10A NCAC 09 .0514 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/17/2025 Number Present: 37 Completed Date: 11/17/2025 Age: From 0 To 4 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Sheila Ritchie, Owner/Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 3, 2024. The program’s compliance history was seventy-seven percent prior to today’s visit. The last sanitation inspection was completed on January 17, 2025, with a superior classification. The last fire inspection was completed on January 28, 2025. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor gross motor, free choice activities, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. The last fire drill was completed on October 7, 2025. The last lockdown drill was completed on September 27, 2025. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on October 7, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity and developmentally appropriate. All medications and their permission to administer forms were monitored during today’s visit. A selection of staff and children’s files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water, lead paint, and asbestos testing is under survey review with Clean Water for Carolina Kids. The facility has completed the provider portal roster within the ABCMS system. The following violations were documented today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In space 4, the soft play climbers had cracked fabric. On the preschool playground, three pans were rusted. A plank on the red storage building was raised with potential tripping hazards. The kitchen set has water damage. On the infant/toddler playground, the wooden porch swing had a broken plank causing a sharp edge and exposed nails. The shade sail on the kitchen set had torn fabric. G.S. 110-91(6); .0601(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff hired on 6/5/23 did not receive all on-going training hours for the 2024-2025 year. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member hired on 6/5/23 did not have an annual staff evaluation completed. 10A NCAC 09 .0514(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. A staff member hired on 10/24/24 did not have a health questionnaire on file following the initial medical report. .0701(d) 1902 The professional development plan was not reviewed annually. A staff member hired on 10/24/24 did not review the professional development plan annually. .1104 Technical Assistance was provided on the following: 1. We discussed putting staff on the same cycle to complete annual staff evaluations, professional development plans, health questionnaires, emergency information forms, review of the EPR plan, and review of the EMC plan. This will ensure that all staff members have these items completed annually. 2. We discussed creating a cleaning schedule for outside toys to be washed. We discussed items that are not in good repair, being removed for the outdoor area and replaced with other age-appropriate items. When conducting outdoor playground inspections, staff should be monitoring for exposed nails, sharp edges, and worn materials. Consultation was provided on the following: DCDEE WEBSITE RESOURCES: •QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License • Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development • Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. Staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans was reviewed. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/17/2025 Number Present: 37 Completed Date: 11/17/2025 Age: From 0 To 4 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Sheila Ritchie, Owner/Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 3, 2024. The program’s compliance history was seventy-seven percent prior to today’s visit. The last sanitation inspection was completed on January 17, 2025, with a superior classification. The last fire inspection was completed on January 28, 2025. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor gross motor, free choice activities, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. The last fire drill was completed on October 7, 2025. The last lockdown drill was completed on September 27, 2025. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on October 7, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity and developmentally appropriate. All medications and their permission to administer forms were monitored during today’s visit. A selection of staff and children’s files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water, lead paint, and asbestos testing is under survey review with Clean Water for Carolina Kids. The facility has completed the provider portal roster within the ABCMS system. The following violations were documented today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In space 4, the soft play climbers had cracked fabric. On the preschool playground, three pans were rusted. A plank on the red storage building was raised with potential tripping hazards. The kitchen set has water damage. On the infant/toddler playground, the wooden porch swing had a broken plank causing a sharp edge and exposed nails. The shade sail on the kitchen set had torn fabric. G.S. 110-91(6); .0601(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff hired on 6/5/23 did not receive all on-going training hours for the 2024-2025 year. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member hired on 6/5/23 did not have an annual staff evaluation completed. 10A NCAC 09 .0514(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. A staff member hired on 10/24/24 did not have a health questionnaire on file following the initial medical report. .0701(d) 1902 The professional development plan was not reviewed annually. A staff member hired on 10/24/24 did not review the professional development plan annually. .1104 Technical Assistance was provided on the following: 1. We discussed putting staff on the same cycle to complete annual staff evaluations, professional development plans, health questionnaires, emergency information forms, review of the EPR plan, and review of the EMC plan. This will ensure that all staff members have these items completed annually. 2. We discussed creating a cleaning schedule for outside toys to be washed. We discussed items that are not in good repair, being removed for the outdoor area and replaced with other age-appropriate items. When conducting outdoor playground inspections, staff should be monitoring for exposed nails, sharp edges, and worn materials. Consultation was provided on the following: DCDEE WEBSITE RESOURCES: •QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License • Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development • Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. Staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans was reviewed. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/17/2025 Number Present: 37 Completed Date: 11/17/2025 Age: From 0 To 4 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Sheila Ritchie, Owner/Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 3, 2024. The program’s compliance history was seventy-seven percent prior to today’s visit. The last sanitation inspection was completed on January 17, 2025, with a superior classification. The last fire inspection was completed on January 28, 2025. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor gross motor, free choice activities, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. The last fire drill was completed on October 7, 2025. The last lockdown drill was completed on September 27, 2025. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on October 7, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity and developmentally appropriate. All medications and their permission to administer forms were monitored during today’s visit. A selection of staff and children’s files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water, lead paint, and asbestos testing is under survey review with Clean Water for Carolina Kids. The facility has completed the provider portal roster within the ABCMS system. The following violations were documented today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In space 4, the soft play climbers had cracked fabric. On the preschool playground, three pans were rusted. A plank on the red storage building was raised with potential tripping hazards. The kitchen set has water damage. On the infant/toddler playground, the wooden porch swing had a broken plank causing a sharp edge and exposed nails. The shade sail on the kitchen set had torn fabric. G.S. 110-91(6); .0601(b) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. A staff hired on 6/5/23 did not receive all on-going training hours for the 2024-2025 year. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. A staff member hired on 6/5/23 did not have an annual staff evaluation completed. 10A NCAC 09 .0514(f) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. A staff member hired on 10/24/24 did not have a health questionnaire on file following the initial medical report. .0701(d) 1902 The professional development plan was not reviewed annually. A staff member hired on 10/24/24 did not review the professional development plan annually. .1104 Technical Assistance was provided on the following: 1. We discussed putting staff on the same cycle to complete annual staff evaluations, professional development plans, health questionnaires, emergency information forms, review of the EPR plan, and review of the EMC plan. This will ensure that all staff members have these items completed annually. 2. We discussed creating a cleaning schedule for outside toys to be washed. We discussed items that are not in good repair, being removed for the outdoor area and replaced with other age-appropriate items. When conducting outdoor playground inspections, staff should be monitoring for exposed nails, sharp edges, and worn materials. Consultation was provided on the following: DCDEE WEBSITE RESOURCES: •QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License • Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development • Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings • Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy • DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. Staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans was reviewed. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 1, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 52 Completed Date: 6/11/2025 Age: From 0 To 9 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 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 during a Routine Unannounced Visit. You, Sheila Ritchie, Owner/Director and Emily Crouch, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 3, 2024. The last sanitation inspection was completed on January 17, 2025, with a “Superior” classification. The last fire inspection was completed on January 28, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-one percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 27, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on March 19, 2025. Your playground meets child care safety standards. The last outdoor inspections were completed on May 27, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and topical ointments were monitored during today’s visit. All staff files were monitored for a current Criminal Background Qualification letter, current First Aid/CPR training, Recognizing and Responding to Suspicions of Child Maltreatment training, and special trainings were reviewed during today’s visit. All new staff files were monitored in their entirety during today’s visit. The program does not provide transportation. The Automatic Background Check Management System (ABCMS) was reviewed during today’s visit. Jeff Austin, employed on May 7, 2025, did not have verification of completing a Criminal Background Check prior to employment. The employee must complete a Criminal Background Check through DCDEE and cannot return to work until a qualifying letter is received. Please send a copy of the employee’s qualifying letter to the consultant once it is received. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space 3, attendance was last completed on 6/6/25. Three children were not signed out on 6/10/25. In space 6, attendance was not completed on 6/10/25. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In space 2, the posted activity plan was dated March 18 through March 22. In space 5, the posted activity plan was dated for the month of April. In space 4, the posted activity plan was dated for May 19 through May 23. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles and cups sent from home were not labeled with the child's name. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Sinks, walls, and soap dispensers were not kept clean. In space 2, the wall near the exterior door was missing trimming. In space 5, the entrance door and door to the storage closet had chipping paint. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 4, a container of bulk soap was stored on the paper towel dispenser. A bucket of mop water was observed sitting in the hallway. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space 6, a bottle of Ibuprofen was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 3, diapers in a plastic sleeve were stored on a table accessible to children. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. Jeff Austin, cook, did not have a Criminal Background Check completed prior to employment. G.S. 110-90.2(b) 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. A staff member hired on 2/20/23 First Aid training expired on 2/9/25. The staff member completed First Aid training on 4/7/25. .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. A staff member hired on 2/20/23 CPR training expired on 2/9/25. The staff member completed CPR training on 4/7/25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Jeff Austin, cook, did not have a qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. A staff member hired on 10/24/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was completed on 4/11/25. .1102(g) Technical Assistance was provided on the following: 1. We reviewed North Carolina General Statute 110-90.2(a)(2) which defines child care providers as any person who: is employed or seeks to be employed in a child care center, including temporary or permanent substitute employees. All individuals employed by the child care center must complete a Criminal Background Check through DCDEE prior to employment. 2. We discussed that when children arrive staff check water bottles, baby bottles, and sippy cups to ensure that they are labeled with the child’s name and date. It is also recommended to send a message to parents via ProCare to remind them to label their child’s items sent from home. This was corrected during today’s visit by labeling all water bottles with the child’s name. 3. We discussed creating a weekly cleaning schedule for staff to wipe down walls, chairs, cabinets, trashcans, etc. to ensure that there is no build up from various items. 