G.S. 110-90 · Violation

Name of Operation: ALL MY CHILDREN Facility ID: 04000143 Consultant: QUWANYA THOMPSON Operation Type: Family CC Home Case Number: Visit Date: 11/5/2025 Number Present: 3 Completed Date: 11/5/2025 Age: From 1 To 3 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for annual compliance with childcare requirements. At arrival I knocked on the door, and the Owner’s Husband, Mr. Ingram opened door. Mr. Ingram alerted Mrs. Ingram of my arrival. I stated the purpose of my visit and I walked to the living room where Mrs. Ingram and the children were watching television. I greeted Mrs. Ingram and stated the purpose of my visit. I proceeded with my walk through partially unassisted, while Mrs. Ingram sat with the children and then she assisted with the program files. This facilities annual compliance was delayed due to the owner/provider illness and that of her family members and she was temporarily closed. Mrs. Ingram has a total of five (5) children enrolled. During the visit children were observed playing in the “play room” in activity centers. Children were actively involved in dramatic play, and table toys. Children were served baked beans, sliced hot dogs, applesauce, bread, and milk for lunch. The attached checklist was used to note the requirements we monitored today. I received the verification of required information for operators and additional caregivers and FCCH and Centers located in a residence operator’s statements of responsibility during this visit. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. The provider currently does not provide transportation. INSPECTIONS: The last documented fire drill was conducted 11-3-25. The last documented shelter-in-place or lockdown drill was conducted 11-3-25 The last documented playground inspection was conducted 10/1/2025 Violation Number Comment Rule 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Application was started and never completed, the ncABCMS shows that the letter is expired. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1983 Children's special diets or food allergies were not posted in the food preparation area and/or in the child's eating area. There was no evidence of this requirement. .1706( e) 9999 All other rules must be followed even if there is not a specific violation number listed on this . There was nothing dedicated to a dirty toy bin for mouthed toys, this is a sanitation/environmental Health rule. Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. REQUIRED RESPONSE: You are required to always maintain compliance with all applicable childcare rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send an email (preferred) or two (2) signed corrections letters to the address below by Nov, 2025 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical Assistance: Criminal background checks are to be completed every five years for everyone living in your home. Place a calendar reminder in your phone to go online to complete the application in the DCDEE ABCDM portal and call the sheriff department to make an appointment for finger prints. *electronic fingerprints are automatically sent, make them aware that it is for the NC Division of Child development. Use this website to start and pay for you criminal background check. https://ncabcms.nc.gov/DCDEE/Home. I sent an email with the link as well. NC Pathway to Stars: Three new pathways: you also received a print out of what is required for Pathway two. Pathway one: Similar to the old rated assessment except you WILL have to have the environmental rating scale completed along with the self-assessment. Remember you determine which path is best for your business. Pathway two: This path you will have to do self-study and show that you have/met two to three categories in Family and Community Engagement Standards. Refer to the handout left with you. (Family and Community Engagement Standards). Pathway three: As a member NAFCC: has a self-study enrollment kit $385.00, Accreditation Application $615.00,18-month update fee $200.00 for a total of $1085.00 plus annual membership fee You have decided that you are interested in Pathway TWO: before you contact me, go to wwwlncrlap.org to start working on the self-study for the environmental rating scales. When you are ready email me the application that can be found on the https://ncchildcare.ncdhhs.gov/ to get started. You can CHANGE YOUR MIND AND apply for any pathway that you desire. Contact your local CCRI to assist you with getting ready. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: ALL MY CHILDREN Facility ID: 04000143 Consultant: QUWANYA THOMPSON Operation Type: Family CC Home Case Number: Visit Date: 11/5/2025 Number Present: 3 Completed Date: 11/5/2025 Age: From 1 To 3 Total Minutes: 375 Time In: 09:15 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for annual compliance with childcare requirements. At arrival I knocked on the door, and the Owner’s Husband, Mr. Ingram opened door. Mr. Ingram alerted Mrs. Ingram of my arrival. I stated the purpose of my visit and I walked to the living room where Mrs. Ingram and the children were watching television. I greeted Mrs. Ingram and stated the purpose of my visit. I proceeded with my walk through partially unassisted, while Mrs. Ingram sat with the children and then she assisted with the program files. This facilities annual compliance was delayed due to the owner/provider illness and that of her family members and she was temporarily closed. Mrs. Ingram has a total of five (5) children enrolled. During the visit children were observed playing in the “play room” in activity centers. Children were actively involved in dramatic play, and table toys. Children were served baked beans, sliced hot dogs, applesauce, bread, and milk for lunch. The attached checklist was used to note the requirements we monitored today. I received the verification of required information for operators and additional caregivers and FCCH and Centers located in a residence operator’s statements of responsibility during this visit. