G.S. 110-90 · Violation

Name of Operation: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 12/3/2025 Number Present: 52 Completed Date: 12/3/2025 Age: From 0 To 5 Total Minutes: 171 Time In: 09:24 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Stevi Wike, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued July 2, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on December 3, 2025, and your business, Tiny Tot Child Development Center, Inc., was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on December 3, 2025. A “provisional” classification was issued with ten (10) demerits noted on the grade card. The last fire inspection was conducted on October 16, 2025. The most recent fire drill was conducted on November 6, 2025, the most recent emergency drill was conducted on November 6, 2025, and the most recent playground inspection was conducted on November 23, 2025. You received the results of your most recent lead water testing showing no levels of lead above the allowed amount, on November 22, 2022. Per the facility data on the Clean Classrooms for Carolina Kids website, your facility has not completed lead-based paint or asbestos testing. Please log into your account through Clean Classrooms for Carolina Kids immediately to complete the three-year lead water test, as well as the lead-based paint and asbestos testing. We reviewed the facility’s ABCMS Provider Portal and all current staff are entered into the portal. A walk-through of the facility was completed today and all indoor and outdoor areas were monitored. I observed children in the indoor and outdoor learning environment. Children throughout the facility were participating in routines, infant feeding, group time, free play, lunch, and outdoor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Three (3) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. On the playground for toddlers, the paint on the blue bench with three steering wheels was peeling and chipping. .0601(c) 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 #6b, two (2) Epinephrine Injection USP Auto Injectors expired November 2025. .0803(12) The violations documented must be corrected immediately. On or before December 17, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were 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. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 93%. 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 provided on the following: 1. The staff member conducting playground inspections should thoroughly check the playground to ensure equipment and furnishings are sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions, and pinch and crush points. I suggested you remind teachers to check the playgrounds daily before children go outside to ensure all equipment is safe and in good repair. I reminded you that items that are considered hazardous should be repaired or removed immediately. You removed the piece of equipment with peeling and chipping paint from the playground and made inaccessible to children during the visit. You stated you will not return the piece of equipment to the playground until it has been re-painted and there is no more peeling or chipping paint. 2. 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. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. I suggested you assign a staff member to each room to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. You contacted the parent of the child to whom the medication belongs during the visit to request a new Epi Pen be brought to the facility. Consultation We discussed the QRIS Modernization and the Pathway to the Stars. We reviewed all three (3) pathways, as well as the Family and Community Engagement Standards. I encouraged you to visit the QRIS Modernization website to review information regarding the changes to the rated license process. Information on the three (3) pathway options, as well as links to upcoming webinars may be found on the DCDEE QRIS Modernization website: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. We discussed changes to the environmental rating scales and the implementation of the “3’s”. I encouraged you to visit the North Carolina Rated License Assessment Project website for more information regarding the 3’s, as well as webinars and training opportunities: https://ncrlap.org/Resources/pages/get-ready-for-3s/. I also suggested you reach out to Deirdre Sykes, your technical assistant with the Partnership for Children of Lincoln and Gaston Counties, to request technical assistance as you prepare to begin the rated license process. Additionally, please ensure all staff members have a WORKS account, that all transcripts have been submitted, and all WORKS accounts are up to date. 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. 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 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0606 · Violation

Name of Operation: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0625-350L Visit Date: 7/8/2025 Number Present: 67 Completed Date: 7/8/2025 Age: From 0 To 11 Total Minutes: 132 Time In: 08:13 AM Time Out: 10:25 AM 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 received on July 1, 2025, alleging violations of child care requirements. The allegations were regarding safe sleep practices. You, Stevi Wike, Administrator, assisted with the visit. The Secretary of State website was checked on July 8, 2025, and your business, Tiny Tot Child Development Center Inc., was active and not current. A Notice of Grounds for Administrative Dissolution was issued by the Secretary of State on July 7, 2025. I provided you with a copy of the document via email during the visit. An administrative action may be recommended if your corporation is dissolved. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Sonja Johnson, Owner, filed documentation with the Secretary of State during the visit. The Secretary of State website showed “Annual Report (In Progress)” during the visit. I verified compliance with staff/child ratios, supervision, adequate/approved space, license posted, and permit restrictions during the visit. I observed children participating in breakfast, routines, group time, free play, and nap during the visit. The allegations were discussed with you and two (2) additional staff members during today’s visit. You and the additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed stated that an incident occurred at the facility on June 23, 2025, where a staff member did not follow the safe sleep policy. You stated it was brought to your attention on June 24, 2025, and that you addressed it with the staff member on June 24, 2025. You and staff interviewed stated that a staff member placed a stuffed animal in the crib with a sleeping infant in an attempt to “soothe” the infant who had been crying all day. You and staff interviewed stated the stuffed animal was beside the infant and that the stuffed animal was never on the child’s face or body. You and staff interviewed stated the infant was in the crib for approximately thirty (30) minutes before the infant’s parent arrived and the child was removed from the crib to go home. You and staff interviewed stated safe sleep checks were conducted and documented every fifteen (15) minutes during the nap. You and staff interviewed stated the child was not asleep during the entire nap period; however, you and staff interviewed were unsure how long the child was asleep while in the crib. You stated you reviewed the safe sleep policy with staff members assigned to the classroom for infants. Observation was conducted in Space #1a and Space #1b during the visit. Two (2) infants were observed sleeping in Space #1a during the visit. Two (2) infants were placed on their back in the crib to sleep. One (1) infant had a pacifier in their mouth during the nap. No other items were placed in the crib with the infants to sleep during the visit. The safe sleep policy was posted in the classroom for infants. I reviewed the facility’s safe sleep policy with you and two (2) additional staff members during the visit. Safe sleep check documentation for June 2025 was reviewed during the visit. Based on staff interviews and observations, the allegation regarding safe sleep policies was substantiated. The following violation was documented during the visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. On June 23, 2025, a stuffed animal was placed in the crib with an infant, four (4) months of age for approximately thirty (30) minutes. 10A NCAC 09 .0606(a) The violation documented must be corrected immediately. On or before July 22, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the 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. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 95%. 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. We reviewed child care rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES: (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. Technical assistance was provided on the following: 1. I suggested you review the facility’s safe sleep policy with all staff members who work in the classroom for infants at least annually. I also suggested you review safe sleep documentation and conduct observation in the infant classroom periodically to ensure safe sleep practices are followed. Additionally, I suggested you contact Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services at 704.913.3129 to request additional technical assistance regarding safe sleep. Consultation: 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 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.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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. 110-90 · Violation

Name of Operation: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: 0625-350L Visit Date: 7/8/2025 Number Present: 67 Completed Date: 7/8/2025 Age: From 0 To 11 Total Minutes: 132 Time In: 08:13 AM Time Out: 10:25 AM 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 received on July 1, 2025, alleging violations of child care requirements. The allegations were regarding safe sleep practices. You, Stevi Wike, Administrator, assisted with the visit. The Secretary of State website was checked on July 8, 2025, and your business, Tiny Tot Child Development Center Inc., was active and not current. A Notice of Grounds for Administrative Dissolution was issued by the Secretary of State on July 7, 2025. I provided you with a copy of the document via email during the visit. An administrative action may be recommended if your corporation is dissolved. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. Sonja Johnson, Owner, filed documentation with the Secretary of State during the visit. The Secretary of State website showed “Annual Report (In Progress)” during the visit. I verified compliance with staff/child ratios, supervision, adequate/approved space, license posted, and permit restrictions during the visit. I observed children participating in breakfast, routines, group time, free play, and nap during the visit. The allegations were discussed with you and two (2) additional staff members during today’s visit. You and the additional staff members interviewed had an opportunity to ask questions, state perceptions of the situation and provide pertinent information in response to the allegation. You and staff interviewed stated that an incident occurred at the facility on June 23, 2025, where a staff member did not follow the safe sleep policy. You stated it was brought to your attention on June 24, 2025, and that you addressed it with the staff member on June 24, 2025. You and staff interviewed stated that a staff member placed a stuffed animal in the crib with a sleeping infant in an attempt to “soothe” the infant who had been crying all day. You and staff interviewed stated the stuffed animal was beside the infant and that the stuffed animal was never on the child’s face or body. You and staff interviewed stated the infant was in the crib for approximately thirty (30) minutes before the infant’s parent arrived and the child was removed from the crib