NC GS 110-90 · Violation

Name of Operation: CUDDLE BUGS DAY CARE Facility ID: 34000254 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 1/14/2026 Number Present: 4 Completed Date: 1/14/2026 Age: From 1 To 3 Total Minutes: 188 Time In: 08:52 AM Time Out: 12:00 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 your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valerie Bowman, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 5/03/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; fireplace/wood stove not used during operating hours, and serves no more than two infants under age one. The program’s compliance history was 97% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Bowman stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys and engaging in conversations, general routines and other activities with Ms. Bowman during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today and found to be in compliance. A playground inspection was recorded 12/30/2025. A fire drill was recorded 12/30/2025. A shelter in place drill for the facility was recorded on 11/17/25. There is currently one pet in the home, and all required vaccination records were observed to be current and on file. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1920 Indoor and outdoor area was not checked daily for debris, vandalism, broken equipment, and animal waste. Goat droppings were observed to have come through the fencing and onto the playground used by children in care. .1719(a)(17) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 1/28/2026. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 4948 Martin View Lane Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: Goat droppings were observed to have come through the fencing and onto the playground used by children in care. It is important for the outdoor learning environment to be free of animal waste so it is a safe and healthy place for children to explore and engage with at all times. Ms. Bowman stated she was unaware this had occurred and will create a barrier either inside or outside of the fencing to prevent this from continuing moving forward. Consultation provided during today’s visit: Remember to renew or update the following certifications, qualifications, and vaccinations due to expire in 2026: • Criminal Background Check Qualification Letter (renew by 7/02/2026) • CPR/FA Certification (renew by 9/08/2026) • ITS SIDS Certification (renew by 11/07/2026) • Rabies Vaccine for pet (10/17/2026) As the Hold Harmless period has ended, and preparations for the new QRIS Modernization process are underway, I have included the link below to DCDEE’s NC Child Care Commission’s QRIS Modernization Plan (QRIS Reform) website link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ Additionally, you may consider reaching out to local partners at Child Care Resource Center and/or Smart Start of Forsyth County. Their teams are working diligently to support programs with training and more detailed information on the ERS-3 at this time. Beginning in October, child care consultants began discussing the new rules in Section .3200; Standards for Two through Five Star Rated Licenses during licensing visits. Consultants will review the pathway options, identify facility needs, answer questions, and work with the facility operator to establish an individualized timeline for transition to a new rated license. Ms. Bowman stated she is still considering which Pathway she will choose; she is currently deciding between the Program Assessment Pathway or Classroom & Instructional Quality Pathway. If Ms. Bowman chooses the Program Assessment Pathway, she stated she will likely begin the process in April, 2026, and if she chooses the Classroom & Instructional Quality Pathway, she will plan to begin the process in September, 2026. On-Going Professional Development In addition to the required Health and Safety Trainings, staff can access professional development training on the DCDEE website in Moodle under Early Childhood Professional Development in the categories of Child Care and Development Fund (CCDF), Orientation and Regulatory. Updated training modules are being added, including a Child Care Rule Rollout with new rules effective July 1, 2025, found under the Regulatory tab. Specifically, under the Orientation tab, I would encourage all staff to complete the training for “Child Development Module.” This training module provides a basic overview about child development and is designed to help early educators support infants, toddlers, and preschool children to reach their next developmental milestone. In addition to gaining introductory knowledge about child development, early educators will learn about the many resources and professional agencies available in North Carolina to help with promoting a responsive and engaging learning environment to support all children served. Upon completion, participants will receive one (1) contact hour credit (CHC). An individual NCID username and password is needed to access the DCDEE Moodle. If you experience problems with Moodle, contact dcdee_moodle_support@dhhs.nc.gov for assistance. For other training-related questions, please contact the Training and Program Development Consultant, Amia Eaton by calling (919) 814-6365 or emailing her at Amia.Eaton@dhhs.nc.gov At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@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 .1719 · Violation

