10A NCAC 09 .0901 · Violation

Name of Operation: A NEW HOPE FOR ALL AFTERCARE LLC Facility ID: 29000763 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 16 Completed Date: 10/29/2025 Age: From 4 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit has been to conduct the annual compliance monitoring. The last annual compliance visit was conducted on November 12, 2024. The facility operates with a Three (3)-Star license which was issued on June 1, 2023. Upon arrival to the facility, I was greeted by a staff member. I introduced myself and stated the purpose of my visit. The staff member informed me that the owner was not present, but she contacted miss Regina Davis who did arrive shortly and assisted me during the visit. Together we conducted a walkthrough of the inside and outside of the facility. The children were observed arriving from school, hand washing, having snacks, participating in teacher-directed group activities, indoor free play and leaving for the day. The last fire inspection was conducted on October 22, 2025, and was approved for day time care only. The last sanitation inspection was conducted on May 14, 2025. The facility achieved a ‘Superior’ classification. A full assessment of child care requirements was conducted on this date. I monitored program requirements, Equipment and Furnishings, supervision and staff/child ratios, medications, transportation, staff records and a sampling of children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. **There are no menus posted for the month of October.** 10A NCAC 09 .0901(b) 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. **An aerosol spray can was observed on the vehicle used to transport children** .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. ****The staff files did not contain documentation of the annual health questionnaire** .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. **The staff files did not contain documentation of the annual staff development plans nor the staff evaluation.** 10A NCAC 09 .0514(f) The above violations must be corrected immediately and a compliance letter sent to my office stating how and when the items of non-compliance were addressed and corrected. The letter should reach my office by or before 5:00 pm, November 12, 2025. Please include the name and facility ID number on your program’s letterhead. Please close the letter with your electronic signature. If the letter has not been received by my office by 5:00pm, on November 12, 2025, a return visit may be necessary to ensure compliance with childcare requirements. You may submit the letter to anita.c.graham@dhhs.nc.gov. Please also submit the letter to my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov. TECHINICAL ASSISTANCE: You were provided with the opportunity to ask questions regarding child care requirements. We discussed the areas of non-compliance. Please be advised that aerosol spray cans must be locked up when not in use. Menus must be posted for parent reference each week. Staff health questionnaires and emergency information must be updated annually. The provider must complete staff development plans and conduct staff evaluations annually. ADDITIONAL INFORMATION: We discussed the opportunity you have to decide which pathway you will use to secure the Stars for your program. One way to increase star ratings may be to participate in the rated license assessment. Check out the DCDEE website, “what’s new tab and click on QRIS Modernization for further information. You may contact me when you are ready to discuss this further. Thank you for your assistance during today’s visit. If you need any further assistance, please contact me at 336-894-0609. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0514 · Violation

Name of Operation: A NEW HOPE FOR ALL AFTERCARE LLC Facility ID: 29000763 Consultant: ANITA GRAHAM Operation Type: Center Case Number: Visit Date: 10/29/2025 Number Present: 16 Completed Date: 10/29/2025 Age: From 4 To 10 Total Minutes: 130 Time In: 02:50 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit has been to conduct the annual compliance monitoring. The last annual compliance visit was conducted on November 12, 2024. The facility operates with a Three (3)-Star license which was issued on June 1, 2023. Upon arrival to the facility, I was greeted by a staff member. I introduced myself and stated the purpose of my visit. The staff member informed me that the owner was not present, but she contacted miss Regina Davis who did arrive shortly and assisted me during the visit. Together we conducted a walkthrough of the inside and outside of the facility. The children were observed arriving from school, hand washing, having snacks, participating in teacher-directed group activities, indoor free play and leaving for the day. The last fire inspection was conducted on October 22, 2025, and was approved for day time care only. The last sanitation inspection was conducted on May 14, 2025. The facility achieved a ‘Superior’ classification. A full assessment of child care requirements was conducted on this date. I monitored program requirements, Equipment and Furnishings, supervision and staff/child ratios, medications, transportation, staff records and a sampling of children’s records. The following violations were observed, cited and technical assistance was provided. Violation Number Comment Rule 525 Menus for all meals and snacks were not planned at least 1 week ahead and dated. **There are no menus posted for the month of October.** 10A NCAC 09 .0901(b) 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. **An aerosol spray can was observed on the vehicle used to transport children** .2820(b) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. ****The staff files did not contain documentation of the annual health questionnaire** .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. **The staff files did not contain documentation of the annual staff development plans nor the staff evaluation.