4. We discussed staff inquiring about First Aid/CPR training at least 4-6 months in advance to ensure that training opportunities are available before the expiration of the current certification. This was corrected during today’s visit. The staff member completed First Aid and CPR training on 4/7/25. 5. We discussed staff conducting a walkthrough of the facility and classrooms prior to caring for children to ensure that all hazardous products are properly stored. Staff should ensure that items stored in plastic and items that can easily be torn apart are at least 5 feet from the ground when children under three years of age are in care. Medications that belong to staff should be locked at all times. 6. We discussed creating a timeline for new staff that outlines due dates of time stringent tasks such as completing Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. 7. We discussed staff modeling appropriate eating and drinking habits by placing drinks in a cup that is not able to be seen through and with a tight-fitting lid. 8. We discussed ensuring that activity plans are current and age appropriate for the children in care. It is recommended that staff submit their activity plans to administrative staff for review and post them in their classroom on Friday afternoons for the following week. 9. We discussed staff checking their daily sign in/out sheet to ensure that all children have been signed in and out as they arrive and depart. If parents forget to sign their child in or out, staff members should sign the child in or out. The monthly attendance sheet should be completed by the end of the day. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 25 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 52 Completed Date: 6/11/2025 Age: From 0 To 9 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 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 during a Routine Unannounced Visit. You, Sheila Ritchie, Owner/Director and Emily Crouch, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 3, 2024. The last sanitation inspection was completed on January 17, 2025, with a “Superior” classification. The last fire inspection was completed on January 28, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-one percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 27, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on March 19, 2025. Your playground meets child care safety standards. The last outdoor inspections were completed on May 27, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and topical ointments were monitored during today’s visit. All staff files were monitored for a current Criminal Background Qualification letter, current First Aid/CPR training, Recognizing and Responding to Suspicions of Child Maltreatment training, and special trainings were reviewed during today’s visit. All new staff files were monitored in their entirety during today’s visit. The program does not provide transportation. The Automatic Background Check Management System (ABCMS) was reviewed during today’s visit. Jeff Austin, employed on May 7, 2025, did not have verification of completing a Criminal Background Check prior to employment. The employee must complete a Criminal Background Check through DCDEE and cannot return to work until a qualifying letter is received. Please send a copy of the employee’s qualifying letter to the consultant once it is received. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space 3, attendance was last completed on 6/6/25. Three children were not signed out on 6/10/25. In space 6, attendance was not completed on 6/10/25. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In space 2, the posted activity plan was dated March 18 through March 22. In space 5, the posted activity plan was dated for the month of April. In space 4, the posted activity plan was dated for May 19 through May 23. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles and cups sent from home were not labeled with the child's name. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Sinks, walls, and soap dispensers were not kept clean. In space 2, the wall near the exterior door was missing trimming. In space 5, the entrance door and door to the storage closet had chipping paint. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 4, a container of bulk soap was stored on the paper towel dispenser. A bucket of mop water was observed sitting in the hallway. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space 6, a bottle of Ibuprofen was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 3, diapers in a plastic sleeve were stored on a table accessible to children. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. Jeff Austin, cook, did not have a Criminal Background Check completed prior to employment. G.S. 110-90.2(b) 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. A staff member hired on 2/20/23 First Aid training expired on 2/9/25. The staff member completed First Aid training on 4/7/25. .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. A staff member hired on 2/20/23 CPR training expired on 2/9/25. The staff member completed CPR training on 4/7/25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Jeff Austin, cook, did not have a qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. A staff member hired on 10/24/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was completed on 4/11/25. .1102(g) Technical Assistance was provided on the following: 1. We reviewed North Carolina General Statute 110-90.2(a)(2) which defines child care providers as any person who: is employed or seeks to be employed in a child care center, including temporary or permanent substitute employees. All individuals employed by the child care center must complete a Criminal Background Check through DCDEE prior to employment. 2. We discussed that when children arrive staff check water bottles, baby bottles, and sippy cups to ensure that they are labeled with the child’s name and date. It is also recommended to send a message to parents via ProCare to remind them to label their child’s items sent from home. This was corrected during today’s visit by labeling all water bottles with the child’s name. 3. We discussed creating a weekly cleaning schedule for staff to wipe down walls, chairs, cabinets, trashcans, etc. to ensure that there is no build up from various items. 4. We discussed staff inquiring about First Aid/CPR training at least 4-6 months in advance to ensure that training opportunities are available before the expiration of the current certification. This was corrected during today’s visit. The staff member completed First Aid and CPR training on 4/7/25. 5. We discussed staff conducting a walkthrough of the facility and classrooms prior to caring for children to ensure that all hazardous products are properly stored. Staff should ensure that items stored in plastic and items that can easily be torn apart are at least 5 feet from the ground when children under three years of age are in care. Medications that belong to staff should be locked at all times. 6. We discussed creating a timeline for new staff that outlines due dates of time stringent tasks such as completing Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. 7. We discussed staff modeling appropriate eating and drinking habits by placing drinks in a cup that is not able to be seen through and with a tight-fitting lid. 8. We discussed ensuring that activity plans are current and age appropriate for the children in care. It is recommended that staff submit their activity plans to administrative staff for review and post them in their classroom on Friday afternoons for the following week. 9. We discussed staff checking their daily sign in/out sheet to ensure that all children have been signed in and out as they arrive and depart. If parents forget to sign their child in or out, staff members should sign the child in or out. The monthly attendance sheet should be completed by the end of the day. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 25 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 52 Completed Date: 6/11/2025 Age: From 0 To 9 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 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 during a Routine Unannounced Visit. You, Sheila Ritchie, Owner/Director and Emily Crouch, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 3, 2024. The last sanitation inspection was completed on January 17, 2025, with a “Superior” classification. The last fire inspection was completed on January 28, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-one percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 27, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on March 19, 2025. Your playground meets child care safety standards. The last outdoor inspections were completed on May 27, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and topical ointments were monitored during today’s visit. All staff files were monitored for a current Criminal Background Qualification letter, current First Aid/CPR training, Recognizing and Responding to Suspicions of Child Maltreatment training, and special trainings were reviewed during today’s visit. All new staff files were monitored in their entirety during today’s visit. The program does not provide transportation. The Automatic Background Check Management System (ABCMS) was reviewed during today’s visit. Jeff Austin, employed on May 7, 2025, did not have verification of completing a Criminal Background Check prior to employment. The employee must complete a Criminal Background Check through DCDEE and cannot return to work until a qualifying letter is received. Please send a copy of the employee’s qualifying letter to the consultant once it is received. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space 3, attendance was last completed on 6/6/25. Three children were not signed out on 6/10/25. In space 6, attendance was not completed on 6/10/25. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In space 2, the posted activity plan was dated March 18 through March 22. In space 5, the posted activity plan was dated for the month of April. In space 4, the posted activity plan was dated for May 19 through May 23. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles and cups sent from home were not labeled with the child's name. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Sinks, walls, and soap dispensers were not kept clean. In space 2, the wall near the exterior door was missing trimming. In space 5, the entrance door and door to the storage closet had chipping paint. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 4, a container of bulk soap was stored on the paper towel dispenser. A bucket of mop water was observed sitting in the hallway. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space 6, a bottle of Ibuprofen was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 3, diapers in a plastic sleeve were stored on a table accessible to children. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. Jeff Austin, cook, did not have a Criminal Background Check completed prior to employment. G.S. 110-90.2(b) 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. A staff member hired on 2/20/23 First Aid training expired on 2/9/25. The staff member completed First Aid training on 4/7/25. .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. A staff member hired on 2/20/23 CPR training expired on 2/9/25. The staff member completed CPR training on 4/7/25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Jeff Austin, cook, did not have a qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. A staff member hired on 10/24/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was completed on 4/11/25. .1102(g) Technical Assistance was provided on the following: 1. We reviewed North Carolina General Statute 110-90.2(a)(2) which defines child care providers as any person who: is employed or seeks to be employed in a child care center, including temporary or permanent substitute employees. All individuals employed by the child care center must complete a Criminal Background Check through DCDEE prior to employment. 2. We discussed that when children arrive staff check water bottles, baby bottles, and sippy cups to ensure that they are labeled with the child’s name and date. It is also recommended to send a message to parents via ProCare to remind them to label their child’s items sent from home. This was corrected during today’s visit by labeling all water bottles with the child’s name. 3. We discussed creating a weekly cleaning schedule for staff to wipe down walls, chairs, cabinets, trashcans, etc. to ensure that there is no build up from various items. 4. We discussed staff inquiring about First Aid/CPR training at least 4-6 months in advance to ensure that training opportunities are available before the expiration of the current certification. This was corrected during today’s visit. The staff member completed First Aid and CPR training on 4/7/25. 5. We discussed staff conducting a walkthrough of the facility and classrooms prior to caring for children to ensure that all hazardous products are properly stored. Staff should ensure that items stored in plastic and items that can easily be torn apart are at least 5 feet from the ground when children under three years of age are in care. Medications that belong to staff should be locked at all times. 6. We discussed creating a timeline for new staff that outlines due dates of time stringent tasks such as completing Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. 7. We discussed staff modeling appropriate eating and drinking habits by placing drinks in a cup that is not able to be seen through and with a tight-fitting lid. 8. We discussed ensuring that activity plans are current and age appropriate for the children in care. It is recommended that staff submit their activity plans to administrative staff for review and post them in their classroom on Friday afternoons for the following week. 9. We discussed staff checking their daily sign in/out sheet to ensure that all children have been signed in and out as they arrive and depart. If parents forget to sign their child in or out, staff members should sign the child in or out. The monthly attendance sheet should be completed by the end of the day. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 25 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 6/11/2025 Number Present: 52 Completed Date: 6/11/2025 Age: From 0 To 9 Total Minutes: 260 Time In: 09:40 AM Time Out: 02:00 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 during a Routine Unannounced Visit. You, Sheila Ritchie, Owner/Director and Emily Crouch, Assistant Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 3, 2024. The last sanitation inspection was completed on January 17, 2025, with a “Superior” classification. The last fire inspection was completed on January 28, 2025, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-one percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in free choice activities, outdoor play, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 27, 2025. Emergency drills are being completed every three months as required. The last emergency drill was completed on March 19, 2025. Your playground meets child care safety standards. The last outdoor inspections were completed on May 27, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and topical ointments were monitored during today’s visit. All staff files were monitored for a current Criminal Background Qualification letter, current First Aid/CPR training, Recognizing and Responding to Suspicions of Child Maltreatment training, and special trainings were reviewed during today’s visit. All new staff files were monitored in their entirety during today’s visit. The program does not provide transportation. The Automatic Background Check Management System (ABCMS) was reviewed during today’s visit. Jeff Austin, employed on May 7, 2025, did not have verification of completing a Criminal Background Check prior to employment. The employee must complete a Criminal Background Check through DCDEE and cannot return to work until a qualifying letter is received. Please send a copy of the employee’s qualifying letter to the consultant once it is received. The following violations were documented today: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space 3, attendance was last completed on 6/6/25. Three children were not signed out on 6/10/25. In space 6, attendance was not completed on 6/10/25. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. In space 2, the posted activity plan was dated March 18 through March 22. In space 5, the posted activity plan was dated for the month of April. In space 4, the posted activity plan was dated for May 19 through May 23. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Water bottles and cups sent from home were not labeled with the child's name. 15A NCAC 18A .2804(d) 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Sinks, walls, and soap dispensers were not kept clean. In space 2, the wall near the exterior door was missing trimming. In space 5, the entrance door and door to the storage closet had chipping paint. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 4, a container of bulk soap was stored on the paper towel dispenser. A bucket of mop water was observed sitting in the hallway. .2820(b) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space 6, a bottle of Ibuprofen was stored in an unlocked cabinet. 15A NCAC 18A .2820(d) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space 3, diapers in a plastic sleeve were stored on a table accessible to children. .0604(q) 1041 Prior to employment a Criminal Background Check was not completed. Jeff Austin, cook, did not have a Criminal Background Check completed prior to employment. G.S. 110-90.2(b) 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. A staff member hired on 2/20/23 First Aid training expired on 2/9/25. The staff member completed First Aid training on 4/7/25. .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. A staff member hired on 2/20/23 CPR training expired on 2/9/25. The staff member completed CPR training on 4/7/25. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. Jeff Austin, cook, did not have a qualification letter on file for review. G.S. 110-90.2(b) & (d) & .2703(e) 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. A staff member hired on 10/24/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was completed on 4/11/25. .1102(g) Technical Assistance was provided on the following: 1. We reviewed North Carolina General Statute 110-90.2(a)(2) which defines child care providers as any person who: is employed or seeks to be employed in a child care center, including temporary or permanent substitute employees. All individuals employed by the child care center must complete a Criminal Background Check through DCDEE prior to employment. 2. We discussed that when children arrive staff check water bottles, baby bottles, and sippy cups to ensure that they are labeled with the child’s name and date. It is also recommended to send a message to parents via ProCare to remind them to label their child’s items sent from home. This was corrected during today’s visit by labeling all water bottles with the child’s name. 3. We discussed creating a weekly cleaning schedule for staff to wipe down walls, chairs, cabinets, trashcans, etc. to ensure that there is no build up from various items. 4. We discussed staff inquiring about First Aid/CPR training at least 4-6 months in advance to ensure that training opportunities are available before the expiration of the current certification. This was corrected during today’s visit. The staff member completed First Aid and CPR training on 4/7/25. 5. We discussed staff conducting a walkthrough of the facility and classrooms prior to caring for children to ensure that all hazardous products are properly stored. Staff should ensure that items stored in plastic and items that can easily be torn apart are at least 5 feet from the ground when children under three years of age are in care. Medications that belong to staff should be locked at all times. 6. We discussed creating a timeline for new staff that outlines due dates of time stringent tasks such as completing Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire. 7. We discussed staff modeling appropriate eating and drinking habits by placing drinks in a cup that is not able to be seen through and with a tight-fitting lid. 8. We discussed ensuring that activity plans are current and age appropriate for the children in care. It is recommended that staff submit their activity plans to administrative staff for review and post them in their classroom on Friday afternoons for the following week. 9. We discussed staff checking their daily sign in/out sheet to ensure that all children have been signed in and out as they arrive and depart. If parents forget to sign their child in or out, staff members should sign the child in or out. The monthly attendance sheet should be completed by the end of the day. Consultation was provided on the following: NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; DCDEE WEBSITE RESOURCES: -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New -Southwestern Child Development Commission Inc.: https://www.swcdcinc.org/ ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days 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 as stated in G.S. 110-90.2 & .2703(r) 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. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 25 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 39 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 239 Time In: 10:15 AM Time Out: 02:14 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Sheila Ritchie, Owner/Director, assisted me with today’s visit. The last annual compliance visit was conducted on January 10, 2024. The last sanitation inspection was completed on June 24, 2024, with a “Superior” classification. The last fire inspection was completed on February 2, 2024, and your facility was approved for daytime care only. The NC Secretary of State website was reviewed prior to today’s visit and The Tot Spot Childcare Center LLC was listed as current- active. The center's compliance history was reviewed with the operator. The program’s compliance history was 82 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaging in free choice activities, teacher directed activities, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. Outdoor areas were not monitored during today’s visit due to inclement weather. Fire drills were completed monthly as required. The last fire drill was completed on November 25, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on September 24, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and prescription medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space 2 and space 6, a topical ointment did not have medication authorization forms on file for review. 10A NCAC 09 .0803(4)(6-9) 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 2, two topical ointments expired on 9/2024 and 10/2024. In space 2, one permission to administer form expired on 9/30/2024. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for July 2024 and August 2024. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 5/23/24 did not have a signed acknowledgement prior to caring for children. .0608(d)(1-4) Technical Assistance was provided on the following: • We discussed that when staff receive topical ointments or medications that administrative staff review the documentation and medications to ensure that all are in compliance with childcare rules. Topical ointments and medications must have a permission to administer form on file. The facility has 72 hours to return to discard topical ointments and/or medications that expire or their permission to administer forms that expires. • We discussed parents completing separate permission to administer forms for each topical ointment and/or medication. • We discussed setting a monthly reminder to complete playground inspections • We discussed staff working with school age children creating a modified schedule and activity plans that will be utilized for inclement weather days that school age children may be present at the facility. Consultation was provided on the following: • 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. o 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. o 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. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Here are some important links on the DCEEE website that may be helpful: o Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License o Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development o Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings o Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy o DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 17, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 39 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 239 Time In: 10:15 AM Time Out: 02:14 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Sheila Ritchie, Owner/Director, assisted me with today’s visit. The last annual compliance visit was conducted on January 10, 2024. The last sanitation inspection was completed on June 24, 2024, with a “Superior” classification. The last fire inspection was completed on February 2, 2024, and your facility was approved for daytime care only. The NC Secretary of State website was reviewed prior to today’s visit and The Tot Spot Childcare Center LLC was listed as current- active. The center's compliance history was reviewed with the operator. The program’s compliance history was 82 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaging in free choice activities, teacher directed activities, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. Outdoor areas were not monitored during today’s visit due to inclement weather. Fire drills were completed monthly as required. The last fire drill was completed on November 25, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on September 24, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and prescription medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space 2 and space 6, a topical ointment did not have medication authorization forms on file for review. 10A NCAC 09 .0803(4)(6-9) 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 2, two topical ointments expired on 9/2024 and 10/2024. In space 2, one permission to administer form expired on 9/30/2024. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for July 2024 and August 2024. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 5/23/24 did not have a signed acknowledgement prior to caring for children. .0608(d)(1-4) Technical Assistance was provided on the following: • We discussed that when staff receive topical ointments or medications that administrative staff review the documentation and medications to ensure that all are in compliance with childcare rules. Topical ointments and medications must have a permission to administer form on file. The facility has 72 hours to return to discard topical ointments and/or medications that expire or their permission to administer forms that expires. • We discussed parents completing separate permission to administer forms for each topical ointment and/or medication. • We discussed setting a monthly reminder to complete playground inspections • We discussed staff working with school age children creating a modified schedule and activity plans that will be utilized for inclement weather days that school age children may be present at the facility. Consultation was provided on the following: • 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. o 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. o 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. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Here are some important links on the DCEEE website that may be helpful: o Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License o Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development o Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings o Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy o DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 17, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 39 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 239 Time In: 10:15 AM Time Out: 02:14 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Sheila Ritchie, Owner/Director, assisted me with today’s visit. The last annual compliance visit was conducted on January 10, 2024. The last sanitation inspection was completed on June 24, 2024, with a “Superior” classification. The last fire inspection was completed on February 2, 2024, and your facility was approved for daytime care only. The NC Secretary of State website was reviewed prior to today’s visit and The Tot Spot Childcare Center LLC was listed as current- active. The center's compliance history was reviewed with the operator. The program’s compliance history was 82 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor environment was completed. Children were observed engaging in free choice activities, teacher directed activities, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. Outdoor areas were not monitored during today’s visit due to inclement weather. Fire drills were completed monthly as required. The last fire drill was completed on November 25, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on September 24, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and prescription medications were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space 2 and space 6, a topical ointment did not have medication authorization forms on file for review. 