Name of Operation: CUDDLE BUGS DAY CARE Facility ID: 34000254 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 12/18/2024 Number Present: 3 Completed Date: 12/18/2024 Age: From 2 To 3 Total Minutes: 95 Time In: 10:25 AM Time Out: 12:00 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 your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Valerie Bowman, Operator, assisted me with the visit. Your program currently operates with a 5-Star license effective 5/03/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; fireplace/wood stove not used during operating hours, and serves no more than two infants under age one. The program’s compliance history was 98% prior to today’s visit. All programs are required to maintain at least 75% compliance. Today, the following items were monitored: • Supervision • Capacity • CPR / First Aid • ITS-SIDS • CBC Qualification • General Health • Administering of Medication • Storage of Hazardous Products • Storage of Medication • General Safety • General License Requirements • Program Records • License Posted • Fire Safety • Sanitation The license was observed, and the restrictions were found in compliance. Mrs. Bowman stated she is the only person living in the home. Be reminded that you must have a criminal record check conducted every five (5) years. You may go to the Division of Child Development & Early Education's website at https://ncchildcare.ncdhhs.gov and complete this process six (6) months prior to the expiration date on your qualifying letter. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed the children in care playing with toys, engaging in conversations, general routines and other activities with Ms. Bowman, and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Recognizing and Responding to Suspicions of Child Abuse and Maltreatment, ITS-SIDS, and Criminal Background Checks. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 11/26/2024. A fire drill was recorded 11/26/2024. A shelter in place drill for the facility was recorded on 11/26/24. There are currently two pets in the home, and all required vaccination records were observed to be current and on file. The program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 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. One small pump bottle of hand sanitizer was observed on top of the mini fridge less than five feet from the ground. .1719 (a)(7) 1922 Plastic bags, toys, and toy parts small enough to be swallowed, including but not limited to materials that can be easily torn apart such as foam rubber and styrofoam, were accessible to children under the age of three. Two plastic shopping bags with materials inside were observed on top of a child-sized table accessible to children under the age of three years old. On the Christmas tree observed in the space designated for child care, plastic-wrapped candy canes and ornaments with small, metal hooks were observed hanging less than five feet from the ground. .1719(a)(18) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided during today’s visit: Two plastic shopping bags with materials inside were observed on top of a child-sized table accessible to children under the age of three years old. On the Christmas tree observed in the space designated for child care, plastic-wrapped candy canes and ornaments with small, metal hooks were observed hanging less than five feet from the ground; each of these could present a potential choking hazard. Ms. Bowman made these bags, candy canes, and hooks inaccessible to children during the visit. One small pump bottle of hand sanitizer was observed on top of the mini fridge less than five feet from the ground; this pump was placed greater than five feet from the ground during the visit. Consultation provided during today’s visit: The Winston-Salem/Forsyth County Unified Development Ordinances (UDO) are the compilation of regulations that govern land use, which include the Zoning Ordinance, the Environmental Ordinance, and the Subdivision Ordinance/Regulations. Chapter 5 Use Standards Section 5.2 Use-Specific Standards (WINSTON-SALEM/FORSYTH COUNTY UDO 5-27 LAST UPDATED: 7.27.23) states the following: 5.2.21 CHILD DAY CARE (SMALL HOME) C. OUTDOOR SPACE 2. Such outdoor play area shall be enclosed by a minimum four (4) foot tall security fence. 3. Outdoor activities shall be limited to the fenced area between 8:00 a.m. and 8:00 p.m. 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a)(27) North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@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 .0607 · Violation

Name of Operation: CUDDLE BUGS DAY CARE Facility ID: 34000254 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/15/2024 Number Present: 7 Completed Date: 7/15/2024 Age: From 2 To 10 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valerie Bowman, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, fireplace/wood stove not used during operating hours, a maximum of five preschoolers at any time, and serves no more than two infants under age one. Ms. Bowman stated she does not currently use an Additional Caregiver and is only operating during first shift at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed seven (7) children in care playing with toys, engaging in conversations, eating lunch, napping, and participating in general routines with Ms. Bowman during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 7/18/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator. I discussed all information on the forms with Ms. Bowman during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 6/28/2024. The most recent shelter-in-place drill was documented on 5/24/2024. The last outdoor inspection was documented on 6/27/2024. There are three pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Bowman stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. A Pet Acknowledgement form for each child enrolled did not contain information for one dog kept in the home. 10 NCAC 09 .1719(b)(3) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before 7/29/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: A Pet Acknowledgement form for each child enrolled did not contain information for one dog kept in the home. It is important for Pet Acknowledgement forms to remain current and updated to ensure parents of children enrolled are aware of all pets located on the premises. Ms. Bowman stated this pet is new and has been at the home for a couple of months and that adding the pet to the form was accidentally overlooked. You may consider reviewing these forms quarterly to ensure no updates are needed. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Bowman during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (18) 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bowman confirmed during today’s visit that the email was received and provided information that she completed enrollment on 2/29/2024. • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.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 .1711 · Violation