to go home. You and staff interviewed stated safe sleep checks were conducted and documented every fifteen (15) minutes during the nap. You and staff interviewed stated the child was not asleep during the entire nap period; however, you and staff interviewed were unsure how long the child was asleep while in the crib. You stated you reviewed the safe sleep policy with staff members assigned to the classroom for infants. Observation was conducted in Space #1a and Space #1b during the visit. Two (2) infants were observed sleeping in Space #1a during the visit. Two (2) infants were placed on their back in the crib to sleep. One (1) infant had a pacifier in their mouth during the nap. No other items were placed in the crib with the infants to sleep during the visit. The safe sleep policy was posted in the classroom for infants. I reviewed the facility’s safe sleep policy with you and two (2) additional staff members during the visit. Safe sleep check documentation for June 2025 was reviewed during the visit. Based on staff interviews and observations, the allegation regarding safe sleep policies was substantiated. The following violation was documented during the visit: Violation Number Comment Rule 871 Center staff did not comply with the safe sleep policy. On June 23, 2025, a stuffed animal was placed in the crib with an infant, four (4) months of age for approximately thirty (30) minutes. 10A NCAC 09 .0606(a) The violation documented must be corrected immediately. On or before July 22, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the 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. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 95%. 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. We reviewed child care rule 10A NCAC 09 .0606 SAFE SLEEP PRACTICES: (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (1) specifies that caregivers shall place infants aged 12 months or younger on their backs for sleeping, unless: (A) for an infant aged six months or less, the center receives a written waiver of this requirement from a health care professional; or (B) for an infant older than six months, the center receives a written waiver of this requirement from a health care professional, or a parent or a legal guardian; (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; (3) specifies that children shall not be swaddled; (4) specifies that nothing shall be placed over the head or face of an infant aged 12 months or younger when the infant is laid down to sleep; (5) specifies that the temperature in the room where infants aged 12 months or younger are sleeping does not exceed 75° F; (6) specifies that caregivers shall visually check, in person, sleeping infants aged 12 months or younger at least every 15 minutes; (7) specifies how caregivers shall document compliance with visually checking on sleeping infants aged 12 months or younger; (8) specifies that pacifiers that attach to infant clothing shall not be used with sleeping infants; (9) specifies that infants aged 12 months or younger sleep alone in a crib, bassinet, play pen, mat, or cot; (10) specifies that infants aged 12 months or younger are prohibited from sleeping in sitting devices, including car safety seats, strollers, swings, and infant carriers. Infants that fall asleep in sitting devices shall be moved to a crib, bassinet, play pen, mat, or cot; and (11) specifies any other steps the center shall take to provide a safe sleep environment for infants aged 12 months or younger. Technical assistance was provided on the following: 1. I suggested you review the facility’s safe sleep policy with all staff members who work in the classroom for infants at least annually. I also suggested you review safe sleep documentation and conduct observation in the infant classroom periodically to ensure safe sleep practices are followed. Additionally, I suggested you contact Tara Knight, Child Care Health Consultant with the Gaston County Department of Health and Human Services at 704.913.3129 to request additional technical assistance regarding safe sleep. Consultation: 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 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.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 1/7/2025 Number Present: 53 Completed Date: 1/7/2025 Age: From 0 To 5 Total Minutes: 123 Time In: 08:22 AM Time Out: 10:25 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Stevi Wike, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued July 2, 2024. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. The Secretary of State website was checked on January 7, 2025, and your business, Tiny Tot Child Development Center Inc., was 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 at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was conducted on December 11, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on November 21, 2024. The most recent fire drill was conducted on December 20, 2024, the most recent emergency drill was conducted on November 27, 2024, and the most recent playground inspection was conducted on December 5, 2024. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment. Children throughout the facility were participating in routines, breakfast, group time, free play, and indoor gross motor play during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Four (4) new staff members were hired since the last visit. The following violations were observed/documented during the visit: Violation Number Comment Rule 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 #2b, the permission to administer medication form for one (1) bottle of Boogie Diaper Rash Spray expired on July 31, 2024. In Space #5b, one (1) Epinephrine Injection, USP Auto Injector, expired August 2024. .0803(12) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on October 16, 2023, did not complete the required health and safety trainings. .1102(a) The violation(s) documented must be corrected immediately. On or before January 21, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were 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. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. 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 provided on the following: 1. 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. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. For emergency medications, obtain a new prescription from the parent to ensure necessary medications are on site at all times. I suggested you review the medication requirements with all staff members. I also suggested that you review all medications and permission to administer medication forms at least once a month to ensure none have expired. 2. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. I assisted the staff member in logging into Moodle and registering for the Health and Safety trainings during the visit. I also demonstrated how to access each training, including the Medications in Child Care training. Consultation 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. 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. 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. 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 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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. 110-90 · Violation

Name of Operation: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 6/24/2024 Number Present: 67 Completed Date: 6/24/2024 Age: From 0 To 11 Total Minutes: 296 Time In: 08:29 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements, in conjunction with a Rated License Assessment. You, Stevi Wike, Administrator, assisted with today’s visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five (5) star license issued October 1, 2018. The permit restrictions were in compliance including First Shift (daytime care), meets enhanced ratios, and meets enhanced space. We reviewed staff positions and WORKS accounts for all staff members during the visit. You completed the Application for Assessment for a Two Through Five Star Rated License Form during the visit and submitted it to me. We reviewed the rating scales report and you stated you wish to accept the scores of the environmental rating scales and proceed with the rated license assessment. The Secretary of State website was checked on June 24, 2024, and your business, Tiny Tot Child Development Center, Inc, was 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 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 the indoor and outdoor learning environment. Children throughout the facility were participating in routines, free play, group time, lunch, nap and outdoor play during the visit. The last sanitation inspection was conducted on January 8, 2024. A “superior” classification was issued with zero (0) demerits noted on the grade card. The last fire inspection was conducted on October 25, 2023. The last fire drill was conducted on June 11, 2024. The last emergency drill was conducted on May 8, 2024. The last playground inspection was conducted on June 11, 2024. Nine (9) children’s files were reviewed during the visit. Six (6) new staff files and four (4) existing staff files were reviewed during the visit. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 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. The First Aid certification for one (1) staff member, employed on February 29, 2024, expired on February 21, 2024. .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. The CPR certification for one (1) staff member, employed on February 29, 2024, expired on February 21, 2024. .1102(d) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information on file for one (1) child, enrolled on August 9, 2021, was last updated on July 19, 2022. The emergency medical care information on file for one (1) child, enrolled on October 3, 2022, was last updated on September 22, 2022. The emergency medical care information on file for one (1) child, enrolled on May 30, 2023, was last updated on May 19, 2023. .0802(c) 1898 Staff did not complete the health and safety training within one year of employment. One (1) staff member, employed on October 30, 2014, one (1) staff member, employed on June 8, 1987, one (1) staff member, employed on February 14, 2011, and one (1) staff member, employed on September 4, 2016, did not complete all of the required health and safety trainings every five (5) years. .1102(a) The violations documented must be corrected immediately. On or before July 8, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were 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. 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, it may be considered falsification of information. If sufficient information is not received by the due date, an unannounced follow-up visit may be conducted. 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. Please send your letter to christine.rosinski@dhhs.nc.gov. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 84%. 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 provided on the following: 1. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, I suggested you schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. I also suggested you review CPR/First Aid certificates for all new staff members to ensure the certificate has not expired prior to employment. I reviewed the training calendar for the Partnership for Children of Lincoln and Gaston Counties during the visit and noted no CPR/First Aid trainings scheduled in the next two (2) weeks. You stated you use Melvin Burris for CPR/First Aid training. I suggested you contact Mr. Burris to schedule a CPR/First Aid training for the staff member as soon as possible. 2. Emergency medical care information must be on file for each child. That information must include: (1) the name, address, and telephone number of the parent or other person to be contacted in case of an emergency; (2) the responsible party's choice of health care professional; (3) any chronic illness and any medication taken for that illness; and (4) any other information that has a direct bearing on ensuring safe medical treatment for the child. This emergency medical care information must be on file in the center on the child's first day of attendance and must be updated as changes occur and at least annually. I suggested you create a schedule to have all families update emergency information regularly to ensure the information is updated at least annually. 3. All staff members must complete all Health and Safety Trainings within the first year of hire and every five (5) years thereafter. These trainings can be found on the DCDEE Moodle Training site. I suggested you set a calendar reminder to ensure trainings for new staff members are completed in a timely manner. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Consultation: 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 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.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0604 · Violation