** 10A NCAC 09 .0514(f) The above violations must be corrected immediately and a compliance letter sent to my office stating how and when the items of non-compliance were addressed and corrected. The letter should reach my office by or before 5:00 pm, November 12, 2025. Please include the name and facility ID number on your program’s letterhead. Please close the letter with your electronic signature. If the letter has not been received by my office by 5:00pm, on November 12, 2025, a return visit may be necessary to ensure compliance with childcare requirements. You may submit the letter to anita.c.graham@dhhs.nc.gov. Please also submit the letter to my supervisor Kaye Adkins at kaye.adkins@dhhs.nc.gov. TECHINICAL ASSISTANCE: You were provided with the opportunity to ask questions regarding child care requirements. We discussed the areas of non-compliance. Please be advised that aerosol spray cans must be locked up when not in use. Menus must be posted for parent reference each week. Staff health questionnaires and emergency information must be updated annually. The provider must complete staff development plans and conduct staff evaluations annually. ADDITIONAL INFORMATION: We discussed the opportunity you have to decide which pathway you will use to secure the Stars for your program. One way to increase star ratings may be to participate in the rated license assessment. Check out the DCDEE website, “what’s new tab and click on QRIS Modernization for further information. You may contact me when you are ready to discuss this further. Thank you for your assistance during today’s visit. If you need any further assistance, please contact me at 336-894-0609. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: A NEW HOPE FOR ALL AFTERCARE LLC Facility ID: 29000763 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 4/30/2025 Number Present: 20 Completed Date: 4/30/2025 Age: From 4 To 10 Total Minutes: 65 Time In: 02:15 PM Time Out: 03:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance with applicable child care requirements. The facility currently operates with a Three-Star Child Care License that was issued on June 1, 2023. The last Sanitation Inspection was conducted on November 27, 2024, with a "Superior" classification and (6) demerits. The last Fire Inspection was conducted on October 28, 2024, and was approved for daytime care only. The last Fire Drill was conducted on March 31, 2025. The last Lock Down/ Shelter-in-Place was on February 10, 2025. The last Playground Inspection was conducted on April 28, 2025. Upon arrival, I was greeted by the teacher Jenny Burgess and the director, Regina Davis came five minutes later. I stated the purpose of my visit, and I walked through the facility where attendance was recorded, and observations were made. The 3 pre-K children were napping. The children were coming in from the bus and getting ready for snacks. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The grass was very high and needed to be cut for the safety of the children. 10A NCAC 09 .0601(a) 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. K. Berger's first aid training expired on 3/2025. .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. K. Berger's CPR training expired on 3/2025. .1102(d) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received in my office on, or before 5:00 PM May 13, 2025. • Each violation numbers. • How you corrected each violation. • The name of your center. • Facility ID number. • Date. • Title of the person who signs the letter. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received in my office by 5:00 PM May 13, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. Technical Assistance: Today we discussed that all first aid and CPR training must be current. You can contact Smart Start for availability. The grass on the playground was very high and needed to be cut. Tall grass can harbor snakes and mice that are harmful to children. Please make sure the grass is maintained. Reminder: Today is the last day to complete a fire drill for this month. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. UPDATES: UP-DATES: Checkout our “What’s New” at DCDEE website https://ncchildcare.ncdhhs.gov. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov . RESOURCES: -The Health and Safety Trainings are being offered on the Division’s website. Under the “SERVICES” tab look for “DCDEE Moodle”. These training courses are free, and participants will receive training certificates when completed. -For other upcoming ongoing training opportunities please visit your local Smart Start agency at: https://www.partnershipforchildren.org/ -Additional information can be found at https://www.childcareaware.org. -For information on recalls regarding children’s products, food, medicine, and other products please visit www.recalls.gov. You can also sign up for e-mail alerts for recalled products at this site. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. of North Carolina. Thank you for all that you do, to serve the children and families of North Carolina. 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 .1003 · Violation

Name of Operation: A NEW HOPE FOR ALL AFTERCARE LLC Facility ID: 29000763 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 18 Completed Date: 11/12/2024 Age: From 4 To 7 Total Minutes: 135 Time In: 02:30 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The facility currently operates with a Three-Star Child Care License that was issued on June 1, 2023. The last Sanitation Inspection was conducted on March 28, 2024, with a "Superior" classification and (6) demerits. The last Fire Inspection was conducted on October 28, 2024, and was approved for daytime care only. The last Fire Drill was conducted on October 31, 2024. The last Lock Down/ Shelter-in-Place was on November 1, 2024. The last Playground Inspection was conducted on November 1, 2024. Upon arrival I was greeted by the director, Regina Davis. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were coming in from the bus and having snacks. A checklist was used to note the requirements I monitored today. The North Carolina Department of the Secretary’s website was used to check the status of (A New Hope for All Aftercare LLC.) the corporation on November 07, 2024. The facility’s owner is current/active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. Today I monitored (3) children’s files. Today I monitored a 15 passenger Ford van, tag number KHT-7685 with a registration that expired in July 2024. The registration on this vehicle was expired but the director showed me receipt that she paid for it on November 7, 2024. When the new registration comes please send me a copy of the registration and a photo of it on the license. This vehicle is covered by the (Progressive Southeastern Insurance Co.) and is current until 3/16/2025. This van had a mounted fire extinguisher and first aid box. The tires and seatbelts were checked and found to be in good condition. All the children had their photo attached to their emergency information on board. Today attendance was not taken on the bus. During today’s visit the following violations were cited and technical assistance was offered. Violation Number Comment Rule 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Ms. Davis was short three hours for the year. .1103(a) 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The bus tag # KHT-7685 had an expired tag on it from July/2024. .1002(b) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child did not have permission to transport in the file. .1003(i)(j) 1128 For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. Attendance was not taken for 11/12/24. 