Name of Operation: CUDDLE BUGS DAY CARE Facility ID: 34000254 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/15/2024 Number Present: 7 Completed Date: 7/15/2024 Age: From 2 To 10 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valerie Bowman, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, fireplace/wood stove not used during operating hours, a maximum of five preschoolers at any time, and serves no more than two infants under age one. Ms. Bowman stated she does not currently use an Additional Caregiver and is only operating during first shift at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed seven (7) children in care playing with toys, engaging in conversations, eating lunch, napping, and participating in general routines with Ms. Bowman during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 7/18/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator. I discussed all information on the forms with Ms. Bowman during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 6/28/2024. The most recent shelter-in-place drill was documented on 5/24/2024. The last outdoor inspection was documented on 6/27/2024. There are three pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Bowman stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. A Pet Acknowledgement form for each child enrolled did not contain information for one dog kept in the home. 10 NCAC 09 .1719(b)(3) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before 7/29/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: A Pet Acknowledgement form for each child enrolled did not contain information for one dog kept in the home. It is important for Pet Acknowledgement forms to remain current and updated to ensure parents of children enrolled are aware of all pets located on the premises. Ms. Bowman stated this pet is new and has been at the home for a couple of months and that adding the pet to the form was accidentally overlooked. You may consider reviewing these forms quarterly to ensure no updates are needed. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Bowman during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (18) 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bowman confirmed during today’s visit that the email was received and provided information that she completed enrollment on 2/29/2024. • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.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 .1719 · Violation

Name of Operation: CUDDLE BUGS DAY CARE Facility ID: 34000254 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/15/2024 Number Present: 7 Completed Date: 7/15/2024 Age: From 2 To 10 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valerie Bowman, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, fireplace/wood stove not used during operating hours, a maximum of five preschoolers at any time, and serves no more than two infants under age one. Ms. Bowman stated she does not currently use an Additional Caregiver and is only operating during first shift at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed seven (7) children in care playing with toys, engaging in conversations, eating lunch, napping, and participating in general routines with Ms. Bowman during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 7/18/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator. I discussed all information on the forms with Ms. Bowman during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 6/28/2024. The most recent shelter-in-place drill was documented on 5/24/2024. The last outdoor inspection was documented on 6/27/2024. There are three pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Bowman stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. A Pet Acknowledgement form for each child enrolled did not contain information for one dog kept in the home. 10 NCAC 09 .1719(b)(3) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before 7/29/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: A Pet Acknowledgement form for each child enrolled did not contain information for one dog kept in the home. It is important for Pet Acknowledgement forms to remain current and updated to ensure parents of children enrolled are aware of all pets located on the premises. Ms. Bowman stated this pet is new and has been at the home for a couple of months and that adding the pet to the form was accidentally overlooked. You may consider reviewing these forms quarterly to ensure no updates are needed. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Bowman during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (18) 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bowman confirmed during today’s visit that the email was received and provided information that she completed enrollment on 2/29/2024. • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.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

NC GS 110-90 · Violation

Name of Operation: CUDDLE BUGS DAY CARE Facility ID: 34000254 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/15/2024 Number Present: 7 Completed Date: 7/15/2024 Age: From 2 To 10 Total Minutes: 210 Time In: 08:45 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Child Care Consultant, with Valerie Bowman, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, fireplace/wood stove not used during operating hours, a maximum of five preschoolers at any time, and serves no more than two infants under age one. Ms. Bowman stated she does not currently use an Additional Caregiver and is only operating during first shift at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 96% prior to today’s visit. All programs are required to maintain at least 75% compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed seven (7) children in care playing with toys, engaging in conversations, eating lunch, napping, and participating in general routines with Ms. Bowman during the visit. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 7/18/2023. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator. I discussed all information on the forms with Ms. Bowman during the visit. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored. The last fire drill was conducted on 6/28/2024. The most recent shelter-in-place drill was documented on 5/24/2024. The last outdoor inspection was documented on 6/27/2024. There are three pets inside the home, and all vaccinations were observed to be current and on file. Staff files and children’s records were monitored per DCDEE procedures. Storage of hazardous items was monitored today and found to be in compliance. No medications were observed nor reported. Ms. Bowman stated the program does not provide transportation or participate in off-premise or aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 1741 Prior to enrollment of children in a Family Child Care Home, and before animals come into the Family Child Care Home, the operator did not obtain each parent's signature on a form acknowledging the type of animal located on the premises and where the animal will be kept during child care operating hours and /or the signed form was not maintained in the child's file. A Pet Acknowledgement form for each child enrolled did not contain information for one dog kept in the home. 10 NCAC 09 .1719(b)(3) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violation cited during today's visit immediately and send me documentation verifying compliance on or before 7/29/2024. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided following today’s visit: A Pet Acknowledgement form for each child enrolled did not contain information for one dog kept in the home. It is important for Pet Acknowledgement forms to remain current and updated to ensure parents of children enrolled are aware of all pets located on the premises. Ms. Bowman stated this pet is new and has been at the home for a couple of months and that adding the pet to the form was accidentally overlooked. You may consider reviewing these forms quarterly to ensure no updates are needed. Consultation provided following today’s visit: The following Child Care Rules were reviewed with Ms. Bowman during the visit: 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (18) 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (c) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Bowman confirmed during today’s visit that the email was received and provided information that she completed enrollment on 2/29/2024. • You must notify your consultant 30 days prior to changing the ownership status of your facility. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown (Office) 336-408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information, please visit the DCDEE website www.ncchildcare.ncdhhs.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 .1715 · Violation