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management. The provider currently does not provide transportation. INSPECTIONS: The last documented fire drill was conducted 11-3-25. The last documented shelter-in-place or lockdown drill was conducted 11-3-25 The last documented playground inspection was conducted 10/1/2025 Violation Number Comment Rule 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). Application was started and never completed, the ncABCMS shows that the letter is expired. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1983 Children's special diets or food allergies were not posted in the food preparation area and/or in the child's eating area. There was no evidence of this requirement. .1706( e) 9999 All other rules must be followed even if there is not a specific violation number listed on this . There was nothing dedicated to a dirty toy bin for mouthed toys, this is a sanitation/environmental Health rule. Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. REQUIRED RESPONSE: You are required to always maintain compliance with all applicable childcare rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. REQUIRED RESPONSE: You shall correct the violation(s) immediately. Send an email (preferred) or two (2) signed corrections letters to the address below by Nov, 2025 The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical Assistance: Criminal background checks are to be completed every five years for everyone living in your home. Place a calendar reminder in your phone to go online to complete the application in the DCDEE ABCDM portal and call the sheriff department to make an appointment for finger prints. *electronic fingerprints are automatically sent, make them aware that it is for the NC Division of Child development. Use this website to start and pay for you criminal background check. https://ncabcms.nc.gov/DCDEE/Home. I sent an email with the link as well. NC Pathway to Stars: Three new pathways: you also received a print out of what is required for Pathway two. Pathway one: Similar to the old rated assessment except you WILL have to have the environmental rating scale completed along with the self-assessment. Remember you determine which path is best for your business. Pathway two: This path you will have to do self-study and show that you have/met two to three categories in Family and Community Engagement Standards. Refer to the handout left with you. (Family and Community Engagement Standards). Pathway three: As a member NAFCC: has a self-study enrollment kit $385.00, Accreditation Application $615.00,18-month update fee $200.00 for a total of $1085.00 plus annual membership fee You have decided that you are interested in Pathway TWO: before you contact me, go to wwwlncrlap.org to start working on the self-study for the environmental rating scales. When you are ready email me the application that can be found on the https://ncchildcare.ncdhhs.gov/ to get started. You can CHANGE YOUR MIND AND apply for any pathway that you desire. Contact your local CCRI to assist you with getting ready. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: ALL MY CHILDREN Facility ID: 04000143 Consultant: QUWANYA THOMPSON Operation Type: Family CC Home Case Number: Visit Date: 4/30/2025 Number Present: 3 Completed Date: 4/30/2025 Age: From 2 To 5 Total Minutes: 70 Time In: 12:50 PM Time Out: 02:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with childcare requirements. At arrival I knocked on the door, and the Owner’s Husband, Mr. Ingram opened door. Mr. Ingram alerted Mrs. Ingram of my arrival. I stated the purpose of my visit and I walked to the living room where Mrs. Ingram and the children were watching television. I greeted Mrs. Ingram and stated the purpose of my visit. I proceeded with my walk through partially unassisted, while Mrs. Ingram sat with the children and then she assisted with the program files. Mrs. Ingram has a total of six (6) children enrolled. During the visit children were observed watching television and playing with tables and some fine motor toys. Mrs. Ingram stated that they already had lunch which consisted of rice, chicken, string beans, and milk. I conducted a walkthrough of the facility, and the following items were monitored: supervision, staff/child ratio, CPR/first aid, IT-SIDS, CBC qualification, Emergency Medical Care Plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, permit restrictions, safe arrival and departure, and all required posted documents. All violations were corrected while the consultant was on site. Violation Number Comment Rule 705 All medicines, including refrigerated and unrefrigerated, were not kept in locked storage. Provider's personal medications and cough relief medication was on the table. .1719(a)(5) 706 Corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, and products under pressure in an aerosol dispenser and any substance that may be hazardous to a child if ingested, inhaled, or handled were not kept in locked storage when children were in care. Bleach and Fabulouso cleaning products were on the countertop in the kitchen. .1719 (a)(7) 716 Electrical outlets not in use were not covered. The kitchen electrical outlet near the table was uncovered. 