10A NCAC 09 .0803(4)(6-9) 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 2, two topical ointments expired on 9/2024 and 10/2024. In space 2, one permission to administer form expired on 9/30/2024. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections were not documented for July 2024 and August 2024. .0605(q) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 5/23/24 did not have a signed acknowledgement prior to caring for children. .0608(d)(1-4) Technical Assistance was provided on the following: • We discussed that when staff receive topical ointments or medications that administrative staff review the documentation and medications to ensure that all are in compliance with childcare rules. Topical ointments and medications must have a permission to administer form on file. The facility has 72 hours to return to discard topical ointments and/or medications that expire or their permission to administer forms that expires. • We discussed parents completing separate permission to administer forms for each topical ointment and/or medication. • We discussed setting a monthly reminder to complete playground inspections • We discussed staff working with school age children creating a modified schedule and activity plans that will be utilized for inclement weather days that school age children may be present at the facility. Consultation was provided on the following: • 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. o 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. o 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. • Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. • Here are some important links on the DCEEE website that may be helpful: o Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License o Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development o Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/Health-and-Safety-Trainings o Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy o DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 17, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 39 Completed Date: 6/4/2024 Age: From 0 To 5 Total Minutes: 200 Time In: 09:15 AM Time Out: 12:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Sheila Ritchie, Director, assisted me with today’s visit. The last annual compliance visit was conducted on January 10, 2024. The last sanitation inspection was completed on December 22, 2023, with a “Superior” classification. The last fire inspection was conducted February 2, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 83 percent prior to today’s visit. The center's four-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of all licensed space was completed. Children were observed during teacher directed activities, free choice activities, lunch, and outdoor play. Children under twelve months were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 15, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on January 23, 2024. Outdoor playground inspections are being completed monthly. The last outdoor playground inspection was completed on May 15, 2024. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications, topical ointments, and Medical Action Plans were monitored during today’s visit. All staff files were monitored for valid Criminal Background Check qualification letters, First Aid/CPR, Recognizing and Responding to Suspicions of Child Maltreatment training, and ITS-SIDS training during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Doors, walls, sinks, and outside of refrigerators throughout the facility were not kept clean. 15A NCAC 18A .2825(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 1, an aerosol can of shaving cream was stored in an unlocked closet. In space 2, an aerosol can of Febreze was stored on a shelf. In space 5, an aerosol can of Lysol and an aerosol can of shaving cream was stored in an unlocked closet. .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 2, a child's permission to administer form expired 2/22/24. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last documented emergency drill was completed 1/23/24. .0604(u);.0302(d)(8) 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. A staff member hired on 2/15/23 has not completed Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) Technical Assistance was provided on the following: 1. We discussed staff utilizing a daily/weekly cleaning schedule for their classrooms to ensure that all areas remain free of buildup. 2. We discussed staff doing a walkthrough of their space prior to caring for children to ensure that hazardous products are properly stored. Products under aerosol pressure should be stored in locked storage. 3. We discussed staff reviewing their medications and topical ointments monthly to ensure that all dates are still valid. Once medications have expired or the permission to administer dates are no longer valid, the facility should return or discard the medication within 72 hours. We discussed administration reviewing permission to administer forms prior to distributing medications to classrooms to ensure that the forms have been completed in its entirety and accurate. 4. We discussed putting a reminder on your calendar or in your phone to conduct emergency drills in the form of a Shelter-in-Place or a lockdown every three months. 5. We discussed ensuring that all new staff complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire and every 5 years thereafter. Consultation was provided on the following: If pharmaceutical samples, shall be stored in the manufacturer's original packaging, shall be labeled with the child's name, and shall be accompanied by written instructions specifying: (i) the child's name; (ii) the names of the medication; (iii) the amount and frequency of dosage; (iv) the signature of the prescribing physician or other health professional; and (v) the date the instructions were signed by the physician or other health professional; Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before June 18, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 .0710 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 35 Completed Date: 1/10/2024 Age: From 0 To 8 Total Minutes: 290 Time In: 09:10 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Sheila Ritchie, Owner/Operator, assisted me with today's visit. The NC Secretary of State website was reviewed on January 5, 2024, The Tot Spot Childcare Center LLC was listed as current- active. The last sanitation inspection was completed on December 22, 2023, with a “Superior” classification. The last fire inspection was conducted on January 4, 2023, and your facility was approved for daytime care only. Please ensure that a fire is completed within the month of January. Fire Inspections should be sent to me within 7 days of receiving a visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 87 percent as of January 5, 2024. I observed your Four-Star License, Safe Procedures for Arrival and Departure, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law, evacuation plans, current daily schedules, activity plans, staff-child ratio sheets, and allergies posted as required. I observed children adequately supervised, enhanced ratios, children under 2 ½ years old in rooms with direct exits, adequate approved space use, and permit restrictions maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, lunch, and rest time. Children bring their own meals from home daily. I observed nutrition opt out forms located in children’s files. In space 4, I observed school age children present today. You stated that you were in the process of turning this space into a gross motor room for when children are not able to go outdoors and you were getting rid of things that you no longer use. I observed the space not set up for school age use. I observed shelving facing the wall with materials inaccessible to children. I observed tables and countertops to have items stored. This is considered a hazard to children in care. You stated that this would still be the school age room. I reminded you that the room must be set up for school age children and if you choose to use this space for indoor gross motor due to inclement weather and when school age children are not in care, that all materials that are not age appropriate for the age groups that will utilize this room will need to be removed or appropriately placed prior to children using this space. In space 2, I observed children one and two years of age engaging in sensory play using rice and playdoh. I told the staff members that these items were not developmentally appropriate and a choking hazard for children this age. I observed toys, equipment, and materials throughout the facility to be of sufficient quantity and developmentally appropriate. I observed attendance and sign in/out sheets located on clipboards in each classroom. I observed to be current and up to date as required. I monitored your outdoor play spaces for general safety today. I observed mulch as the surfacing to of sufficient quantity. I observed shapes provided by two large canopies on each playground. I recommended that you complete your outdoor inspection form for the month of January due to the storm the night before. I observed one Medical Action Plan in the facility to be current. I observed 7 topical ointments in the facility. I monitored these 7 topical ointments and their permission to administer forms. In space 2, I observed one topical ointment expired 11/2023. In space 6, I observed one topical ointment expired 12/2023. I observed 1 prescription topical ointment in the facility. I monitored this 1 prescription topical ointment and its permission to administer form. In space 2, I observed this 1 prescription topical ointment expired 12/2023 and was not in the original pharmacy packaging. You stated that children do not engage in screen time. I observed your monthly Fire Drill Log documenting drills for the past twelve months. We observed the last fire drill documented on this log dated December 14, 2023, at 4:30pm. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months. I observed the last emergency drill documented on this log was a lockdown dated October 11, 2023, at 12:30pm. Emergency drills are being conducted every three months as required. I monitored two new staff files and two existing staff files during today’s visit. I monitored a selection of five children’s files during today’s visit. No violations were observed related to children’s files. The following violations were documented during today’s visit: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In space 2, children three years of age and under were engaged in sensory play using rice and playdoh. The staff members removed the items during the visit. .0510 (e ) (1)(A-G) 465 Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily. In space 4, the classroom caring for school age children was not properly set up in activity areas for children to engage. GS 110-91(12); .0510(a) 538 Baby bottles were not stored to protect from contamination. In space 2, children's water bottles brought from home were stored collectively in a container. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original pharmacy packaging. The medication was removed from the classroom during today's visit. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, a topical ointment expired on 11/2023. In space 6, a topical ointment expired on 12/2023. The topical ointments were removed from the classrooms during today's visit. .0803(12) 1021 Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher. In space 6, a staff member does not meet the preservice requirements for a teacher. 10A NCAC 09 .0710 (a-b) 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. A staff member hired on 10/9/23 has not completed First Aid within 90 days of hire. .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. A staff member hired on 10/9/23 did not complete CPR within 90 days of hire. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 4/19/23 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 5/25/23. A staff member hired on 11/6/17 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 11/10/17. .0608(d)(1-4) 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. A staff member hired on 4/19/23, 6/5/23, and 10/9/23, did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed that children ages three years of age and younger should have developmentally appropriate activities planned for them daily. Food is not able to be used in sensory bins. Playdoh is recommended for children ages two years and older. It is recommended that homemade playdoh be used due to the texture and being edible. Daily schedules should be followed as posted. 2. We discussed that water bottles brought from home should be labeled with children’s name and stored individually to prevent cross contamination. Water bottles can be stored collectively when “in use” such as transporting them outdoors. 3. We discussed that prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. 4. We discussed that any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. 5. We discussed that for each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110-91(12). The school age room shall be set up as if the room was used daily. Materials should be accessible, of sufficient quantity, and developmentally appropriate. 6. We discussed that health questionnaires should be completed annually, on or before the date of the current health questionnaire form. This should be maintained in the staff’s medical file. 7. We discussed that emergency information forms should be completed annually, on or before the date of the current emergency information form. This should be maintained in the staff’s file. 8. We discussed that staff should take Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. These certificates should be maintained in the staff’s file. 9. We discussed that staff should be given and explained the Shaken Baby Head Trauma policy prior to caring for children. This documentation should be kept in the staff’s file. 10. We discussed that First Aid and CPR should be taken within 90 days of hire. Staff may seek training outside of the county that they work in to obtain this certification within the required timeframe. Certificate of completion should be maintained in the staff’s file. 11. We discussed that a lead teacher or a teacher shall be 18 years of age, have a high school diploma or its equivalent, and have one of the following: (1) One year of child care experience working in a child care center or two years of verifiable experience as a licensed family child care home operator; or (2) Completion of a two year high school program of Early Childhood Education in Family and Consumer Sciences Education; or (3) Twenty hours of training in child development, which shall include the North Carolina Early Childhood Credential coursework, within the first six months of employment in addition to the number of on-going training hours required in Rule .1103 12. We discussed ensuring that all walls, floors, trash can lids, changing tables, furniture, toys, and storage materials are easy to clean and also kept in good repair. During today’s visit, I provided consultation regarding the following topics: 1. We discussed that with new owners reopening Mitchell Gold + Bob Williams, I will need a signed updated copy of the lease agreement between your facility and the company. You stated that everything should be finalized within the next few weeks. Please send me this document as soon as possible. 