Name of Operation: CUDDLE BUGS DAY CARE Facility ID: 34000254 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/18/2023 Number Present: 7 Completed Date: 7/18/2023 Age: From 1 To 10 Total Minutes: 295 Time In: 10:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Valerie Bowman, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, fireplace/ wood stove not used during operating hours, and no more than two children under one year of age. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Next to the outdoor learning environment is a pool completely enclosed by a locked four-foot fence. Three plastic bags were observed accessible to children in the space designated for child care; Ms. Bowman made these bags inaccessible to the children during the visit. One black plastic garbage bag was observed in a bathroom drawer accessible to children; Ms. Bowman removed this bag from the drawer during the visit. One small plastic nonstationary playhouse was observed to have a small hole, sharp to the touch. This same playhouse also has two bolts securing a plastic ledge which were observed to be rusting. A second small plastic nonstationary playhouse was observed to have a crack on the wall inside, which was sharp to the touch. A larger plastic nonstationary play structure located toward the middle of the play area was observed to have two cracked holes sharp to the touch on the left side of the structure and one crack sharp to the touch on the right side which presents a potential pinching hazard. One small plastic slide was observed to have a crack which was sharp to the touch. One small section of plastic lattice serving as part of the fencing was observed to be cracked and sharp to the touch, and a sharp rusted screw was observed to have come unsecured from the lattice. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing with toys, engaging in conversations, with Ms. Bowman, and eating lunch during the visit. Ms. Bowman uses the Child Nutrition food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/05/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Bowman does not use an additional caregiver at this time. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored and found to be in compliance. The last fire drill was conducted on 7/12/2023. The most recent shelter-in-place drill was documented on 5/22/2023. The last outdoor inspection was also documented on 7/12/2023. There are currently two pets at this facility; all required vaccination documentation and Pet Acknowledgement Forms were current and on file for review. Ms. Bowman does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures and found to be in compliance. Storage of hazardous items was monitored today. The First Aid kit was observed to contain alcohol wipes and New Skin, all labeled Keep Out of Reach of Children with additional warnings. This kit was inaccessible to children, but Ms. Bowman placed the above items into locked storage during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. The medication authorization form for sunscreen for one child was not on file for review. Ms. Bowman stated the program does not currently provide transportation or participate in off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Three plastic bags were observed accessible to children in the space designated for child care; Ms. Bowman made these bags inaccessible to the children during the visit. One black plastic garbage bag was observed in a bathroom drawer accessible to children; Ms. Bowman removed this bag from the drawer during the visit. One small plastic nonstationary playhouse was observed to have a small hole, sharp to the touch. This same playhouse also has two bolts securing a plastic ledge which were observed to be rusting. A second small plastic nonstationary playhouse was observed to have a crack on the wall inside, which was sharp to the touch. A larger plastic nonstationary play structure located toward the middle of the play area was observed to have two cracked holes sharp to the touch on the left side of the structure and one crack sharp to the touch on the right side which presents a potential pinching hazard. One small plastic slide was observed to have a crack which was sharp to the touch. One small section of plastic lattice serving as part of the fencing was observed to be cracked and sharp to the touch, and a sharp rusted screw was observed to have come unsecured from the lattice. The First Aid kit was observed to contain alcohol wipes and New Skin, all labeled Keep Out of Reach of Children with additional warnings. This kit was inaccessible to children, but Ms. Bowman placed the above items into locked storage during the visit. 10A NCAC 09 .1719 (a) 2029 Medication authorization, as required by the medical action plan, did not include the specific information and instructions noted by the parent and/or physician as documented the medical action plan. The medication authorization form for sunscreen for one child was not on file for review. .1721(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/01/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Bowman during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (5) information about services provided by the operator, such as before and after school care, and transportation; (7) a schedule of daily, weekly, and monthly cleaning duties Please consider adding your cat, Shadow, to your pets listed in your Operational Policies. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the outdoor environment and the inside of nonstationary structures for dead insects, insect nests, and cobwebs prior to the children using the playground daily. • Please pressure wash all outdoor equipment used by children enrolled. - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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 .1719 · Violation