10A NCAC .1719(a)(27) 1889 Products that are labeled "keep out of reach of children" without any other warnings, were not stored on a shelf or in an unlocked cabinet that is five feet above the finished floor. .1719(a)(7) Violations: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of childcare requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. REQUIRED RESPONSE: You are required to always maintain compliance with all applicable childcare rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. Technical assistance: I would suggest getting a lock box or place your personal medication in a cabinet in the kitchen and add a lock or keep these items in a locked bedroom where children do not have any access. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: ALL MY CHILDREN Facility ID: 04000143 Consultant: QUWANYA THOMPSON Operation Type: Family CC Home Case Number: Visit Date: 10/4/2024 Number Present: 1 Completed Date: 10/4/2024 Age: From 4 To 4 Total Minutes: 90 Time In: 07:30 AM Time Out: 09:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable child care requirements. Today’s visit was conducted with you, Ms. Ingram. This facility currently operates with a four star rated license effective April 28, 2020. Upon arrival, I was greeted by Mrs. Ingram. There was one child present, however the parent and the child was outside waiting for the HeadStart bus.. Children were observed wandering around the kitchen and the living room. The provider stated that she has one child that comes before Heads start and the other children arrive after 2:30pm from HeadStart and elementary school. The provider stated that she was leaving early to attend an doctors appointment. The attached checklist was used to note the requirements we monitored today. I received the verification of required information for operators and additional caregivers and FCCH and Centers located in a residence operator’s statements of responsibility during this visit. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management.. The provider currently does not provide transportation. INSPECTIONS: The last documented fire drill was conducted 10-2-24. The last documented shelter-in-place or lockdown drill was conducted 09-2-24 The last documented playground inspection was conducted 03-14-24(10/4/24) Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. last playground inspection form found was 3/14/24. 10A NCAC .1721(e)(5)(A-F) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. last attendance was taking on 9/30/2024. .1721(e)(6) 1831 A valid qualification letter was not on file and available for review at the facility. a resident did not have a current letter on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) Comments: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: (for any violations) You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by October 18, 2024. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited today may negatively affect this score. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: ALL MY CHILDREN Facility ID: 04000143 Consultant: QUWANYA THOMPSON Operation Type: Family CC Home Case Number: Visit Date: 10/4/2024 Number Present: 1 Completed Date: 10/4/2024 Age: From 4 To 4 Total Minutes: 90 Time In: 07:30 AM Time Out: 09:00 AM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable child care requirements. Today’s visit was conducted with you, Ms. Ingram. This facility currently operates with a four star rated license effective April 28, 2020. Upon arrival, I was greeted by Mrs. Ingram. There was one child present, however the parent and the child was outside waiting for the HeadStart bus.. Children were observed wandering around the kitchen and the living room. The provider stated that she has one child that comes before Heads start and the other children arrive after 2:30pm from HeadStart and elementary school. The provider stated that she was leaving early to attend an doctors appointment. The attached checklist was used to note the requirements we monitored today. I received the verification of required information for operators and additional caregivers and FCCH and Centers located in a residence operator’s statements of responsibility during this visit. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management.. The provider currently does not provide transportation. INSPECTIONS: The last documented fire drill was conducted 10-2-24. The last documented shelter-in-place or lockdown drill was conducted 09-2-24 The last documented playground inspection was conducted 03-14-24(10/4/24) Violation Number Comment Rule 714 Monthly check for hazards on the outdoor play area was not completed using a form supplied by the Division. last playground inspection form found was 3/14/24. 10A NCAC .1721(e)(5)(A-F) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. last attendance was taking on 9/30/2024. .1721(e)(6) 1831 A valid qualification letter was not on file and available for review at the facility. a resident did not have a current letter on file. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) Comments: Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: (for any violations) You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by October 18, 2024. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Violations cited today may negatively affect this score. Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: ALL MY CHILDREN Facility ID: 04000143 Consultant: QUWANYA THOMPSON Operation Type: Family CC Home Case Number: 1023-330L Visit Date: 11/14/2023 Number Present: 2 Completed Date: 11/14/2023 Age: From 1 To 2 Total Minutes: 105 Time In: 03:45 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate a complaint report, case #1033-330L, alleging that there is a concern of inadequate supervision. At arrival, I greeted the provider and stated the purpose of my visit. The visit was conducted with Barbara Ingram, Owner/provider. During the visit, the indoor spaces used by the children were observed, one child fell asleep while watching TV and another child was eating diced hot dogs. Staff/Child Ratio, Capacity, Supervision, use of licensed space, space capacity, license restrictions were monitored. The license and emergency care plan were posted. Staff/Child Ratio, Capacity was in compliance during today’s visit. There were two children present and full enrollment was not captured during this visit. Allegations: The report alleges that there are concerns of inadequate supervision. Findings: The provider was interviewed about the alleged incidents. She stated that she was not aware that the child was bitten on her back because she did not cry. She also stated that she has not given out any incident reports as she hasn’t had any incidents. When asked about incident reports, the provider stated that she is currently out of reports. Today’s supervision was observed, the provider was in the kitchen feeding a child, while another child was in the room next to the kitchen napping. I spoke with the reporter and via this discussion, I asked her to forward my information to another guardian that was in charge of picking up on the day of the incidents. The Guardian stated that when she took the child home to give her a bath, she saw a bite mark. She contacted Mrs., Ingram to make her aware of the incident. On another occasion, the guardian picked the child up and there was a scratch on her forehead, she asked Mrs. Ingram about the incident, and she replied, I will write you an incident report later. The guardian never received an incident report. This alleged complaint is unsubstantiated, due to know laws were determined to be out of compliance surrounding supervision. Violation Number Comment Rule 512 Incident reports were not complete and maintained in the child's file and/or were not signed by the person completing it and by the parent. An incident occurred at the school and the provider did not complete and incident report for the child. .1721(e)(3)(A-L) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Bleach, and an aerosol can of disinfectant was sitting on the kitchen countertop. .1719(a)(1)&(17) REQUIRED RESPONSE: You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 92% prior to today’s visit. Violations cited today may negatively affect this score. You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by November 28, 2023. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. On February 24th, NC opened vaccinations to child care staff. This means your staff are eligible, but it does not guarantee a vaccination as there is a limited supply. In view of this, DCDEE has collaborated with CCR&R and Smart Start to assist child care facilities. CCR&R staff will be contacting child care programs to ensure they have information about vaccination events in their respective areas and Smart Start staff are working with local vaccine providers to help make sure they’re ready to give shots to child care staff. For more information, please refer to the “How Child Care Programs Can Help Get Child Care Staff Vaccinated” page on the DCDEE website, under the Coronavirus Information tab. This will provide more information and helpful resources as you prepare to get your spot to take your shot. If you have questions, please email: DCDEE.childcare.vaccine.info@dhhs.nc.gov Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. Thank you for your time today and please contact me if I can assist you, QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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: ALL MY CHILDREN Facility ID: 04000143 Consultant: QUWANYA THOMPSON Operation Type: Family CC Home Case Number: Visit Date: 10/5/2023 Number Present: 4 Completed Date: 10/5/2023 Age: From 0 To 5 Total Minutes: 90 Time In: 01:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable child care requirements. Today’s visit was conducted with you, Ms. Ingram. This facility currently operates with a four star rated license effective April 28, 2020. Upon arrival, I was greeted by Mrs. Ingram and three children were present. Children were observed wandering around the kitchen and the living room. The provider stated that she just arrived to the facility. I asked the provider if the children went to the doctors visit with her and she stated that the children were watched by her sister. Later during the visit another child arrived via school bus from HeadStart. The attached checklist was used to note the requirements we monitored today. I received the verification of required information for operators and additional caregivers and FCCH and Centers located in a residence operator’s statements of responsibility during this visit. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management.. The provider currently does not provide transportation. INSPECTIONS: The last documented fire drill was conducted 10-3-22. The last documented shelter-in-place or lockdown drill was conducted 05-??-23. The last documented playground inspection was conducted 05-??