2. We discussed that existing staff that were employed prior to your location change should have their required amount of on-going training hours completed on or before February 14, 2024. These training hours should be logged on the on-going training log. Please maintain the on-going training log and the certificates of completion in the staff’s file. 3. We discussed ensuring that the facility is kept clutter free, classrooms are organized for children’s accessibility, free of tripping hazards, dust, and debris at all times, including the hallways. Items should not be stored on top of cubby shelves as this can be considered a hazard for children in care. 4. We discussed that cribs not in use should not be used as storage for other materials. 5. The Summary of Law has been updated. The revised document dated September 2023 can be found on the DCDEE website under provider documents. Please print the updated version and post it in your licensed space. Also please update this form in your parent handbook 6. We discussed that your facility is listed in Cohort 2 for the Star Rated License Reassessment. July 1, 2024, through June 30, 2025, will begin your facility’s prep year. July 1, 2025, through June 30, 2026, will be the facility’s reassessment year. 7. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 8. We discussed working with your consultant to establish a timeline for technical assistance visits that the facility may need. 9. We discussed reaching out to your local partners such as the Partnership for Young Children for technical assistance. The Partnership for Young Children also conducts mock assessments and will look at your facility’s materials. 10. We discussed visiting the NCRLAP website (www.ncrlap.org) for resources and training opportunities to prepare for the star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 35 Completed Date: 1/10/2024 Age: From 0 To 8 Total Minutes: 290 Time In: 09:10 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Sheila Ritchie, Owner/Operator, assisted me with today's visit. The NC Secretary of State website was reviewed on January 5, 2024, The Tot Spot Childcare Center LLC was listed as current- active. The last sanitation inspection was completed on December 22, 2023, with a “Superior” classification. The last fire inspection was conducted on January 4, 2023, and your facility was approved for daytime care only. Please ensure that a fire is completed within the month of January. Fire Inspections should be sent to me within 7 days of receiving a visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 87 percent as of January 5, 2024. I observed your Four-Star License, Safe Procedures for Arrival and Departure, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law, evacuation plans, current daily schedules, activity plans, staff-child ratio sheets, and allergies posted as required. I observed children adequately supervised, enhanced ratios, children under 2 ½ years old in rooms with direct exits, adequate approved space use, and permit restrictions maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, lunch, and rest time. Children bring their own meals from home daily. I observed nutrition opt out forms located in children’s files. In space 4, I observed school age children present today. You stated that you were in the process of turning this space into a gross motor room for when children are not able to go outdoors and you were getting rid of things that you no longer use. I observed the space not set up for school age use. I observed shelving facing the wall with materials inaccessible to children. I observed tables and countertops to have items stored. This is considered a hazard to children in care. You stated that this would still be the school age room. I reminded you that the room must be set up for school age children and if you choose to use this space for indoor gross motor due to inclement weather and when school age children are not in care, that all materials that are not age appropriate for the age groups that will utilize this room will need to be removed or appropriately placed prior to children using this space. In space 2, I observed children one and two years of age engaging in sensory play using rice and playdoh. I told the staff members that these items were not developmentally appropriate and a choking hazard for children this age. I observed toys, equipment, and materials throughout the facility to be of sufficient quantity and developmentally appropriate. I observed attendance and sign in/out sheets located on clipboards in each classroom. I observed to be current and up to date as required. I monitored your outdoor play spaces for general safety today. I observed mulch as the surfacing to of sufficient quantity. I observed shapes provided by two large canopies on each playground. I recommended that you complete your outdoor inspection form for the month of January due to the storm the night before. I observed one Medical Action Plan in the facility to be current. I observed 7 topical ointments in the facility. I monitored these 7 topical ointments and their permission to administer forms. In space 2, I observed one topical ointment expired 11/2023. In space 6, I observed one topical ointment expired 12/2023. I observed 1 prescription topical ointment in the facility. I monitored this 1 prescription topical ointment and its permission to administer form. In space 2, I observed this 1 prescription topical ointment expired 12/2023 and was not in the original pharmacy packaging. You stated that children do not engage in screen time. I observed your monthly Fire Drill Log documenting drills for the past twelve months. We observed the last fire drill documented on this log dated December 14, 2023, at 4:30pm. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months. I observed the last emergency drill documented on this log was a lockdown dated October 11, 2023, at 12:30pm. Emergency drills are being conducted every three months as required. I monitored two new staff files and two existing staff files during today’s visit. I monitored a selection of five children’s files during today’s visit. No violations were observed related to children’s files. The following violations were documented during today’s visit: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In space 2, children three years of age and under were engaged in sensory play using rice and playdoh. The staff members removed the items during the visit. .0510 (e ) (1)(A-G) 465 Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily. In space 4, the classroom caring for school age children was not properly set up in activity areas for children to engage. GS 110-91(12); .0510(a) 538 Baby bottles were not stored to protect from contamination. In space 2, children's water bottles brought from home were stored collectively in a container. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original pharmacy packaging. The medication was removed from the classroom during today's visit. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, a topical ointment expired on 11/2023. In space 6, a topical ointment expired on 12/2023. The topical ointments were removed from the classrooms during today's visit. .0803(12) 1021 Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher. In space 6, a staff member does not meet the preservice requirements for a teacher. 10A NCAC 09 .0710 (a-b) 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. A staff member hired on 10/9/23 has not completed First Aid within 90 days of hire. .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. A staff member hired on 10/9/23 did not complete CPR within 90 days of hire. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 4/19/23 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 5/25/23. A staff member hired on 11/6/17 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 11/10/17. .0608(d)(1-4) 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. A staff member hired on 4/19/23, 6/5/23, and 10/9/23, did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed that children ages three years of age and younger should have developmentally appropriate activities planned for them daily. Food is not able to be used in sensory bins. Playdoh is recommended for children ages two years and older. It is recommended that homemade playdoh be used due to the texture and being edible. Daily schedules should be followed as posted. 2. We discussed that water bottles brought from home should be labeled with children’s name and stored individually to prevent cross contamination. Water bottles can be stored collectively when “in use” such as transporting them outdoors. 3. We discussed that prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. 4. We discussed that any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. 5. We discussed that for each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110-91(12). The school age room shall be set up as if the room was used daily. Materials should be accessible, of sufficient quantity, and developmentally appropriate. 6. We discussed that health questionnaires should be completed annually, on or before the date of the current health questionnaire form. This should be maintained in the staff’s medical file. 7. We discussed that emergency information forms should be completed annually, on or before the date of the current emergency information form. This should be maintained in the staff’s file. 8. We discussed that staff should take Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. These certificates should be maintained in the staff’s file. 9. We discussed that staff should be given and explained the Shaken Baby Head Trauma policy prior to caring for children. This documentation should be kept in the staff’s file. 10. We discussed that First Aid and CPR should be taken within 90 days of hire. Staff may seek training outside of the county that they work in to obtain this certification within the required timeframe. Certificate of completion should be maintained in the staff’s file. 11. We discussed that a lead teacher or a teacher shall be 18 years of age, have a high school diploma or its equivalent, and have one of the following: (1) One year of child care experience working in a child care center or two years of verifiable experience as a licensed family child care home operator; or (2) Completion of a two year high school program of Early Childhood Education in Family and Consumer Sciences Education; or (3) Twenty hours of training in child development, which shall include the North Carolina Early Childhood Credential coursework, within the first six months of employment in addition to the number of on-going training hours required in Rule .1103 12. We discussed ensuring that all walls, floors, trash can lids, changing tables, furniture, toys, and storage materials are easy to clean and also kept in good repair. During today’s visit, I provided consultation regarding the following topics: 1. We discussed that with new owners reopening Mitchell Gold + Bob Williams, I will need a signed updated copy of the lease agreement between your facility and the company. You stated that everything should be finalized within the next few weeks. Please send me this document as soon as possible. 2. We discussed that existing staff that were employed prior to your location change should have their required amount of on-going training hours completed on or before February 14, 2024. These training hours should be logged on the on-going training log. Please maintain the on-going training log and the certificates of completion in the staff’s file. 3. We discussed ensuring that the facility is kept clutter free, classrooms are organized for children’s accessibility, free of tripping hazards, dust, and debris at all times, including the hallways. Items should not be stored on top of cubby shelves as this can be considered a hazard for children in care. 4. We discussed that cribs not in use should not be used as storage for other materials. 5. The Summary of Law has been updated. The revised document dated September 2023 can be found on the DCDEE website under provider documents. Please print the updated version and post it in your licensed space. Also please update this form in your parent handbook 6. We discussed that your facility is listed in Cohort 2 for the Star Rated License Reassessment. July 1, 2024, through June 30, 2025, will begin your facility’s prep year. July 1, 2025, through June 30, 2026, will be the facility’s reassessment year. 7. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 8. We discussed working with your consultant to establish a timeline for technical assistance visits that the facility may need. 9. We discussed reaching out to your local partners such as the Partnership for Young Children for technical assistance. The Partnership for Young Children also conducts mock assessments and will look at your facility’s materials. 