Name of Operation: CUDDLE BUGS DAY CARE Facility ID: 34000254 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/18/2023 Number Present: 7 Completed Date: 7/18/2023 Age: From 1 To 10 Total Minutes: 295 Time In: 10:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Valerie Bowman, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, fireplace/ wood stove not used during operating hours, and no more than two children under one year of age. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Next to the outdoor learning environment is a pool completely enclosed by a locked four-foot fence. Three plastic bags were observed accessible to children in the space designated for child care; Ms. Bowman made these bags inaccessible to the children during the visit. One black plastic garbage bag was observed in a bathroom drawer accessible to children; Ms. Bowman removed this bag from the drawer during the visit. One small plastic nonstationary playhouse was observed to have a small hole, sharp to the touch. This same playhouse also has two bolts securing a plastic ledge which were observed to be rusting. A second small plastic nonstationary playhouse was observed to have a crack on the wall inside, which was sharp to the touch. A larger plastic nonstationary play structure located toward the middle of the play area was observed to have two cracked holes sharp to the touch on the left side of the structure and one crack sharp to the touch on the right side which presents a potential pinching hazard. One small plastic slide was observed to have a crack which was sharp to the touch. One small section of plastic lattice serving as part of the fencing was observed to be cracked and sharp to the touch, and a sharp rusted screw was observed to have come unsecured from the lattice. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing with toys, engaging in conversations, with Ms. Bowman, and eating lunch during the visit. Ms. Bowman uses the Child Nutrition food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/05/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Bowman does not use an additional caregiver at this time. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored and found to be in compliance. The last fire drill was conducted on 7/12/2023. The most recent shelter-in-place drill was documented on 5/22/2023. The last outdoor inspection was also documented on 7/12/2023. There are currently two pets at this facility; all required vaccination documentation and Pet Acknowledgement Forms were current and on file for review. Ms. Bowman does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures and found to be in compliance. Storage of hazardous items was monitored today. The First Aid kit was observed to contain alcohol wipes and New Skin, all labeled Keep Out of Reach of Children with additional warnings. This kit was inaccessible to children, but Ms. Bowman placed the above items into locked storage during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. The medication authorization form for sunscreen for one child was not on file for review. Ms. Bowman stated the program does not currently provide transportation or participate in off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Three plastic bags were observed accessible to children in the space designated for child care; Ms. Bowman made these bags inaccessible to the children during the visit. One black plastic garbage bag was observed in a bathroom drawer accessible to children; Ms. Bowman removed this bag from the drawer during the visit. One small plastic nonstationary playhouse was observed to have a small hole, sharp to the touch. This same playhouse also has two bolts securing a plastic ledge which were observed to be rusting. A second small plastic nonstationary playhouse was observed to have a crack on the wall inside, which was sharp to the touch. A larger plastic nonstationary play structure located toward the middle of the play area was observed to have two cracked holes sharp to the touch on the left side of the structure and one crack sharp to the touch on the right side which presents a potential pinching hazard. One small plastic slide was observed to have a crack which was sharp to the touch. One small section of plastic lattice serving as part of the fencing was observed to be cracked and sharp to the touch, and a sharp rusted screw was observed to have come unsecured from the lattice. The First Aid kit was observed to contain alcohol wipes and New Skin, all labeled Keep Out of Reach of Children with additional warnings. This kit was inaccessible to children, but Ms. Bowman placed the above items into locked storage during the visit. 10A NCAC 09 .1719 (a) 2029 Medication authorization, as required by the medical action plan, did not include the specific information and instructions noted by the parent and/or physician as documented the medical action plan. The medication authorization form for sunscreen for one child was not on file for review. .1721(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/01/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Bowman during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (5) information about services provided by the operator, such as before and after school care, and transportation; (7) a schedule of daily, weekly, and monthly cleaning duties Please consider adding your cat, Shadow, to your pets listed in your Operational Policies. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the outdoor environment and the inside of nonstationary structures for dead insects, insect nests, and cobwebs prior to the children using the playground daily. • Please pressure wash all outdoor equipment used by children enrolled. - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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