Name of Operation: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 12/19/2023 Number Present: 54 Completed Date: 12/19/2023 Age: From 0 To 5 Total Minutes: 157 Time In: 09:03 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Stevi Wike, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued October 1, 2018. The permit restrictions were in compliance including first shift (daytime care), meets enhanced ratio, and meets enhanced space. The Secretary of State website was checked on December 19, 2023, and your business, Tiny Tot Child Development Center Inc. was 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 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 the indoor learning environment during the visit. Children throughout the facility were participating in routines, group time, indoor gross motor activities, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Two (2) new staff members were hired since the last visit. The most recent sanitation inspection for your facility was conducted on January 10, 2023. A superior sanitation classification was issued with four (4) demerits. The most recent approved fire inspection for your facility was conducted on October 25, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #5a, one (1) outlet on a plug extender plugged into the outlet on the back wall, was not covered with a safety plug. In Space #6a, where children enrolled in the facility were engaged in indoor gross motor play during the visit, two (2) outlets on the wall to the left of the bulletin board were not covered with safety plugs. In Space #6b, one (1) outlet on the wall to the right of the Christmas tree, three (3) outlets on an outlet extender plugged into an outlet above the fish take, and one (1) outlet on the wall to the right of the restroom, were not covered with safety plugs. 10A NCAC 09 .0604(c) 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 Space #4a/b, one (1) aerosol can of Scrubbing Bubbles Bathroom Crime Fighter, one (1) can of Febreze Air Heavy Duty, and one (1) aerosol can of Glade Automatic Spray Refill, all with multiple warnings, were in an unlocked cabinet under the right handwashing sink in the restroom used by children. .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 #3a/b, one (1) tube of Aveeno Baby Daily Moisture Lotion expired December 2020. .0803(12) 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. The First Aid Certification for one (1) staff member, employed on June 13, 2023, expired on June 15, 2023. The First Aid Certification for one (1) staff member, employed on May 17, 2023, expired on July 31, 2023. .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. The CPR Certification for one (1) staff member, employed on June 13, 2023, expired on June 15, 2023. The CPR Certification for one (1) staff member, employed on May 17, 2023, expired on July 31, 2023. .1102(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 2, 2024. Please send your letter to christine.rosinski@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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 91%. 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 provided on the following: 1. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. I suggested you keep extra safety plugs in each classroom to ensure outlets and power strips are kept covered. You placed safety plugs in all uncovered outlets during the visit. You stated you will keep extra outlet covers in the classrooms to ensure outlets are covered when not in use. 2. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classrooms, including all restrooms used by children, thoroughly each morning to ensure all hazardous products are stored properly. Cabinets used to store hazardous products must be kept locked at all times. The cabinet under the sink in Space #4a/b was locked during the visit. You stated all cabinets used to store hazardous products would be kept locked at all times. 3. 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. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Teachers should check medications when brought into the facility and on a regular basis thereafter to ensure they have not expired. You contacted the parent of the child to whom the medication belonged by phone during the visit. The parent advised you to discard the medication. You discarded the medication during the visit. You stated you will remind teachers to check all medications when brought in to the facility to ensure they are not expired. 4. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. Consultation: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your facility is in cohort one. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 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. 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 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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. 110-90 · Violation