-23. We discussed reapplying for her Rated License. Ms. Ingram has decided to wait and will decide later if she will have the environmental rating scale completed or drop to a lower star based on education only. I left a copy of the application. Please email or mail the application when you are ready to proceed. Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. Bleach, aerosol cans of disinfectant were in the kitchen on the countertops or sink. .1719 (a) (1) 705 All medicines, including refrigerated and unrefrigerated, were not kept in locked storage. There was a bag of random prescriptions medicines, and vitamin C on the kitchen table. .1719(a)(5) 806 Operator did not wash his/her hands before and after handling food and feeding the children.Children were given bananas from the kitchen table by the provider and the provider did not wash her hands. .1725(a)(7)(A) 816 Each child's hands were not washed before and after eating. two of the three children used hand sanitizer to clean hands, but no children used soap and water to wash hands before eating bananas. .1725(a)(7)(B) 908 Health questionnaire was not completed annually. There was no evidence of a current form. .1703(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance was last documented on september 29, 2023. .1721(e)(6) 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. playground safety, fire drills/lockdown and shelter in place, attendance (9/29/30)were not completed. .1721 (e)(7) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. There was no schedule or activity plan available. G.S.110-91(12) & .1718(a)(6) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. Provider was asked if the children went to the doctors visit with her, and she stated "my sister watched the children for me". There is no names on the written plan of care to document who will supervise children during the providers absence. .1712(e )(2) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: (for any violations) You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by October 29, 2023. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 94% prior to today’s visit. Violations cited today may negatively affect this score. Technical assistance: If you decide to close for vacation or illness send me an email, text, or call to update me on your plans. Rated License: We discussed the current Harmless Hold Status on facilities Rated Licenses which expired on August 15, 2022. I explained that all facilities can retained the current star rating until six months after Governor Cooper issues an order to rescind Executive Order No. 116 Declaration of a State of Emergency to Coordinate Response and Protective Actions to Prevent the Spread of COVID-19. This due date has ended and you were emailed next steps prior to this visit. You are in Cohort. During this interim time, I suggested that you take the following steps if you decide to proceed with having the environmental rating scales. • Contact Anson county Partnership for children for technical assistance for the environmental rating scales. • Look through all books and take out any torn or ones in poor repair • Display more children’s art work, (two per child is idea) • Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources • NC Additional Notes: FCCERS-R • Books in Poor Repair: FCCERS-R • Health Reminders for the FCCERS-R • Language for learning: Infants and Toddlers (video) • Summary of Lowest Scoring Items and Indicators for the FCCERS-R Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: ALL MY CHILDREN Facility ID: 04000143 Consultant: QUWANYA THOMPSON Operation Type: Family CC Home Case Number: Visit Date: 10/5/2023 Number Present: 4 Completed Date: 10/5/2023 Age: From 0 To 5 Total Minutes: 90 Time In: 01:30 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced annual compliance visit today was to monitor this program for compliance with applicable child care requirements. Today’s visit was conducted with you, Ms. Ingram. This facility currently operates with a four star rated license effective April 28, 2020. Upon arrival, I was greeted by Mrs. Ingram and three children were present. Children were observed wandering around the kitchen and the living room. The provider stated that she just arrived to the facility. I asked the provider if the children went to the doctors visit with her and she stated that the children were watched by her sister. Later during the visit another child arrived via school bus from HeadStart. The attached checklist was used to note the requirements we monitored today. I received the verification of required information for operators and additional caregivers and FCCH and Centers located in a residence operator’s statements of responsibility during this visit. I monitored the following items today: Supervision, Staff/child ratio, health, safety, program and management.. The provider currently does not provide transportation. INSPECTIONS: The last documented fire drill was conducted 10-3-22. The last documented shelter-in-place or lockdown drill was conducted 05-??-23. The last documented playground inspection was conducted 05-??