10. We discussed visiting the NCRLAP website (www.ncrlap.org) for resources and training opportunities to prepare for the star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 35 Completed Date: 1/10/2024 Age: From 0 To 8 Total Minutes: 290 Time In: 09:10 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Sheila Ritchie, Owner/Operator, assisted me with today's visit. The NC Secretary of State website was reviewed on January 5, 2024, The Tot Spot Childcare Center LLC was listed as current- active. The last sanitation inspection was completed on December 22, 2023, with a “Superior” classification. The last fire inspection was conducted on January 4, 2023, and your facility was approved for daytime care only. Please ensure that a fire is completed within the month of January. Fire Inspections should be sent to me within 7 days of receiving a visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 87 percent as of January 5, 2024. I observed your Four-Star License, Safe Procedures for Arrival and Departure, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law, evacuation plans, current daily schedules, activity plans, staff-child ratio sheets, and allergies posted as required. I observed children adequately supervised, enhanced ratios, children under 2 ½ years old in rooms with direct exits, adequate approved space use, and permit restrictions maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, lunch, and rest time. Children bring their own meals from home daily. I observed nutrition opt out forms located in children’s files. In space 4, I observed school age children present today. You stated that you were in the process of turning this space into a gross motor room for when children are not able to go outdoors and you were getting rid of things that you no longer use. I observed the space not set up for school age use. I observed shelving facing the wall with materials inaccessible to children. I observed tables and countertops to have items stored. This is considered a hazard to children in care. You stated that this would still be the school age room. I reminded you that the room must be set up for school age children and if you choose to use this space for indoor gross motor due to inclement weather and when school age children are not in care, that all materials that are not age appropriate for the age groups that will utilize this room will need to be removed or appropriately placed prior to children using this space. In space 2, I observed children one and two years of age engaging in sensory play using rice and playdoh. I told the staff members that these items were not developmentally appropriate and a choking hazard for children this age. I observed toys, equipment, and materials throughout the facility to be of sufficient quantity and developmentally appropriate. I observed attendance and sign in/out sheets located on clipboards in each classroom. I observed to be current and up to date as required. I monitored your outdoor play spaces for general safety today. I observed mulch as the surfacing to of sufficient quantity. I observed shapes provided by two large canopies on each playground. I recommended that you complete your outdoor inspection form for the month of January due to the storm the night before. I observed one Medical Action Plan in the facility to be current. I observed 7 topical ointments in the facility. I monitored these 7 topical ointments and their permission to administer forms. In space 2, I observed one topical ointment expired 11/2023. In space 6, I observed one topical ointment expired 12/2023. I observed 1 prescription topical ointment in the facility. I monitored this 1 prescription topical ointment and its permission to administer form. In space 2, I observed this 1 prescription topical ointment expired 12/2023 and was not in the original pharmacy packaging. You stated that children do not engage in screen time. I observed your monthly Fire Drill Log documenting drills for the past twelve months. We observed the last fire drill documented on this log dated December 14, 2023, at 4:30pm. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months. I observed the last emergency drill documented on this log was a lockdown dated October 11, 2023, at 12:30pm. Emergency drills are being conducted every three months as required. I monitored two new staff files and two existing staff files during today’s visit. I monitored a selection of five children’s files during today’s visit. No violations were observed related to children’s files. The following violations were documented during today’s visit: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In space 2, children three years of age and under were engaged in sensory play using rice and playdoh. The staff members removed the items during the visit. .0510 (e ) (1)(A-G) 465 Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily. In space 4, the classroom caring for school age children was not properly set up in activity areas for children to engage. GS 110-91(12); .0510(a) 538 Baby bottles were not stored to protect from contamination. In space 2, children's water bottles brought from home were stored collectively in a container. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original pharmacy packaging. The medication was removed from the classroom during today's visit. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, a topical ointment expired on 11/2023. In space 6, a topical ointment expired on 12/2023. The topical ointments were removed from the classrooms during today's visit. .0803(12) 1021 Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher. In space 6, a staff member does not meet the preservice requirements for a teacher. 10A NCAC 09 .0710 (a-b) 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. A staff member hired on 10/9/23 has not completed First Aid within 90 days of hire. .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. A staff member hired on 10/9/23 did not complete CPR within 90 days of hire. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 4/19/23 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 5/25/23. A staff member hired on 11/6/17 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 11/10/17. .0608(d)(1-4) 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. A staff member hired on 4/19/23, 6/5/23, and 10/9/23, did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed that children ages three years of age and younger should have developmentally appropriate activities planned for them daily. Food is not able to be used in sensory bins. Playdoh is recommended for children ages two years and older. It is recommended that homemade playdoh be used due to the texture and being edible. Daily schedules should be followed as posted. 2. We discussed that water bottles brought from home should be labeled with children’s name and stored individually to prevent cross contamination. Water bottles can be stored collectively when “in use” such as transporting them outdoors. 3. We discussed that prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. 4. We discussed that any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. 5. We discussed that for each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110-91(12). The school age room shall be set up as if the room was used daily. Materials should be accessible, of sufficient quantity, and developmentally appropriate. 6. We discussed that health questionnaires should be completed annually, on or before the date of the current health questionnaire form. This should be maintained in the staff’s medical file. 7. We discussed that emergency information forms should be completed annually, on or before the date of the current emergency information form. This should be maintained in the staff’s file. 8. We discussed that staff should take Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. These certificates should be maintained in the staff’s file. 9. We discussed that staff should be given and explained the Shaken Baby Head Trauma policy prior to caring for children. This documentation should be kept in the staff’s file. 10. We discussed that First Aid and CPR should be taken within 90 days of hire. Staff may seek training outside of the county that they work in to obtain this certification within the required timeframe. Certificate of completion should be maintained in the staff’s file. 11. We discussed that a lead teacher or a teacher shall be 18 years of age, have a high school diploma or its equivalent, and have one of the following: (1) One year of child care experience working in a child care center or two years of verifiable experience as a licensed family child care home operator; or (2) Completion of a two year high school program of Early Childhood Education in Family and Consumer Sciences Education; or (3) Twenty hours of training in child development, which shall include the North Carolina Early Childhood Credential coursework, within the first six months of employment in addition to the number of on-going training hours required in Rule .1103 12. We discussed ensuring that all walls, floors, trash can lids, changing tables, furniture, toys, and storage materials are easy to clean and also kept in good repair. During today’s visit, I provided consultation regarding the following topics: 1. We discussed that with new owners reopening Mitchell Gold + Bob Williams, I will need a signed updated copy of the lease agreement between your facility and the company. You stated that everything should be finalized within the next few weeks. Please send me this document as soon as possible. 2. We discussed that existing staff that were employed prior to your location change should have their required amount of on-going training hours completed on or before February 14, 2024. These training hours should be logged on the on-going training log. Please maintain the on-going training log and the certificates of completion in the staff’s file. 3. We discussed ensuring that the facility is kept clutter free, classrooms are organized for children’s accessibility, free of tripping hazards, dust, and debris at all times, including the hallways. Items should not be stored on top of cubby shelves as this can be considered a hazard for children in care. 4. We discussed that cribs not in use should not be used as storage for other materials. 5. The Summary of Law has been updated. The revised document dated September 2023 can be found on the DCDEE website under provider documents. Please print the updated version and post it in your licensed space. Also please update this form in your parent handbook 6. We discussed that your facility is listed in Cohort 2 for the Star Rated License Reassessment. July 1, 2024, through June 30, 2025, will begin your facility’s prep year. July 1, 2025, through June 30, 2026, will be the facility’s reassessment year. 7. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 8. We discussed working with your consultant to establish a timeline for technical assistance visits that the facility may need. 9. We discussed reaching out to your local partners such as the Partnership for Young Children for technical assistance. The Partnership for Young Children also conducts mock assessments and will look at your facility’s materials. 10. We discussed visiting the NCRLAP website (www.ncrlap.org) for resources and training opportunities to prepare for the star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 1/10/2024 Number Present: 35 Completed Date: 1/10/2024 Age: From 0 To 8 Total Minutes: 290 Time In: 09:10 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. You, Sheila Ritchie, Owner/Operator, assisted me with today's visit. The NC Secretary of State website was reviewed on January 5, 2024, The Tot Spot Childcare Center LLC was listed as current- active. The last sanitation inspection was completed on December 22, 2023, with a “Superior” classification. The last fire inspection was conducted on January 4, 2023, and your facility was approved for daytime care only. Please ensure that a fire is completed within the month of January. Fire Inspections should be sent to me within 7 days of receiving a visit. The center's compliance history was reviewed with the operator. The program’s compliance history was 87 percent as of January 5, 2024. I observed your Four-Star License, Safe Procedures for Arrival and Departure, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law, evacuation plans, current daily schedules, activity plans, staff-child ratio sheets, and allergies posted as required. I observed children adequately supervised, enhanced ratios, children under 2 ½ years old in rooms with direct exits, adequate approved space use, and permit restrictions maintained during today’s visit. I observed children engaged in free choice activities, outdoor play, lunch, and rest time. Children bring their own meals from home daily. I observed nutrition opt out forms located in children’s files. In space 4, I observed school age children present today. You stated that you were in the process of turning this space into a gross motor room for when children are not able to go outdoors and you were getting rid of things that you no longer use. I observed the space not set up for school age use. I observed shelving facing the wall with materials inaccessible to children. I observed tables and countertops to have items stored. This is considered a hazard to children in care. You stated that this would still be the school age room. I reminded you that the room must be set up for school age children and if you choose to use this space for indoor gross motor due to inclement weather and when school age children are not in care, that all materials that are not age appropriate for the age groups that will utilize this room will need to be removed or appropriately placed prior to children using this space. In space 2, I observed children one and two years of age engaging in sensory play using rice and playdoh. I told the staff members that these items were not developmentally appropriate and a choking hazard for children this age. I observed toys, equipment, and materials throughout the facility to be of sufficient quantity and developmentally appropriate. I observed attendance and sign in/out sheets located on clipboards in each classroom. I observed to be current and up to date as required. I monitored your outdoor play spaces for general safety today. I observed mulch as the surfacing to of sufficient quantity. I observed shapes provided by two large canopies on each playground. I recommended that you complete your outdoor inspection form for the month of January due to the storm the night before. I observed one Medical Action Plan in the facility to be current. I observed 7 topical ointments in the facility. I monitored these 7 topical ointments and their permission to administer forms. In space 2, I observed one topical ointment expired 11/2023. In space 6, I observed one topical ointment expired 12/2023. I observed 1 prescription topical ointment in the facility. I monitored this 1 prescription topical ointment and its permission to administer form. In space 2, I observed this 1 prescription topical ointment expired 12/2023 and was not in the original pharmacy packaging. You stated that children do not engage in screen time. I observed your monthly Fire Drill Log documenting drills for the past twelve months. We observed the last fire drill documented on this log dated December 14, 2023, at 4:30pm. I observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months. I observed the last emergency drill documented on this log was a lockdown dated October 11, 2023, at 12:30pm. Emergency drills are being conducted every three months as required. I monitored two new staff files and two existing staff files during today’s visit. I monitored a selection of five children’s files during today’s visit. No violations were observed related to children’s files. The following violations were documented during today’s visit: Violation Number Comment Rule 445 For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. In space 2, children three years of age and under were engaged in sensory play using rice and playdoh. The staff members removed the items during the visit. .0510 (e ) (1)(A-G) 465 Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily. In space 4, the classroom caring for school age children was not properly set up in activity areas for children to engage. GS 110-91(12); .0510(a) 538 Baby bottles were not stored to protect from contamination. In space 2, children's water bottles brought from home were stored collectively in a container. 