Name of Operation: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 12/19/2023 Number Present: 54 Completed Date: 12/19/2023 Age: From 0 To 5 Total Minutes: 157 Time In: 09:03 AM Time Out: 11:40 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. You, Stevi Wike, Administrator, assisted me with today’s visit. Your program currently operates with a five (5) star license issued October 1, 2018. The permit restrictions were in compliance including first shift (daytime care), meets enhanced ratio, and meets enhanced space. The Secretary of State website was checked on December 19, 2023, and your business, Tiny Tot Child Development Center Inc. was 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 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 the indoor learning environment during the visit. Children throughout the facility were participating in routines, group time, indoor gross motor activities, and free play during today’s visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training, and Criminal Background Checks. Two (2) new staff members were hired since the last visit. The most recent sanitation inspection for your facility was conducted on January 10, 2023. A superior sanitation classification was issued with four (4) demerits. The most recent approved fire inspection for your facility was conducted on October 25, 2023. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #5a, one (1) outlet on a plug extender plugged into the outlet on the back wall, was not covered with a safety plug. In Space #6a, where children enrolled in the facility were engaged in indoor gross motor play during the visit, two (2) outlets on the wall to the left of the bulletin board were not covered with safety plugs. In Space #6b, one (1) outlet on the wall to the right of the Christmas tree, three (3) outlets on an outlet extender plugged into an outlet above the fish take, and one (1) outlet on the wall to the right of the restroom, were not covered with safety plugs. 10A NCAC 09 .0604(c) 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 Space #4a/b, one (1) aerosol can of Scrubbing Bubbles Bathroom Crime Fighter, one (1) can of Febreze Air Heavy Duty, and one (1) aerosol can of Glade Automatic Spray Refill, all with multiple warnings, were in an unlocked cabinet under the right handwashing sink in the restroom used by children. .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 #3a/b, one (1) tube of Aveeno Baby Daily Moisture Lotion expired December 2020. .0803(12) 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. The First Aid Certification for one (1) staff member, employed on June 13, 2023, expired on June 15, 2023. The First Aid Certification for one (1) staff member, employed on May 17, 2023, expired on July 31, 2023. .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. The CPR Certification for one (1) staff member, employed on June 13, 2023, expired on June 15, 2023. The CPR Certification for one (1) staff member, employed on May 17, 2023, expired on July 31, 2023. .1102(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 2, 2024. Please send your letter to christine.rosinski@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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 91%. 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 provided on the following: 1. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. I suggested you keep extra safety plugs in each classroom to ensure outlets and power strips are kept covered. You placed safety plugs in all uncovered outlets during the visit. You stated you will keep extra outlet covers in the classrooms to ensure outlets are covered when not in use. 2. All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings can be stored five (5) feet off the ground. Have staff check their classrooms, including all restrooms used by children, thoroughly each morning to ensure all hazardous products are stored properly. Cabinets used to store hazardous products must be kept locked at all times. The cabinet under the sink in Space #4a/b was locked during the visit. You stated all cabinets used to store hazardous products would be kept locked at all times. 3. 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. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, should be discarded. Teachers should check medications when brought into the facility and on a regular basis thereafter to ensure they have not expired. You contacted the parent of the child to whom the medication belonged by phone during the visit. The parent advised you to discard the medication. You discarded the medication during the visit. You stated you will remind teachers to check all medications when brought in to the facility to ensure they are not expired. 4. All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. For existing staff, schedule classes two to four months prior to the current certifications’ expiration to ensure certification does not expire. Consultation: The hold harmless legislation was extended and signed into law on Monday June 12th, 2023. This legislation allows facilities to remain at their current star level without a reassessment until June 30, 2024 and when reassessed it reduces the education evaluation requirements for lead teachers from 75% to 50% until June of 2026. To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each include a preparation year and a reassessment year. While the first reassessment year will not begin until July 1, 2024, the preparation year for cohort one begins July 1, 2023. Your facility is in cohort one. Beginning in July and throughout the next few months I recommend you consider completing the following tasks and activities that will help prepare you for your reassessment year, which will be sometime between July 1, 2024 and June 30, 2025. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments [ITERS-R, ECERS-R, SACERS-U, FCCERS-R] conducted • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R and NCPC quality related training/workshops (CCRR Information) • Reach out to your local Community College to discuss educational opportunities • Review NCRLAP website ERS resources (www.NCRLAP.org). To help review ERS requirements and think carefully about the current characteristics and practices in your program and classrooms, check out the Thinking More worksheets. A worksheet is available for each subscale of each rating scale. • Family child care home providers consider the FCCERS-R self-study process and timeline for completion since it must occur over a 3-month time period prior to your rated license reassessment • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment o Assessment scores can be saved to use during the reassessment year o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 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. 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 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 7/12/2023 Number Present: 84 Completed Date: 7/12/2023 Age: From 0 To 11 Total Minutes: 225 Time In: 08:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Stevi Wike, Administrator, assisted me with today’s visit. A checklist was used to note the requirements I monitored today. The NC Secretary of State website was viewed before the visit and Tiny Tot Child Development Center Inc. was current/active. You reported no changes in ownership to the facility. The last sanitation inspection was conducted on January 10, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on October 27, 2022. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #6b, three (3) electrical outlets on an outlet extender to the right of the fish tank were not covered with safety plugs. 10A NCAC 09 .0604(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on September 25, 2017, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on September 14, 2020, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on October 30, 2014, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on July 24, 2017, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on July 19, 2021, was dated December 3, 2021. One (1) staff member, employed on June 27, 2022, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2b, the Permission to Administer Medication Form for one (1) container of Vaseline Baby Healing Jelly expired on March 10, 2023. In Space #2b, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Baby did not have dates for which the permission was valid listed on the form. In Space #4a/b, the Permission to Administer Medication Form for one (1) Ventolin HFA Albuterol Sulfate Inhaler expired on July 6, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on March 6, 2023, and one (1) staff member, employed on July 13, 2022, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) 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 July 26, 2023. Please send your letter to christine.rosinski@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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. 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 provided on the following: 1. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. The outlet extender was removed during the visit and an safety plug was placed in the outlet from which the extender was removed. I suggested you keep extra safety plugs in each classroom to ensure outlets and power strips are kept covered. 2. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. I suggested you set a calendar reminder to ensure Staff Evaluations and Staff Development Plans are completed in a timely manner. 3. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested that teachers check medications and permission forms at least once a month to ensure no medication or permission forms are expired. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms found on the Division’s website under the “Provider” tab. 4. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Consultation: 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. 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 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.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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 .0514 · Violation

Name of Operation: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 7/12/2023 Number Present: 84 Completed Date: 7/12/2023 Age: From 0 To 11 Total Minutes: 225 Time In: 08:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Stevi Wike, Administrator, assisted me with today’s visit. A checklist was used to note the requirements I monitored today. The NC Secretary of State website was viewed before the visit and Tiny Tot Child Development Center Inc. was current/active. You reported no changes in ownership to the facility. The last sanitation inspection was conducted on January 10, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on October 27, 2022. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #6b, three (3) electrical outlets on an outlet extender to the right of the fish tank were not covered with safety plugs. 10A NCAC 09 .0604(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on September 25, 2017, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on September 14, 2020, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on October 30, 2014, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on July 24, 2017, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on July 19, 2021, was dated December 3, 2021. One (1) staff member, employed on June 27, 2022, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2b, the Permission to Administer Medication Form for one (1) container of Vaseline Baby Healing Jelly expired on March 10, 2023. In Space #2b, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Baby did not have dates for which the permission was valid listed on the form. In Space #4a/b, the Permission to Administer Medication Form for one (1) Ventolin HFA Albuterol Sulfate Inhaler expired on July 6, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on March 6, 2023, and one (1) staff member, employed on July 13, 2022, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) 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 July 26, 2023. Please send your letter to christine.rosinski@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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. 