10A NCAC 09 .1703 · Violation

Name of Operation: PATTY'S HOUSE Facility ID: 50000048 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 2/9/2026 Number Present: 4 Completed Date: 2/9/2026 Age: From 1 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Patricia Lord Owner/Operator during the visit. Bridget Owen, Child Care Consultant. Accompanied me during today’s visit. A signed copy of the visit summary was left on site for you. Today, Ms. Lord, Owner/Operator, was available to answer questions and provide information. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Family Child Homes was used to note the requirements monitored and is attached to the computerized visit summary for your records generated. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 02/05/2026 This facility operates as a sole proprietor. Permit type –Five Star Family Child Care Home issued on 6/4/2020 Special Services/Restrictions –First shift; Maximum of 5 preschool children at any time; No more than 3 children less than 1 year old. Serves no more than two infants under age one. The last annual compliance visit was conducted on 2/18/2025 The last fire drill was practiced on1/8/2026 The last locked down drill was practiced on 11/14/2025 The last playground inspection was documented on 1/7/2026 The Emergency Medical Care plan was posted and current. The approved curriculum Lead water testing was completed on 06/10/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024 & 8/29/2024 The FCCH and Centers located in residence verification of required information for operator and additional caregivers and FCCH and Centers located in a residence oprator's statements of responsibilty was monitored during today's visit. Upon arrival we introduced our presence to Ms. Lord, Owner/Operator. We observed the group with one to five-year-old children engaged in center play activities. Teacher child interaction was positive and engaging and supervision was adequate. The group transitioned to a.m. snack. The snack consisted of Chow Mein noodles, cheese, pineapple, and milk. After snack the group transitioned to the outdoor learning environment. The outdoor learning environment consisted of easel, sandbox, stepping stones, rocky toy, hula hoops, seashells, rocks and wood materials, picnic table, pretend tool set, balls and cones, push mower, push shopping cart and other portable materials. The program does not provide transportation. This facility does not have any medications or emergency medicines currently. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS system was monitored and verified that a facility roster has not been completed in ABCMS for this facility. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: ABCMS Portal Item # 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS system was monitored and verified that a facility roster has not been completed in ABCMS for this facility. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/23/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ hhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall Po Box 19531 Asheville NC 28815 Please call me at 828-713/8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Your ITS-SIDS Training will expire 3/16/26. Plan to locate an ITS-SIDS training immediately to avoid a lapse. QRIS: We discussed the Quality Rating and Improvement System: Pathways to the Stars. We review the requirements on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Additionally, we reviewed resources on the website for the North Carolina Rated License Assessment Project (NCRLAP) at ncrlap.org. We discussed, at this time, you would like to pursue Pathway 1: Program Assessment. We discussed you will plan to apply for a Rated License Reassessment by October 2026. We discussed that you are not held to this decision today and pursue another pathway if you decide. We discussed reaching out to NCRLAP to schedule an Outreach assessment for the FCCERS-3. We discussed you can work with Mary Barnes CCR&R Program Director Southwestern Child Development Commission for support with FCCERS-3. Her contact information is barnes.mary@swcdcinc.org or 828-586-5561. Additionally, we discussed the Family and Community Engagement Standards, Continuous Quality Improvement plan, and the Self Study. Documents were provided to you today that include information about Pathway 1. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828.828-713-8192, Ms. Owen at 828-530-2424 or bridget.owen@dhhs.nc.gov, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .3222 · Violation

Name of Operation: PATTY'S HOUSE Facility ID: 50000048 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 2/9/2026 Number Present: 4 Completed Date: 2/9/2026 Age: From 1 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Patricia Lord Owner/Operator during the visit. Bridget Owen, Child Care Consultant. Accompanied me during today’s visit. A signed copy of the visit summary was left on site for you. Today, Ms. Lord, Owner/Operator, was available to answer questions and provide information. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Family Child Homes was used to note the requirements monitored and is attached to the computerized visit summary for your records generated. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 02/05/2026 This facility operates as a sole proprietor. Permit type –Five Star Family Child Care Home issued on 6/4/2020 Special Services/Restrictions –First shift; Maximum of 5 preschool children at any time; No more than 3 children less than 1 year old. Serves no more than two infants under age one. The last annual compliance visit was conducted on 2/18/2025 The last fire drill was practiced on1/8/2026 The last locked down drill was practiced on 11/14/2025 The last playground inspection was documented on 1/7/2026 The Emergency Medical Care plan was posted and current. The approved curriculum Lead water testing was completed on 06/10/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024 & 8/29/2024 The FCCH and Centers located in residence verification of required information for operator and additional caregivers and FCCH and Centers located in a residence oprator's statements of responsibilty was monitored during today's visit. Upon arrival we introduced our presence to Ms. Lord, Owner/Operator. We observed the group with one to five-year-old children engaged in center play activities. Teacher child interaction was positive and engaging and supervision was adequate. The group transitioned to a.m. snack. The snack consisted of Chow Mein noodles, cheese, pineapple, and milk. After snack the group transitioned to the outdoor learning environment. The outdoor learning environment consisted of easel, sandbox, stepping stones, rocky toy, hula hoops, seashells, rocks and wood materials, picnic table, pretend tool set, balls and cones, push mower, push shopping cart and other portable materials. The program does not provide transportation. This facility does not have any medications or emergency medicines currently. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS system was monitored and verified that a facility roster has not been completed in ABCMS for this facility. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: ABCMS Portal Item # 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS system was monitored and verified that a facility roster has not been completed in ABCMS for this facility. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/23/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ hhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall Po Box 19531 Asheville NC 28815 Please call me at 828-713/8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Your ITS-SIDS Training will expire 3/16/26. Plan to locate an ITS-SIDS training immediately to avoid a lapse. QRIS: We discussed the Quality Rating and Improvement System: Pathways to the Stars. We review the requirements on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Additionally, we reviewed resources on the website for the North Carolina Rated License Assessment Project (NCRLAP) at ncrlap.org. We discussed, at this time, you would like to pursue Pathway 1: Program Assessment. We discussed you will plan to apply for a Rated License Reassessment by October 2026. We discussed that you are not held to this decision today and pursue another pathway if you decide. We discussed reaching out to NCRLAP to schedule an Outreach assessment for the FCCERS-3. We discussed you can work with Mary Barnes CCR&R Program Director Southwestern Child Development Commission for support with FCCERS-3. Her contact information is barnes.mary@swcdcinc.org or 828-586-5561. Additionally, we discussed the Family and Community Engagement Standards, Continuous Quality Improvement plan, and the Self Study. Documents were provided to you today that include information about Pathway 1. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828.828-713-8192, Ms. Owen at 828-530-2424 or bridget.owen@dhhs.nc.gov, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: PATTY'S HOUSE Facility ID: 50000048 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 2/9/2026 Number Present: 4 Completed Date: 2/9/2026 Age: From 1 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Patricia Lord Owner/Operator during the visit. Bridget Owen, Child Care Consultant. Accompanied me during today’s visit. A signed copy of the visit summary was left on site for you. Today, Ms. Lord, Owner/Operator, was available to answer questions and provide information. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Family Child Homes was used to note the requirements monitored and is attached to the computerized visit summary for your records generated. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 02/05/2026 This facility operates as a sole proprietor. Permit type –Five Star Family Child Care Home issued on 6/4/2020 Special Services/Restrictions –First shift; Maximum of 5 preschool children at any time; No more than 3 children less than 1 year old. Serves no more than two infants under age one. The last annual compliance visit was conducted on 2/18/2025 The last fire drill was practiced on1/8/2026 The last locked down drill was practiced on 11/14/2025 The last playground inspection was documented on 1/7/2026 The Emergency Medical Care plan was posted and current. The approved curriculum Lead water testing was completed on 06/10/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024 & 8/29/2024 The FCCH and Centers located in residence verification of required information for operator and additional caregivers and FCCH and Centers located in a residence oprator's statements of responsibilty was monitored during today's visit. Upon arrival we introduced our presence to Ms. Lord, Owner/Operator. We observed the group with one to five-year-old children engaged in center play activities. Teacher child interaction was positive and engaging and supervision was adequate. The group transitioned to a.m. snack. The snack consisted of Chow Mein noodles, cheese, pineapple, and milk. After snack the group transitioned to the outdoor learning environment. The outdoor learning environment consisted of easel, sandbox, stepping stones, rocky toy, hula hoops, seashells, rocks and wood materials, picnic table, pretend tool set, balls and cones, push mower, push shopping cart and other portable materials. The program does not provide transportation. This facility does not have any medications or emergency medicines currently. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS system was monitored and verified that a facility roster has not been completed in ABCMS for this facility. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: ABCMS Portal Item # 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS system was monitored and verified that a facility roster has not been completed in ABCMS for this facility. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/23/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ hhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall Po Box 19531 Asheville NC 28815 Please call me at 828-713/8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Your ITS-SIDS Training will expire 3/16/26. Plan to locate an ITS-SIDS training immediately to avoid a lapse. QRIS: We discussed the Quality Rating and Improvement System: Pathways to the Stars. We review the requirements on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Additionally, we reviewed resources on the website for the North Carolina Rated License Assessment Project (NCRLAP) at ncrlap.org. We discussed, at this time, you would like to pursue Pathway 1: Program Assessment. We discussed you will plan to apply for a Rated License Reassessment by October 2026. We discussed that you are not held to this decision today and pursue another pathway if you decide. We discussed reaching out to NCRLAP to schedule an Outreach assessment for the FCCERS-3. We discussed you can work with Mary Barnes CCR&R Program Director Southwestern Child Development Commission for support with FCCERS-3. Her contact information is barnes.mary@swcdcinc.org or 828-586-5561. Additionally, we discussed the Family and Community Engagement Standards, Continuous Quality Improvement plan, and the Self Study. Documents were provided to you today that include information about Pathway 1. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828.828-713-8192, Ms. Owen at 828-530-2424 or bridget.owen@dhhs.nc.gov, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: PATTY'S HOUSE Facility ID: 50000048 Consultant: KAITLYN MARSHALL Operation Type: Family CC Home Case Number: Visit Date: 2/9/2026 Number Present: 4 Completed Date: 2/9/2026 Age: From 1 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Patricia Lord Owner/Operator during the visit. Bridget Owen, Child Care Consultant. Accompanied me during today’s visit. A signed copy of the visit summary was left on site for you. Today, Ms. Lord, Owner/Operator, was available to answer questions and provide information. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for Family Child Homes was used to note the requirements monitored and is attached to the computerized visit summary for your records generated. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred (100%) percentage as of 02/05/2026 This facility operates as a sole proprietor. Permit type –Five Star Family Child Care Home issued on 6/4/2020 Special Services/Restrictions –First shift; Maximum of 5 preschool children at any time; No more than 3 children less than 1 year old. Serves no more than two infants under age one. The last annual compliance visit was conducted on 2/18/2025 The last fire drill was practiced on1/8/2026 The last locked down drill was practiced on 11/14/2025 The last playground inspection was documented on 1/7/2026 The Emergency Medical Care plan was posted and current. The approved curriculum Lead water testing was completed on 06/10/2024 without hazards. Lead paint and asbestos testing was completed on 09/02/2024 & 8/29/2024 The FCCH and Centers located in residence verification of required information for operator and additional caregivers and FCCH and Centers located in a residence oprator's statements of responsibilty was monitored during today's visit. Upon arrival we introduced our presence to Ms. Lord, Owner/Operator. We observed the group with one to five-year-old children engaged in center play activities. Teacher child interaction was positive and engaging and supervision was adequate. The group transitioned to a.m. snack. The snack consisted of Chow Mein noodles, cheese, pineapple, and milk. After snack the group transitioned to the outdoor learning environment. The outdoor learning environment consisted of easel, sandbox, stepping stones, rocky toy, hula hoops, seashells, rocks and wood materials, picnic table, pretend tool set, balls and cones, push mower, push shopping cart and other portable materials. The program does not provide transportation. This facility does not have any medications or emergency medicines currently. I used the Family Child Care Home Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS system was monitored and verified that a facility roster has not been completed in ABCMS for this facility. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: ABCMS Portal Item # 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The ABCMS system was monitored and verified that a facility roster has not been completed in ABCMS for this facility. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. 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) 814-6401 and someone will assist you. Achieving Compliance Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/23/2026 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ hhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall Po Box 19531 Asheville NC 28815 Please call me at 828-713/8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Your ITS-SIDS Training will expire 3/16/26. Plan to locate an ITS-SIDS training immediately to avoid a lapse. QRIS: We discussed the Quality Rating and Improvement System: Pathways to the Stars. We review the requirements on the Division’s website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. Additionally, we reviewed resources on the website for the North Carolina Rated License Assessment Project (NCRLAP) at ncrlap.org. We discussed, at this time, you would like to pursue Pathway 1: Program Assessment. We discussed you will plan to apply for a Rated License Reassessment by October 2026. We discussed that you are not held to this decision today and pursue another pathway if you decide. We discussed reaching out to NCRLAP to schedule an Outreach assessment for the FCCERS-3. We discussed you can work with Mary Barnes CCR&R Program Director Southwestern Child Development Commission for support with FCCERS-3. Her contact information is barnes.mary@swcdcinc.org or 828-586-5561. Additionally, we discussed the Family and Community Engagement Standards, Continuous Quality Improvement plan, and the Self Study. Documents were provided to you today that include information about Pathway 1. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828.828-713-8192, Ms. Owen at 828-530-2424 or bridget.owen@dhhs.nc.gov, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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.