15A NCAC 18A .2804(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original pharmacy packaging. The medication was removed from the classroom during today's visit. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, a topical ointment expired on 11/2023. In space 6, a topical ointment expired on 12/2023. The topical ointments were removed from the classrooms during today's visit. .0803(12) 1021 Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher. In space 6, a staff member does not meet the preservice requirements for a teacher. 10A NCAC 09 .0710 (a-b) 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. A staff member hired on 10/9/23 has not completed First Aid within 90 days of hire. .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. A staff member hired on 10/9/23 did not complete CPR within 90 days of hire. .1102(d) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 4/19/23 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 5/25/23. A staff member hired on 11/6/17 did not sign acknowledgement of the policy prior to caring for children. The policy was signed on 11/10/17. .0608(d)(1-4) 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. A staff member hired on 4/19/23, 6/5/23, and 10/9/23, did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed that children ages three years of age and younger should have developmentally appropriate activities planned for them daily. Food is not able to be used in sensory bins. Playdoh is recommended for children ages two years and older. It is recommended that homemade playdoh be used due to the texture and being edible. Daily schedules should be followed as posted. 2. We discussed that water bottles brought from home should be labeled with children’s name and stored individually to prevent cross contamination. Water bottles can be stored collectively when “in use” such as transporting them outdoors. 3. We discussed that prescribed medications shall be stored in the original containers in which they were dispensed with the pharmacy labels. 4. We discussed that any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall 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, shall be discarded. 5. We discussed that for each group of children in care, the center shall provide daily four of the five activity areas listed in G.S. 110-91(12). The school age room shall be set up as if the room was used daily. Materials should be accessible, of sufficient quantity, and developmentally appropriate. 6. We discussed that health questionnaires should be completed annually, on or before the date of the current health questionnaire form. This should be maintained in the staff’s medical file. 7. We discussed that emergency information forms should be completed annually, on or before the date of the current emergency information form. This should be maintained in the staff’s file. 8. We discussed that staff should take Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. These certificates should be maintained in the staff’s file. 9. We discussed that staff should be given and explained the Shaken Baby Head Trauma policy prior to caring for children. This documentation should be kept in the staff’s file. 10. We discussed that First Aid and CPR should be taken within 90 days of hire. Staff may seek training outside of the county that they work in to obtain this certification within the required timeframe. Certificate of completion should be maintained in the staff’s file. 11. We discussed that a lead teacher or a teacher shall be 18 years of age, have a high school diploma or its equivalent, and have one of the following: (1) One year of child care experience working in a child care center or two years of verifiable experience as a licensed family child care home operator; or (2) Completion of a two year high school program of Early Childhood Education in Family and Consumer Sciences Education; or (3) Twenty hours of training in child development, which shall include the North Carolina Early Childhood Credential coursework, within the first six months of employment in addition to the number of on-going training hours required in Rule .1103 12. We discussed ensuring that all walls, floors, trash can lids, changing tables, furniture, toys, and storage materials are easy to clean and also kept in good repair. During today’s visit, I provided consultation regarding the following topics: 1. We discussed that with new owners reopening Mitchell Gold + Bob Williams, I will need a signed updated copy of the lease agreement between your facility and the company. You stated that everything should be finalized within the next few weeks. Please send me this document as soon as possible. 2. We discussed that existing staff that were employed prior to your location change should have their required amount of on-going training hours completed on or before February 14, 2024. These training hours should be logged on the on-going training log. Please maintain the on-going training log and the certificates of completion in the staff’s file. 3. We discussed ensuring that the facility is kept clutter free, classrooms are organized for children’s accessibility, free of tripping hazards, dust, and debris at all times, including the hallways. Items should not be stored on top of cubby shelves as this can be considered a hazard for children in care. 4. We discussed that cribs not in use should not be used as storage for other materials. 5. The Summary of Law has been updated. The revised document dated September 2023 can be found on the DCDEE website under provider documents. Please print the updated version and post it in your licensed space. Also please update this form in your parent handbook 6. We discussed that your facility is listed in Cohort 2 for the Star Rated License Reassessment. July 1, 2024, through June 30, 2025, will begin your facility’s prep year. July 1, 2025, through June 30, 2026, will be the facility’s reassessment year. 7. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 8. We discussed working with your consultant to establish a timeline for technical assistance visits that the facility may need. 9. We discussed reaching out to your local partners such as the Partnership for Young Children for technical assistance. The Partnership for Young Children also conducts mock assessments and will look at your facility’s materials. 10. We discussed visiting the NCRLAP website (www.ncrlap.org) for resources and training opportunities to prepare for the star rated license. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 24, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 38 Completed Date: 7/27/2023 Age: From 0 To 8 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the third temporary time period visit. You, Sheila Ritchie, Owner, assisted me with today’s visit. Your facility currently operates with a temporary license issued on February 14, 2023, and expires on August 14, 2023, with the following restrictions: Daytime care only and children 2 and ½ years old and younger with direct exits. The Secretary of State website was checked prior to today's visit, and your business, The Tot Spot Childcare Center LLC is listed as current- active. The last sanitation inspection was completed on January 10, 2023, and you received a superior rating and four demerits. The last fire inspection was completed on January 4, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios, licensed capacity, and approved space used during today’s visit. I observed sign-in and out sheets in each classroom. I observed attendance records located behind the sign-in and out sheets on clipboards. I observed your Temporary License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated January 2021, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, teacher directed activities, outdoor play, water play, and lunch. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed lunch to consist of chicken nuggets, corn, mashed potatoes, a roll, and milk. I observed monthly outdoor inspections documented for the past twelve months. I observed your most recent outdoor inspection was conducted on June 22, 2023. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on June 23, 2023, at 11:15am with one minute and seven seconds to evacuate. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on April 27, 2023, at 4:00pm with one minute and fifteen seconds to shelter- in- place. Please remember to complete an emergency drill before July 31, 2023 to remain in compliance with conducting an emergency drill every three months. I observed your incident log to be current and complete as required. You stated that you do not provide transportation at your facility. I observed eleven diaper ointments in the facility today. I monitored five diaper ointments and their permission to administer topical ointment forms to be current and in compliance. I observed one new staff member has been hired since your second temporary time period visit conducted on May 18, 2023. I monitored this one new staff members file during today’s visit. I monitored five existing staff members’ files during today’s visit. I monitored a selection of children’s files during today’s visit. Rated License Summary: Due to the change of location that took place for your facility, you have the choice to be issued the four-star rated license that you earned at your previous location, and then have the star rated license re-assessed during your cohort year. You stated that you are requesting to be issued the four-star rated license as it was earned at your last facility. Program Standards: You reviewed and signed the Application for Assessment for a Two Component Star Rated License form during your first temporary time period visit to request a two through five star rated license. You will earn 5 points in program standards as earned on 7/8/19. You previously earned a total average environmental rating scale score of 5.44, but chose to earn 5 points in program in order to meet enhanced ratios only. Education Standards: The facility will earn 4 points in education for the Administrator earning 5 points, the lead teachers earning 4 points, the teacher earning 7 points on the license issued on 7/8/19. Quality Option: The facility has earned one quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months as earned on the license issue on 7/8/19. A total of 10 points is earned for a four-star rated license. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 4, an activity plan was not available for review. GS 110-91(12); .0508(a) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 5, the activity plan was incomplete and did not address 4 different activities daily. .0508(g)(2) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Children's water bottles were not labeled with both the child's name and date throughout the facility. 15A NCAC 18A .2804(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three staff members did not receive at least 16 hours of orientation within the first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff members did not complete orientation within the first two weeks of employment. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space 4, attendance records for 7/26/23 and 7/27/23 were incomplete. A staff member completed the attendance records for both days during today's visit. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 6/8/23 did not have a medical exam on file for review within 30 days of enrollment. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff members completed the prevention of Shaken Baby Syndrome and Abusive Head Trauma policy after caring for children. .0608(d)(1-4) 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. A staff member hired on 3/27/23 has not completed Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that water bottles brought from home should be labeled with the child’s name and date. 2. We discussed creating an activity plan format that the entire facility can use to ensure that all developmental domains are being met for children daily. Activity plans should include one outside activity, be linked with NC FELD, offer 4 activities daily, and music, science, or sensory should be offered weekly. 3. We discussed reminding staff members to ensure that their activity plans are complete prior to posting them for the week. 4. We discussed ensuring that attendance is being completed daily for each classroom. 5. We discussed that the shaken baby and abusive head trauma policy should be reviewed and signed prior to staff members caring for children. 6. We discussed using the children’s file checklist to keep up with documents that are required within a specific time frame to ensure that all files have the required documents in a timely manner. Medical exams are due within 30 days of a child’s enrollment. 7. We discussed ensuring that newly hired staff members are receiving their orientation training within the specified time frames of within two weeks and within six weeks. This should be documented on the orientation sheet and signed by the employee and administrative staff member. 8. We discussed using the staff file checklist to keep up with documents that are required within a specific time frame to ensure that all files have the required documents in a timely manner. 9. We discussed that for newly hired staff, the Emergency Medical Care plan, Emergency Preparedness and Response plan, Operational Policies, and Personnel Policies should be reviewed and documented during their orientation process. 10. We discussed ensuring that new staff members are completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Kris Updike, by email at kris.updike@dhhs.nc.gov, if you have questions. Thank you for your time today. 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.