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 provided on the following: 1. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. The outlet extender was removed during the visit and an safety plug was placed in the outlet from which the extender was removed. I suggested you keep extra safety plugs in each classroom to ensure outlets and power strips are kept covered. 2. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. I suggested you set a calendar reminder to ensure Staff Evaluations and Staff Development Plans are completed in a timely manner. 3. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested that teachers check medications and permission forms at least once a month to ensure no medication or permission forms are expired. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms found on the Division’s website under the “Provider” tab. 4. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Consultation: 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. 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 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.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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: TINY TOT CHILD DEVELOPMENT CENTER Facility ID: 3655257 Consultant: CHRISTINE ROSINSKI Operation Type: Center Case Number: Visit Date: 7/12/2023 Number Present: 84 Completed Date: 7/12/2023 Age: From 0 To 11 Total Minutes: 225 Time In: 08:15 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety requirements. You, Stevi Wike, Administrator, assisted me with today’s visit. A checklist was used to note the requirements I monitored today. The NC Secretary of State website was viewed before the visit and Tiny Tot Child Development Center Inc. was current/active. You reported no changes in ownership to the facility. The last sanitation inspection was conducted on January 10, 2023. A “superior” classification was issued with four (4) demerits noted on the grade card. The last fire inspection was conducted on October 27, 2022. The following violations were observed/documented during today’s visit: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space #6b, three (3) electrical outlets on an outlet extender to the right of the fish tank were not covered with safety plugs. 10A NCAC 09 .0604(c) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on September 25, 2017, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on September 14, 2020, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on October 30, 2014, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on July 24, 2017, was dated December 3, 2021. The most recent Annual Staff Evaluation on file for one (1) staff member, employed on July 19, 2021, was dated December 3, 2021. One (1) staff member, employed on June 27, 2022, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #2b, the Permission to Administer Medication Form for one (1) container of Vaseline Baby Healing Jelly expired on March 10, 2023. In Space #2b, the Permission to Administer Medication Form for one (1) tube of Aquaphor Healing Ointment Baby did not have dates for which the permission was valid listed on the form. In Space #4a/b, the Permission to Administer Medication Form for one (1) Ventolin HFA Albuterol Sulfate Inhaler expired on July 6, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff member, employed on March 6, 2023, and one (1) staff member, employed on July 13, 2022, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training. .1102(g) 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 July 26, 2023. Please send your letter to christine.rosinski@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. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Prior to today's visit, your program maintained a compliance history of 94%. 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 provided on the following: 1. All electrical outlets and power strips not in use must be kept covered with safety plugs at all times unless located behind furniture that cannot be moved by a child. The outlet extender was removed during the visit and an safety plug was placed in the outlet from which the extender was removed. I suggested you keep extra safety plugs in each classroom to ensure outlets and power strips are kept covered. 2. All employees must have an Annual Staff Evaluation and Staff Development Plan on file. I suggested you set a calendar reminder to ensure Staff Evaluations and Staff Development Plans are completed in a timely manner. 3. Standing permission to administer medications for chronic illnesses may be given for up to six (6) months. A new Permission to Administer Medication for Chronic Medical Conditions form must be completed by the child’s guardian at least every six (6) months. Standing permission to administer over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, may be given for up to twelve (12) months. I suggested that teachers check medications and permission forms at least once a month to ensure no medication or permission forms are expired. I suggested you continue to use the Permission to Administer Medication for Chronic Medical Conditions form and the Medication Administration Permission for Over-the-Counter Topical Medications and Fluoridated Toothpaste forms found on the Division’s website under the “Provider” tab. 4. All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training can be found at https://www.preventchildabusenc.org/recognizing-responding-online-course/ I suggested you set calendar reminders to ensure all new staff complete this training within the first 90 days of employment. I also suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Consultation: 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. 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 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.mcgalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-579-4463. Christine Rosinski PO Box 927 Cornelius, NC 28031 Christine.rosinski@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