-23. We discussed reapplying for her Rated License. Ms. Ingram has decided to wait and will decide later if she will have the environmental rating scale completed or drop to a lower star based on education only. I left a copy of the application. Please email or mail the application when you are ready to proceed. Violation Number Comment Rule 702 Potentially hazardous items, including but not limited to, power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children were not stored in locked areas, removed from the premises, or otherwise inaccessible to children. Bleach, aerosol cans of disinfectant were in the kitchen on the countertops or sink. .1719 (a) (1) 705 All medicines, including refrigerated and unrefrigerated, were not kept in locked storage. There was a bag of random prescriptions medicines, and vitamin C on the kitchen table. .1719(a)(5) 806 Operator did not wash his/her hands before and after handling food and feeding the children.Children were given bananas from the kitchen table by the provider and the provider did not wash her hands. .1725(a)(7)(A) 816 Each child's hands were not washed before and after eating. two of the three children used hand sanitizer to clean hands, but no children used soap and water to wash hands before eating bananas. .1725(a)(7)(B) 908 Health questionnaire was not completed annually. There was no evidence of a current form. .1703(a)(1) 921 Operator did not maintain accurate daily attendance records including documentation of arrival and departure for all children in care, including the operator's own preschool children. Attendance was last documented on september 29, 2023. .1721(e)(6) 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. playground safety, fire drills/lockdown and shelter in place, attendance (9/29/30)were not completed. .1721 (e)(7) 929 Developmentally appropriate activities for the ages of children in care, were not provided as planned on the written schedule and activity plan. There was no schedule or activity plan available. G.S.110-91(12) & .1718(a)(6) 1714 The written plan of care did not specify the names of individuals who will be responsible for the care of children when the operator attends to routine tasks. Provider was asked if the children went to the doctors visit with her, and she stated "my sister watched the children for me". There is no names on the written plan of care to document who will supervise children during the providers absence. .1712(e )(2) Any Violations observed today were discussed with you and documented on the visit summary and left with you at the conclusion of this visit. The following violations of child care requirements were cited during today’s visit and must be corrected immediately. Technical assistance on how to maintain compliance with the violations cited today was provided. Comments: It is important for licensed providers to be knowledgeable of all the licensing requirements that apply to their type of program. Child care consultants can make unannounced visits at any time. It is the provider's responsibility to be in compliance with all the applicable laws and rules. REQUIRED RESPONSE: (for any violations) You shall correct the violation(s) immediately. Send two (2) signed corrections letters to the address below by October 29, 2023. The format to follow is: -Name of your facility, -ID number, -date of the visit, -date you are submitting the letter, -citing each violation number, -when AND how it was corrected AND how you will prevent the reoccurrence of this violation, -Close with YOUR SIGNATURE REQUIRED RESPONSE: If it is stated in your correction letter that corrections have been made when they have not, this will be considered falsification of information. If you cannot meet the requirements by this date, you must contact me with a proposed timeline of the corrections. In some cases, the timeline may be extended. You are required to always maintain compliance with all applicable child care rules and regulations. NC GS 110-90(4)(d) requires all child care facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 94% prior to today’s visit. Violations cited today may negatively affect this score. Technical assistance: If you decide to close for vacation or illness send me an email, text, or call to update me on your plans. Rated License: We discussed the current Harmless Hold Status on facilities Rated Licenses which expired on August 15, 2022. I explained that all facilities can retained the current star rating until six months after Governor Cooper issues an order to rescind Executive Order No. 116 Declaration of a State of Emergency to Coordinate Response and Protective Actions to Prevent the Spread of COVID-19. This due date has ended and you were emailed next steps prior to this visit. You are in Cohort. During this interim time, I suggested that you take the following steps if you decide to proceed with having the environmental rating scales. • Contact Anson county Partnership for children for technical assistance for the environmental rating scales. • Look through all books and take out any torn or ones in poor repair • Display more children’s art work, (two per child is idea) • Access the resources for your upcoming assessment at www.ncrlap.org. On the first page there is a section that allows you to access resources • NC Additional Notes: FCCERS-R • Books in Poor Repair: FCCERS-R • Health Reminders for the FCCERS-R • Language for learning: Infants and Toddlers (video) • Summary of Lowest Scoring Items and Indicators for the FCCERS-R Resources: Visit the DCDEE website at https://ncchildcare.ncdhhs.gov/. This website contains provider resources, new rules, and updates. Practice the three W's: Wear, Wait, Wash •Wear a cloth face covering if you will be with other people •Wait 6 feet apart. Avoid close contact. •Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer. You may contact me for any concerns or assistance at QuWanya Thompson Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education P.O. Box 6682 Concord, NC 28027 QuWanya.Thompson@dhhs.nc.gov 704-785-0981 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