G.S. 110-90 · Violation

Name of Operation: LITTLE HANDS Facility ID: 29000697 Consultant: ANITA GRAHAM Operation Type: Family CC Home Case Number: Visit Date: 11/5/2024 Number Present: 4 Completed Date: 11/5/2024 Age: From 0 To 6 Total Minutes: 168 Time In: 09:57 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit has been to monitor compliance with child care requirements for the Annual Compliance Visit. The facility currently operates with a Two (2) Star License that was issued on February 18, 2019. Upon arrival to the facility, I was greeted by Amparo Ibarra, Owner/operator, who assisted me during the visit. Attendance was taken and observations made. There are four(4) children present during today’s visit. The children were observed participating in indoor free play, routines and preparing for lunch. During today's visit, a full assessment of applicable Child Care Requirements was conducted including license posted, restrictions maintained, supervision, program and children’s records, caregiver training and CDC. I monitored for adequate approved space. The following violations were observed, cited and technical assistance and resource links was provided. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. Documentation of renewed training was not available for review. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. Documentation of renewed training was not available for review. .1703(a)(3) 920 Records were not made available for review. All information required for a drop-in was not available for review. G.S. 110-91(9) 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. A family member resided in the home has an expired qualifying letter. G.S. 110-90.2 & .2703(q) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator did not renew the health and safety trainings. .1703(d)(2) The above violations must be corrected immediately and a letter of compliance, submitted to the consultant listing the violation(s) cited and stating how and when they were corrected. Please include your facility name, ID number, and an electronic signature. Documentation should be provided. You may email the letter to me at anita.c.graham@dhhs.nc.gov. The letter should arrive at my office on or before November 19, 2024. If the letter does not reach my office by the required dated a return visit may be conducted to ensure compliance with child care requirements. You were provided an opportunity to ask question regarding child care requirement and technical assistance navigating the DCDEE MOODLE was provided. Please remember to complete the medication in child care training as well. We discussed preparing for the Rated License. You have stated that you will wait until 2025. We discussed the NCRLAP videos which are available on the website which may help as you prepare for the assessment. TECHNICAL ASSISTANCE: On-going training must be completed annually, and based on education, you are required to complete ten(10) hours of training annually. -Health and safety trainings must be complete every five years and should be included in on-going trainings annually. Criminal background checks are now required to be renewed every five years. Please ensure that these are applied for prior to expiration dates. H. Panes has a CBC that is expired. Once you have submitted paperwork for the criminal background qualification, it is important to monitor your email, for any information needed by the criminal background office in order to have qualification processed. Please ensure that parents provided all required information at enrollment and annually as required in rule. It is important that parents share any necessary information to provide quality care for the child. Such information should include, but not be limited to, particular fears the child may have, any allergies and possible symptoms, unique behavior characteristics, healthcare concerns, and the names of individuals that child may be released to. RESOURCES: Please continue to visit the DCDEE website for updated information regarding child care requirements, trainings and other available resources. https://ncchildcare.ncdhhs.gov https://nrckids.org/CFOC https://ncrlap.org/Resources AGENCY NEWS: Please visit our website for more information, at https://ncchildcare.ncdhhs.gov. Check out the ‘What’s New’ tab you will also be able to access information on Child Care Commission meetings. -North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or childcare. In response to Hurricane Helene, Governor Cooper issued Executive Order 319, which allowed for an extension for immunization and reporting deadlines. Read the details in the State Health Director’s Memo. (see link below) Starting November 1, 2024, children will have a 30-day grace period to show compliance with immunization requirements. The new deadline for Annual Immunization Reports is January 15, 2025. Finally, the Annual Immunization Reports for the 2024-25 school year are now open and can be completed. https://immunization.dph.ncdhhs.gov/memos/SHDmemoExecutiveOrder319.pdf https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report https://surveygizmolibrary.s3.amazonaws.com/library/12181/ChildCareAlchemerReportGuide.pdf Thank you for your assistance during today’s visit. If you have any questions or concerns, please e-mail me at anita.c.graham@dhhs.nc.gov or call me at 336-894-0609. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov or at 336-580-2527. 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: LITTLE HANDS Facility ID: 29000697 Consultant: ANITA GRAHAM Operation Type: Family CC Home Case Number: Visit Date: 11/5/2024 Number Present: 4 Completed Date: 11/5/2024 Age: From 0 To 6 Total Minutes: 168 Time In: 09:57 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit has been to monitor compliance with child care requirements for the Annual Compliance Visit. The facility currently operates with a Two (2) Star License that was issued on February 18, 2019. Upon arrival to the facility, I was greeted by Amparo Ibarra, Owner/operator, who assisted me during the visit. Attendance was taken and observations made. There are four(4) children present during today’s visit. The children were observed participating in indoor free play, routines and preparing for lunch. During today's visit, a full assessment of applicable Child Care Requirements was conducted including license posted, restrictions maintained, supervision, program and children’s records, caregiver training and CDC. I monitored for adequate approved space. The following violations were observed, cited and technical assistance and resource links was provided. Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification. Documentation of renewed training was not available for review. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. Documentation of renewed training was not available for review. .1703(a)(3) 920 Records were not made available for review. All information required for a drop-in was not available for review. G.S. 110-91(9) 1846 An individual over the age of 15, who resides in a family child care home or a center located in a residence on a permanent or temporary basis, or those who had their 16th birthday after the initial licensing of a family child care home; did not complete and submit required forms within five business days. A family member resided in the home has an expired qualifying letter. G.S. 110-90.2 & .2703(q) 2023 Operator and/or staff who work with children, did not complete health and safety training as part of on-going training so that every five years, all the topic areas were covered. The operator did not renew the health and safety trainings. .1703(d)(2) The above violations must be corrected immediately and a letter of compliance, submitted to the consultant listing the violation(s) cited and stating how and when they were corrected. Please include your facility name, ID number, and an electronic signature. Documentation should be provided. You may email the letter to me at anita.c.graham@dhhs.nc.gov. The letter should arrive at my office on or before November 19, 2024. If the letter does not reach my office by the required dated a return visit may be conducted to ensure compliance with child care requirements. You were provided an opportunity to ask question regarding child care requirement and technical assistance navigating the DCDEE MOODLE was provided. Please remember to complete the medication in child care training as well. We discussed preparing for the Rated License. You have stated that you will wait until 2025. We discussed the NCRLAP videos which are available on the website which may help as you prepare for the assessment. TECHNICAL ASSISTANCE: On-going training must be completed annually, and based on education, you are required to complete ten(10) hours of training annually. -Health and safety trainings must be complete every five years and should be included in on-going trainings annually. Criminal background checks are now required to be renewed every five years. Please ensure that these are applied for prior to expiration dates. H. Panes has a CBC that is expired. Once you have submitted paperwork for the criminal background qualification, it is important to monitor your email, for any information needed by the criminal background office in order to have qualification processed. Please ensure that parents provided all required information at enrollment and annually as required in rule. It is important that parents share any necessary information to provide quality care for the child. Such information should include, but not be limited to, particular fears the child may have, any allergies and possible symptoms, unique behavior characteristics, healthcare concerns, and the names of individuals that child may be released to. RESOURCES: Please continue to visit the DCDEE website for updated information regarding child care requirements, trainings and other available resources. https://ncchildcare.ncdhhs.gov https://nrckids.org/CFOC https://ncrlap.org/Resources AGENCY NEWS: Please visit our website for more information, at https://ncchildcare.ncdhhs.gov. Check out the ‘What’s New’ tab you will also be able to access information on Child Care Commission meetings. -North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or childcare. In response to Hurricane Helene, Governor Cooper issued Executive Order 319, which allowed for an extension for immunization and reporting deadlines. Read the details in the State Health Director’s Memo. (see link below) Starting November 1, 2024, children will have a 30-day grace period to show compliance with immunization requirements. The new deadline for Annual Immunization Reports is January 15, 2025. Finally, the Annual Immunization Reports for the 2024-25 school year are now open and can be completed. https://immunization.dph.ncdhhs.gov/memos/SHDmemoExecutiveOrder319.pdf https://survey.alchemer.com/s3/7955242/2024-2025-Child-Care-Immunization-Report https://surveygizmolibrary.s3.amazonaws.com/library/12181/ChildCareAlchemerReportGuide.pdf Thank you for your assistance during today’s visit. If you have any questions or concerns, please e-mail me at anita.c.graham@dhhs.nc.gov or call me at 336-894-0609. You may also contact my supervisor, Kaye Adkins, at kaye.adkins@dhhs.nc.gov or at 336-580-2527. 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 .0102 · Violation

