following: Activity Plan: We discussed activity plans must be posted in the classroom for view of parents/caregivers. 10A NCAC 09 .0508(a) You reported that you plan to create a group activity plan for this classroom of 2 year old children today. Shaken Baby/Abusive Head Trauma Policy: The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care for children. A signed acknowledgement with required information must be maintained in the staff person’s file. 10A NCAC 09 .0609(d)(1-4). You reported that you will meet with the staff member today and have a signed acknowledgement placed in the file. This is a repeated violation. Consultation: We discussed the benefits of moving staff members rather than children to different classroom spaces when needing to maintain staff child ratios. You reported that you are working on plans for a second staff member to be assigned to one classroom to reduce the need to change children from one classroom to another. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.Mcgalliard@dhhs.nc.gov. If I can be of assistance in the future, please feel free to contact me at **828-748-7893** or e-mail beth.archer@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 .0609 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 24 Completed Date: 9/5/2023 Age: From 1 To 4 Total Minutes: 243 Time In: 09:12 AM Time Out: 12:15 PM Time In: 01:15 PM Time Out: 02:15 PM List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on April 27, 2023. You, Torrie Logan, Administrator, assisted with the visit. Your program currently operates with a five star license effective June 9, 2017. The permit restrictions were in compliance including 1st shift, 2nd shift, and meets enhanced ratios. The NC Secretary of State website was reviewed on September 5, 2023 and U and I Child Care Center, Inc. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children were observed during center play time, group story time and outdoor play time. I observed a copy of the administrative action, cover letter, and CAP posted as required. I also reminded you the information must remain posted for three months and upon receipt of a closure letter from the Division stating the corrective action plan has been completed for a final notice of administrative action containing a written warning. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan Status: Item #1-One violation was observed today regarding TB test for a new employee. This is a repeated violation. You will need to maintain compliance with all applicable child care requirements listed on the CAP. Item #2-The mandatory training was conducted on May 30, 2023. All staff: full-time, part-time, auxiliary, substitute, and volunteer staff, employed at the time attended this training. Item #3-Ms. Logan conducted a staff meeting with all staff members to discuss expectations with compliance and implementation on June 5, 2023. The meeting was documented with the topics discussed and staff completed an attendance roster. The date, time, and length of the meeting was on the attendance roster. I reviewed the documentation. The most recent sanitation inspection for your facility was conducted on June 22, 2023. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The following violations were observed during the visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was no group activity plan posted for children in Space #3. GS 110-91(12); .0508(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One employee hired 8/30/23, did not have a signed Shaken Baby Policy acknowledgement for review. .0608(d)(1-4) The violation(s) documented must be corrected immediately. On or before September 19, 2023, 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 78 percent as of September 5, 2023. You must maintain at least 75% Compliance History for each 18-month period as required. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was offered on the following: Activity Plan: We discussed activity plans must be posted in the classroom for view of parents/caregivers. 10A NCAC 09 .0508(a) You reported that you plan to create a group activity plan for this classroom of 2 year old children today. Shaken Baby/Abusive Head Trauma Policy: The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care for children. A signed acknowledgement with required information must be maintained in the staff person’s file. 10A NCAC 09 .0609(d)(1-4). You reported that you will meet with the staff member today and have a signed acknowledgement placed in the file. This is a repeated violation. Consultation: We discussed the benefits of moving staff members rather than children to different classroom spaces when needing to maintain staff child ratios. You reported that you are working on plans for a second staff member to be assigned to one classroom to reduce the need to change children from one classroom to another. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.Mcgalliard@dhhs.nc.gov. If I can be of assistance in the future, please feel free to contact me at **828-748-7893** or e-mail beth.archer@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 24 Completed Date: 9/5/2023 Age: From 1 To 4 Total Minutes: 243 Time In: 09:12 AM Time Out: 12:15 PM Time In: 01:15 PM Time Out: 02:15 PM List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on April 27, 2023. You, Torrie Logan, Administrator, assisted with the visit. Your program currently operates with a five star license effective June 9, 2017. The permit restrictions were in compliance including 1st shift, 2nd shift, and meets enhanced ratios. The NC Secretary of State website was reviewed on September 5, 2023 and U and I Child Care Center, Inc. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children were observed during center play time, group story time and outdoor play time. I observed a copy of the administrative action, cover letter, and CAP posted as required. I also reminded you the information must remain posted for three months and upon receipt of a closure letter from the Division stating the corrective action plan has been completed for a final notice of administrative action containing a written warning. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan Status: Item #1-One violation was observed today regarding TB test for a new employee. This is a repeated violation. You will need to maintain compliance with all applicable child care requirements listed on the CAP. Item #2-The mandatory training was conducted on May 30, 2023. All staff: full-time, part-time, auxiliary, substitute, and volunteer staff, employed at the time attended this training. Item #3-Ms. Logan conducted a staff meeting with all staff members to discuss expectations with compliance and implementation on June 5, 2023. The meeting was documented with the topics discussed and staff completed an attendance roster. The date, time, and length of the meeting was on the attendance roster. I reviewed the documentation. The most recent sanitation inspection for your facility was conducted on June 22, 2023. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The following violations were observed during the visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. There was no group activity plan posted for children in Space #3. GS 110-91(12); .0508(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One employee hired 8/30/23, did not have a signed Shaken Baby Policy acknowledgement for review. .0608(d)(1-4) The violation(s) documented must be corrected immediately. On or before September 19, 2023, 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 78 percent as of September 5, 2023. You must maintain at least 75% Compliance History for each 18-month period as required. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was offered on the following: Activity Plan: We discussed activity plans must be posted in the classroom for view of parents/caregivers. 10A NCAC 09 .0508(a) You reported that you plan to create a group activity plan for this classroom of 2 year old children today. Shaken Baby/Abusive Head Trauma Policy: The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy must be reviewed with new staff prior to providing care for children. A signed acknowledgement with required information must be maintained in the staff person’s file. 10A NCAC 09 .0609(d)(1-4). You reported that you will meet with the staff member today and have a signed acknowledgement placed in the file. This is a repeated violation. Consultation: We discussed the benefits of moving staff members rather than children to different classroom spaces when needing to maintain staff child ratios. You reported that you are working on plans for a second staff member to be assigned to one classroom to reduce the need to change children from one classroom to another. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.Mcgalliard@dhhs.nc.gov. If I can be of assistance in the future, please feel free to contact me at **828-748-7893** or e-mail beth.archer@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 .0701 · Violation

Name of Operation: U AND I CHILD CARE CENTER Facility ID: 81000312 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/7/2023 Number Present: 22 Completed Date: 8/7/2023 Age: From 0 To 10 Total Minutes: 185 Time In: 09:00 AM Time Out: 11:45 AM Time In: 01:25 PM Time Out: 01:45 PM List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with the Corrective Action Plan (CAP), included in the Written Warning, issued on April 27, 2023. You, Torrie Logan, Administrator, assisted with the visit. Your program currently operates with a five star license effective June 9, 2017. The permit restrictions were in compliance including 1st shift, 2nd shift, and meets enhanced ratios. The NC Secretary of State website was reviewed on August 7, 2023 and U and I Child Care Center, Inc. was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. Children were observed during center play time, group story time and outdoor play time. I observed a copy of the administrative action, cover letter, and CAP posted as required. I also reminded you the information must remain posted for three months and upon receipt of a closure letter from the Division stating the corrective action plan has been completed for a final notice of administrative action containing a written warning. You must follow and complete the Corrective Action Plan within the designated timeframe listed for each Corrective Action Plan item. Corrective Action Plan Status: Item #1-One violation was observed today regarding TB test for a new employee. This is a repeated violation. You will need to maintain compliance with all applicable child care requirements listed on the CAP. Item #2-The mandatory training was conducted on May 30, 2023. All staff: full-time, part-time, auxiliary, substitute, and volunteer staff, employed at the time attended this training. Item #3-Ms. Logan conducted a staff meeting with all staff members to discuss expectations with compliance and implementation on June 5, 2023. The meeting was documented with the topics discussed and staff completed an attendance roster. The date, time, and length of the meeting was on the attendance roster. I reviewed the documentation. The most recent sanitation inspection for your facility was conducted on June 22, 2023. A superior sanitation classification was issued with four demerits. The most recent fire inspection for your facility was conducted on June 1, 2023. The following violation was observed during the visit: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One employee hired 8/7/23 had a TB test that was completed 7/29/22. .0701(a) Comments: The violation(s) documented must be corrected immediately. On or before August 21, 2023, 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Compliance History: The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 77 percent as of August 7, 2023. You must maintain at least 75% Compliance History for each 18-month period as required. Please note any violations cited during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance was offered on the following: TB Test Results: Before the first day of work, all staff must provide results indicating they are free of active TB and/or provide a TB screening that is not older than 12 months. 10A NCAC 09 .0701(a) You stated that you will have the new employee to go and receive a new TB test today. This is a repeated violation. Consultation: We reviewed that during the first and last operating hour of the day, multi-age groups can be together. We discussed that following the first operating hour of the day, which begins for your center at 7:00am, children must to be with the appropriate age groupings and staff/child ratios maintained within each classroom. We discussed that facilities may begin to prepare for resuming rated license reassessments by making sure that all staff have updated WORKS education evaluations and begin to request technical assistance as needed. Stay up to date with the Division of Child Development and Early Education by visiting www.ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the “What’s New” tab for important updates impacting childcare in North Carolina. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.Mcgalliard@dhhs.nc.gov. If I can be of assistance in the future, please feel free to contact me at **828-748-7893** or e-mail beth.archer@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.