10A NCAC 09 .1003(l) 1314 Emergency information did not name child's health care professional. One child's file did not contain medical choice in the event of an emergency on child's application. .0802(c)(2) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 PM November 25, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received to my office by 5:00 PM November 25, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violations may be documented if each violation has not been properly corrected or otherwise addressed. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. Technical Assistance: Today we discussed that all parents must sign a permission to transport every year. All parents must have a hospital of choice and the child’s pediatrician on the child’s application for emergency purposes. Attendance must be taken every day when the child steps on the bus. This way you can see who is absent to call the parents or school to check on them. In-service training must be completed on an annual basis according to your education. All bus inspections and insurance must not lapse. UPDATES: Please check our “What’s New” page on our website at DCDEE website https://ncchildcare.ncdhhs.gov COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov RESOURCES: -CBC qualifying letters are valid for five (5) years regardless of the date of issue. -The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. -For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: A NEW HOPE FOR ALL AFTERCARE LLC Facility ID: 29000763 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 9 Completed Date: 4/2/2024 Age: From 4 To 9 Total Minutes: 49 Time In: 12:32 PM Time Out: 01:21 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 complete a monitoring of Applicable Child Care requirements. The facility currently operates with a Three-Star Child Care License that was issued on June 1, 2023. The last Sanitation Inspection was completed on March 28, 2024, with a "Superior" classification and (6) demerits. The last Fire Inspection was conducted on September 27, 2023, and was approved for daytime care only. The last Fire Drill was conducted on March 21, 2024. The last Lock Down/ Shelter-in-Place was on November 30, 2023. The last Playground Inspection was conducted on March 28, 2024. Upon arrival, I was greeted by the director, Regina Davis. I stated the purpose of my visit, and I conducted a walkthrough of the facility where attendance was documented, and observations made. The children were sitting at a table playing a game. During today's visit, I completed a partial assessment of Applicable Child Care Requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. During today's visit the following violations were cited. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new hire did not have a physical in her file. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a copy of her qualifying letter in her file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown/shelter-in-place was conducted on November 30, 2023. .0604(u);.0302(d)(8) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received in my office on, or before 5:00 PM April 15, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. If a compliance letter is not received to my office by 5:00 PM April 15, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Technical Assistance: Today we discussed that all qualifying letters must be printed and placed in the staff files. We also discussed that lockdown or shelter in place must be practiced every three months. COVID-19 INFORMATION: Update: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. MOODLE: The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. RESOURCES: For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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: A NEW HOPE FOR ALL AFTERCARE LLC Facility ID: 29000763 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 9 Completed Date: 4/2/2024 Age: From 4 To 9 Total Minutes: 49 Time In: 12:32 PM Time Out: 01:21 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 complete a monitoring of Applicable Child Care requirements. The facility currently operates with a Three-Star Child Care License that was issued on June 1, 2023. The last Sanitation Inspection was completed on March 28, 2024, with a "Superior" classification and (6) demerits. The last Fire Inspection was conducted on September 27, 2023, and was approved for daytime care only. The last Fire Drill was conducted on March 21, 2024. The last Lock Down/ Shelter-in-Place was on November 30, 2023. The last Playground Inspection was conducted on March 28, 2024. Upon arrival, I was greeted by the director, Regina Davis. I stated the purpose of my visit, and I conducted a walkthrough of the facility where attendance was documented, and observations made. The children were sitting at a table playing a game. During today's visit, I completed a partial assessment of Applicable Child Care Requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. During today's visit the following violations were cited. Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One new hire did not have a physical in her file. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. One staff member did not have a copy of her qualifying letter in her file for review. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown/shelter-in-place was conducted on November 30, 2023. .0604(u);.0302(d)(8) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received in my office on, or before 5:00 PM April 15, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. If a compliance letter is not received to my office by 5:00 PM April 15, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Technical Assistance: Today we discussed that all qualifying letters must be printed and placed in the staff files. We also discussed that lockdown or shelter in place must be practiced every three months. COVID-19 INFORMATION: Update: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. MOODLE: The Health and Safety Trainings are being offered on the DCDEE website https://ncchildcare.ncdhhs.gov/ free of charge. Look for the ‘DCDEE Moodle’ tab under the ‘Services’ tab on the website. Health and Safety Trainings should be renewed every five (5) years. RESOURCES: For upcoming ongoing training opportunities please visit your local Smart Start agency at: https://partnershipforchildren.org. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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