Name of Operation: LITTLE HANDS Facility ID: 29000697 Consultant: ANITA GRAHAM Operation Type: Family CC Home Case Number: Visit Date: 7/18/2024 Number Present: 4 Completed Date: 7/18/2024 Age: From 1 To 7 Total Minutes: 65 Time In: 09:50 AM Time Out: 10:55 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Today, I conducted a routine unannounced visit to this family childcare home. The last annual compliance visit was conducted on November 13, 2023. The facility currently operates with a Two-Star License, which was issued on February 18, 2019. Upon arrival to the family childcare home Amparo Ibarra , owner/operator, greeted me. I stated the purpose of my visit and was assisted on a walkthrough of the facility. Attendance was taken and observations made. There are four preschool aged children and one school-aged present. The children range in age from 1 to 7 years old. The children were observed participating in indoor free play, outdoor free play, routines and resting. A partial assessment of childcare requirements was conducted this date and the following violations were observed, cited and technical assistance and resource links were provided. Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. .1713 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. The last documented fire drill was April 2024. The last documented playground inspection was April 2024. The EPR was not posted. .1721 (e)(7) 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The WPC was not available for Division Representative Review. .1712(e )(6) 1919 A First Aid Information sheet, complete with required information, was not posted for quick referral by staff. The First-Aid sheet was not posted nor available for Division Representative review. .1719(a )(14) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Lysol spray can, and disinfectant wipes were observed stored on open shelves and not in locked cabinets .1719(a)(6) The above violations must be corrected immediately. A letter listing each violation item number stating how it has been corrected and must be emailed to anita.c.graham@dhhs.nc.gov. Please submit the letter on business letterhead by August 1, 2024. Please include your facility name, ID number and an electronic signature in your e-mail. If I do not receive your letter a return visit may be required to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been addressed. You were provided an opportunity to ask questions regarding childcare requirements we discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. (b) (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; (c) ---------------------------------------------------------------------------- (d) (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pd (e) (e) The family child care home operator shall complete and maintain other records that include: (f) (1) documentation of the operator's Emergency Preparedness and Response Plan on a template provided by the Division of Emergency Management at http://rmp.nc.gov/portal/#; (g) (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (h) (A) Name of facility, time and date the form was completed; (i) (B) Signature of individual completing form; (j) (C) General inspection items; (k) (D) Surfacing; (l) (E) General hazard items; and (m) (F) Deterioration of equipment. (n) For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. RESOURCE LINKS: CHILD CARE RULES AND LAWS: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d CARING FOR OUR CHILDREN (CFOC) Standards: https://nrckids.org/CFOC If you have any questions or concerns., please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for your assistance during today's visit. 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 .1719 · Violation

Name of Operation: LITTLE HANDS Facility ID: 29000697 Consultant: ANITA GRAHAM Operation Type: Family CC Home Case Number: Visit Date: 7/18/2024 Number Present: 4 Completed Date: 7/18/2024 Age: From 1 To 7 Total Minutes: 65 Time In: 09:50 AM Time Out: 10:55 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Today, I conducted a routine unannounced visit to this family childcare home. The last annual compliance visit was conducted on November 13, 2023. The facility currently operates with a Two-Star License, which was issued on February 18, 2019. Upon arrival to the family childcare home Amparo Ibarra , owner/operator, greeted me. I stated the purpose of my visit and was assisted on a walkthrough of the facility. Attendance was taken and observations made. There are four preschool aged children and one school-aged present. The children range in age from 1 to 7 years old. The children were observed participating in indoor free play, outdoor free play, routines and resting. A partial assessment of childcare requirements was conducted this date and the following violations were observed, cited and technical assistance and resource links were provided. Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. .1713 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. The last documented fire drill was April 2024. The last documented playground inspection was April 2024. The EPR was not posted. .1721 (e)(7) 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The WPC was not available for Division Representative Review. .1712(e )(6) 1919 A First Aid Information sheet, complete with required information, was not posted for quick referral by staff. The First-Aid sheet was not posted nor available for Division Representative review. .1719(a )(14) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Lysol spray can, and disinfectant wipes were observed stored on open shelves and not in locked cabinets .1719(a)(6) The above violations must be corrected immediately. A letter listing each violation item number stating how it has been corrected and must be emailed to anita.c.graham@dhhs.nc.gov. Please submit the letter on business letterhead by August 1, 2024. Please include your facility name, ID number and an electronic signature in your e-mail. If I do not receive your letter a return visit may be required to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been addressed. You were provided an opportunity to ask questions regarding childcare requirements we discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. (b) (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; (c) ---------------------------------------------------------------------------- (d) (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pd (e) (e) The family child care home operator shall complete and maintain other records that include: (f) (1) documentation of the operator's Emergency Preparedness and Response Plan on a template provided by the Division of Emergency Management at http://rmp.nc.gov/portal/#; (g) (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (h) (A) Name of facility, time and date the form was completed; (i) (B) Signature of individual completing form; (j) (C) General inspection items; (k) (D) Surfacing; (l) (E) General hazard items; and (m) (F) Deterioration of equipment. (n) For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. RESOURCE LINKS: CHILD CARE RULES AND LAWS: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d CARING FOR OUR CHILDREN (CFOC) Standards: https://nrckids.org/CFOC If you have any questions or concerns., please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for your assistance during today's visit. 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 .1721 · Violation