GS110-91 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 38 Completed Date: 7/27/2023 Age: From 0 To 8 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the third temporary time period visit. You, Sheila Ritchie, Owner, assisted me with today’s visit. Your facility currently operates with a temporary license issued on February 14, 2023, and expires on August 14, 2023, with the following restrictions: Daytime care only and children 2 and ½ years old and younger with direct exits. The Secretary of State website was checked prior to today's visit, and your business, The Tot Spot Childcare Center LLC is listed as current- active. The last sanitation inspection was completed on January 10, 2023, and you received a superior rating and four demerits. The last fire inspection was completed on January 4, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios, licensed capacity, and approved space used during today’s visit. I observed sign-in and out sheets in each classroom. I observed attendance records located behind the sign-in and out sheets on clipboards. I observed your Temporary License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated January 2021, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, teacher directed activities, outdoor play, water play, and lunch. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed lunch to consist of chicken nuggets, corn, mashed potatoes, a roll, and milk. I observed monthly outdoor inspections documented for the past twelve months. I observed your most recent outdoor inspection was conducted on June 22, 2023. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on June 23, 2023, at 11:15am with one minute and seven seconds to evacuate. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on April 27, 2023, at 4:00pm with one minute and fifteen seconds to shelter- in- place. Please remember to complete an emergency drill before July 31, 2023 to remain in compliance with conducting an emergency drill every three months. I observed your incident log to be current and complete as required. You stated that you do not provide transportation at your facility. I observed eleven diaper ointments in the facility today. I monitored five diaper ointments and their permission to administer topical ointment forms to be current and in compliance. I observed one new staff member has been hired since your second temporary time period visit conducted on May 18, 2023. I monitored this one new staff members file during today’s visit. I monitored five existing staff members’ files during today’s visit. I monitored a selection of children’s files during today’s visit. Rated License Summary: Due to the change of location that took place for your facility, you have the choice to be issued the four-star rated license that you earned at your previous location, and then have the star rated license re-assessed during your cohort year. You stated that you are requesting to be issued the four-star rated license as it was earned at your last facility. Program Standards: You reviewed and signed the Application for Assessment for a Two Component Star Rated License form during your first temporary time period visit to request a two through five star rated license. You will earn 5 points in program standards as earned on 7/8/19. You previously earned a total average environmental rating scale score of 5.44, but chose to earn 5 points in program in order to meet enhanced ratios only. Education Standards: The facility will earn 4 points in education for the Administrator earning 5 points, the lead teachers earning 4 points, the teacher earning 7 points on the license issued on 7/8/19. Quality Option: The facility has earned one quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months as earned on the license issue on 7/8/19. A total of 10 points is earned for a four-star rated license. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 4, an activity plan was not available for review. GS 110-91(12); .0508(a) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 5, the activity plan was incomplete and did not address 4 different activities daily. .0508(g)(2) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Children's water bottles were not labeled with both the child's name and date throughout the facility. 15A NCAC 18A .2804(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three staff members did not receive at least 16 hours of orientation within the first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff members did not complete orientation within the first two weeks of employment. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space 4, attendance records for 7/26/23 and 7/27/23 were incomplete. A staff member completed the attendance records for both days during today's visit. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 6/8/23 did not have a medical exam on file for review within 30 days of enrollment. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff members completed the prevention of Shaken Baby Syndrome and Abusive Head Trauma policy after caring for children. .0608(d)(1-4) 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. A staff member hired on 3/27/23 has not completed Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that water bottles brought from home should be labeled with the child’s name and date. 2. We discussed creating an activity plan format that the entire facility can use to ensure that all developmental domains are being met for children daily. Activity plans should include one outside activity, be linked with NC FELD, offer 4 activities daily, and music, science, or sensory should be offered weekly. 3. We discussed reminding staff members to ensure that their activity plans are complete prior to posting them for the week. 4. We discussed ensuring that attendance is being completed daily for each classroom. 5. We discussed that the shaken baby and abusive head trauma policy should be reviewed and signed prior to staff members caring for children. 6. We discussed using the children’s file checklist to keep up with documents that are required within a specific time frame to ensure that all files have the required documents in a timely manner. Medical exams are due within 30 days of a child’s enrollment. 7. We discussed ensuring that newly hired staff members are receiving their orientation training within the specified time frames of within two weeks and within six weeks. This should be documented on the orientation sheet and signed by the employee and administrative staff member. 8. We discussed using the staff file checklist to keep up with documents that are required within a specific time frame to ensure that all files have the required documents in a timely manner. 9. We discussed that for newly hired staff, the Emergency Medical Care plan, Emergency Preparedness and Response plan, Operational Policies, and Personnel Policies should be reviewed and documented during their orientation process. 10. We discussed ensuring that new staff members are completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Kris Updike, by email at kris.updike@dhhs.nc.gov, if you have questions. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE TOT SPOT AT LULU'S Facility ID: 02000125 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 7/27/2023 Number Present: 38 Completed Date: 7/27/2023 Age: From 0 To 8 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during the third temporary time period visit. You, Sheila Ritchie, Owner, assisted me with today’s visit. Your facility currently operates with a temporary license issued on February 14, 2023, and expires on August 14, 2023, with the following restrictions: Daytime care only and children 2 and ½ years old and younger with direct exits. The Secretary of State website was checked prior to today's visit, and your business, The Tot Spot Childcare Center LLC is listed as current- active. The last sanitation inspection was completed on January 10, 2023, and you received a superior rating and four demerits. The last fire inspection was completed on January 4, 2023, and your facility was approved for daytime care only. I observed adequate supervision, staff/child ratios, licensed capacity, and approved space used during today’s visit. I observed sign-in and out sheets in each classroom. I observed attendance records located behind the sign-in and out sheets on clipboards. I observed your Temporary License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated January 2021, evacuation plans, current daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, teacher directed activities, outdoor play, water play, and lunch. In the infant room, I observed infants being held for bottle feeding, diapering, and handwashing procedures being followed. I observed lunch to consist of chicken nuggets, corn, mashed potatoes, a roll, and milk. I observed monthly outdoor inspections documented for the past twelve months. I observed your most recent outdoor inspection was conducted on June 22, 2023. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on June 23, 2023, at 11:15am with one minute and seven seconds to evacuate. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on April 27, 2023, at 4:00pm with one minute and fifteen seconds to shelter- in- place. Please remember to complete an emergency drill before July 31, 2023 to remain in compliance with conducting an emergency drill every three months. I observed your incident log to be current and complete as required. You stated that you do not provide transportation at your facility. I observed eleven diaper ointments in the facility today. I monitored five diaper ointments and their permission to administer topical ointment forms to be current and in compliance. I observed one new staff member has been hired since your second temporary time period visit conducted on May 18, 2023. I monitored this one new staff members file during today’s visit. I monitored five existing staff members’ files during today’s visit. I monitored a selection of children’s files during today’s visit. Rated License Summary: Due to the change of location that took place for your facility, you have the choice to be issued the four-star rated license that you earned at your previous location, and then have the star rated license re-assessed during your cohort year. You stated that you are requesting to be issued the four-star rated license as it was earned at your last facility. Program Standards: You reviewed and signed the Application for Assessment for a Two Component Star Rated License form during your first temporary time period visit to request a two through five star rated license. You will earn 5 points in program standards as earned on 7/8/19. You previously earned a total average environmental rating scale score of 5.44, but chose to earn 5 points in program in order to meet enhanced ratios only. Education Standards: The facility will earn 4 points in education for the Administrator earning 5 points, the lead teachers earning 4 points, the teacher earning 7 points on the license issued on 7/8/19. Quality Option: The facility has earned one quality point for having a combined turnover rate of 20% or less for the administrator, program coordinator, lead teacher, teacher and group leader over the last 12 months as earned on the license issue on 7/8/19. A total of 10 points is earned for a four-star rated license. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In space 4, an activity plan was not available for review. GS 110-91(12); .0508(a) 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 5, the activity plan was incomplete and did not address 4 different activities daily. .0508(g)(2) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Children's water bottles were not labeled with both the child's name and date throughout the facility. 15A NCAC 18A .2804(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three staff members did not receive at least 16 hours of orientation within the first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two staff members did not complete orientation within the first two weeks of employment. .1101(a)(b) 1301 Center did not maintain a record of daily attendance. In space 4, attendance records for 7/26/23 and 7/27/23 were incomplete. A staff member completed the attendance records for both days during today's visit. GS 110-91(9) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 6/8/23 did not have a medical exam on file for review within 30 days of enrollment. GS110-91(1) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. Two staff members completed the prevention of Shaken Baby Syndrome and Abusive Head Trauma policy after caring for children. .0608(d)(1-4) 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. A staff member hired on 3/27/23 has not completed Recognizing and Responding to Suspicions of Child Maltreatment. .1102(g) The following Technical Assistance (TA) was provided during today’s visit: 1. We discussed that water bottles brought from home should be labeled with the child’s name and date. 2. We discussed creating an activity plan format that the entire facility can use to ensure that all developmental domains are being met for children daily. Activity plans should include one outside activity, be linked with NC FELD, offer 4 activities daily, and music, science, or sensory should be offered weekly. 3. We discussed reminding staff members to ensure that their activity plans are complete prior to posting them for the week. 4. We discussed ensuring that attendance is being completed daily for each classroom. 5. We discussed that the shaken baby and abusive head trauma policy should be reviewed and signed prior to staff members caring for children. 6. We discussed using the children’s file checklist to keep up with documents that are required within a specific time frame to ensure that all files have the required documents in a timely manner. Medical exams are due within 30 days of a child’s enrollment. 7. We discussed ensuring that newly hired staff members are receiving their orientation training within the specified time frames of within two weeks and within six weeks. This should be documented on the orientation sheet and signed by the employee and administrative staff member. 8. We discussed using the staff file checklist to keep up with documents that are required within a specific time frame to ensure that all files have the required documents in a timely manner. 9. We discussed that for newly hired staff, the Emergency Medical Care plan, Emergency Preparedness and Response plan, Operational Policies, and Personnel Policies should be reviewed and documented during their orientation process. 10. We discussed ensuring that new staff members are completing Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of hire. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before August 10, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Kris Updike, by email at kris.updike@dhhs.nc.gov, if you have questions. Thank you for your time today. 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