Name of Operation: LITTLE HANDS Facility ID: 29000697 Consultant: ANITA GRAHAM Operation Type: Family CC Home Case Number: Visit Date: 7/18/2024 Number Present: 4 Completed Date: 7/18/2024 Age: From 1 To 7 Total Minutes: 65 Time In: 09:50 AM Time Out: 10:55 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced Today, I conducted a routine unannounced visit to this family childcare home. The last annual compliance visit was conducted on November 13, 2023. The facility currently operates with a Two-Star License, which was issued on February 18, 2019. Upon arrival to the family childcare home Amparo Ibarra , owner/operator, greeted me. I stated the purpose of my visit and was assisted on a walkthrough of the facility. Attendance was taken and observations made. There are four preschool aged children and one school-aged present. The children range in age from 1 to 7 years old. The children were observed participating in indoor free play, outdoor free play, routines and resting. A partial assessment of childcare requirements was conducted this date and the following violations were observed, cited and technical assistance and resource links were provided. Violation Number Comment Rule 904 Documentation of the operator’s emergency medical care plan to follow in the event of a child medical emergency, was not on file and available for review. .1713 923 Operator did not keep records of monthly fire drills, quarterly lockdown or shelter-in-place drills, incident reports, incident logs, accurate attendance, emergency numbers, emergency preparedness and response plan, field trip/transportation permission, pet vaccinations records and/or playground inspections monthly outdoor safety checks for a minimum of one year. The last documented fire drill was April 2024. The last documented playground inspection was April 2024. The EPR was not posted. .1721 (e)(7) 1718 The written plan of care was not given and explained to parents of children in care on or before the first day the child attended the home. Parents did not sign a statement acknowledging the receipt and explanation of the plan. Parents did not give written permission for their child to be transported by the operator for specific routine tasks that are included on the written schedule. The WPC was not available for Division Representative Review. .1712(e )(6) 1919 A First Aid Information sheet, complete with required information, was not posted for quick referral by staff. The First-Aid sheet was not posted nor available for Division Representative review. .1719(a )(14) 1940 Hazardous cleaning supplies and other items that might be poisonous e.g. toxic plants, were not out of reach or in locked storage when children were in care. Lysol spray can, and disinfectant wipes were observed stored on open shelves and not in locked cabinets .1719(a)(6) The above violations must be corrected immediately. A letter listing each violation item number stating how it has been corrected and must be emailed to anita.c.graham@dhhs.nc.gov. Please submit the letter on business letterhead by August 1, 2024. Please include your facility name, ID number and an electronic signature in your e-mail. If I do not receive your letter a return visit may be required to ensure that the violations have been adequately corrected. Additional violations may be documented if each violation has not been addressed. You were provided an opportunity to ask questions regarding childcare requirements we discussed each of the violations cited this date. TECHNICAL ASSISTANCE: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. (b) (6) records of monthly playground inspections documented on a checklist provided by the Division; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/playground.pdf; (c) ---------------------------------------------------------------------------- (d) (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website at https://ncchildcare.ncdhhs.gov/pdf_forms/EPR_EmergencyDrillLog_Centers.pd (e) (e) The family child care home operator shall complete and maintain other records that include: (f) (1) documentation of the operator's Emergency Preparedness and Response Plan on a template provided by the Division of Emergency Management at http://rmp.nc.gov/portal/#; (g) (2) documentation that monthly fire drills are practiced. The documentation shall include the date each drill is held, the time of day, the length of time taken to evacuate the home, and the operator's signature; 10A NCAC 09 .1721 REQUIREMENTS FOR RECORDS (5) documentation that a monthly check for hazards on the outdoor play area is completed. This form shall be supplied by the Division and shall be maintained in the family child care home for review by the Division. The form shall include the following information: (h) (A) Name of facility, time and date the form was completed; (i) (B) Signature of individual completing form; (j) (C) General inspection items; (k) (D) Surfacing; (l) (E) General hazard items; and (m) (F) Deterioration of equipment. (n) For items on the checklist the operator has to check if pass or fail, if fail identify the problem and solution. RESOURCE LINKS: CHILD CARE RULES AND LAWS: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Chapter_9_Child_Care_Rules_effective_1-1-2024.pdf?ver=Yh7EA3Q_V_dBhSwZ6rcTVg%3d%3d CARING FOR OUR CHILDREN (CFOC) Standards: https://nrckids.org/CFOC If you have any questions or concerns., please call me at 336-894-0609 or e-mail me at anita.c.graham@dhhs.nc.gov. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for your assistance during today's visit. 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