NC GS 110-90 · Violation

Name of Operation: CUDDLE BUGS DAY CARE Facility ID: 34000254 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 7/18/2023 Number Present: 7 Completed Date: 7/18/2023 Age: From 1 To 10 Total Minutes: 295 Time In: 10:50 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this family childcare home to monitor compliance with applicable childcare requirements. This visit was conducted by Cara McKeown-Stewart, Childcare Consultant, with Valerie Bowman, Operator. Your program currently operates with a 5-Star license. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschoolers at any time, fireplace/ wood stove not used during operating hours, and no more than two children under one year of age. The license was observed, and the restrictions were found in compliance. A walk-through of the home was completed today. Indoor and outdoor areas were observed. Next to the outdoor learning environment is a pool completely enclosed by a locked four-foot fence. Three plastic bags were observed accessible to children in the space designated for child care; Ms. Bowman made these bags inaccessible to the children during the visit. One black plastic garbage bag was observed in a bathroom drawer accessible to children; Ms. Bowman removed this bag from the drawer during the visit. One small plastic nonstationary playhouse was observed to have a small hole, sharp to the touch. This same playhouse also has two bolts securing a plastic ledge which were observed to be rusting. A second small plastic nonstationary playhouse was observed to have a crack on the wall inside, which was sharp to the touch. A larger plastic nonstationary play structure located toward the middle of the play area was observed to have two cracked holes sharp to the touch on the left side of the structure and one crack sharp to the touch on the right side which presents a potential pinching hazard. One small plastic slide was observed to have a crack which was sharp to the touch. One small section of plastic lattice serving as part of the fencing was observed to be cracked and sharp to the touch, and a sharp rusted screw was observed to have come unsecured from the lattice. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed positive interactions today. I observed children playing with toys, engaging in conversations, with Ms. Bowman, and eating lunch during the visit. Ms. Bowman uses the Child Nutrition food program. I observed developmentally appropriate materials and activities were available to the children in the licensed space. The last annual compliance visit was conducted on 8/05/2022. A Verification of Required Information for Operator and Additional Caregivers form was completed during the visit for the operator. Ms. Bowman does not use an additional caregiver at this time. A FCCH and Centers Located in a Residence Operator’s Statement of Responsibility form was reviewed and signed during the visit. We discussed the owner status of this facility. Program records and required postings were monitored and found to be in compliance. The last fire drill was conducted on 7/12/2023. The most recent shelter-in-place drill was documented on 5/22/2023. The last outdoor inspection was also documented on 7/12/2023. There are currently two pets at this facility; all required vaccination documentation and Pet Acknowledgement Forms were current and on file for review. Ms. Bowman does not participate in aquatic activities with children enrolled at this time. Staff files and children’s records were monitored per DCDEE procedures and found to be in compliance. Storage of hazardous items was monitored today. The First Aid kit was observed to contain alcohol wipes and New Skin, all labeled Keep Out of Reach of Children with additional warnings. This kit was inaccessible to children, but Ms. Bowman placed the above items into locked storage during the visit. Medication storage, emergency medication, action plans and parent authorization to administer medications were monitored. The medication authorization form for sunscreen for one child was not on file for review. Ms. Bowman stated the program does not currently provide transportation or participate in off-premise activities. The following violations were cited during today’s visit: Violation Number Comment Rule 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. Three plastic bags were observed accessible to children in the space designated for child care; Ms. Bowman made these bags inaccessible to the children during the visit. One black plastic garbage bag was observed in a bathroom drawer accessible to children; Ms. Bowman removed this bag from the drawer during the visit. One small plastic nonstationary playhouse was observed to have a small hole, sharp to the touch. This same playhouse also has two bolts securing a plastic ledge which were observed to be rusting. A second small plastic nonstationary playhouse was observed to have a crack on the wall inside, which was sharp to the touch. A larger plastic nonstationary play structure located toward the middle of the play area was observed to have two cracked holes sharp to the touch on the left side of the structure and one crack sharp to the touch on the right side which presents a potential pinching hazard. One small plastic slide was observed to have a crack which was sharp to the touch. One small section of plastic lattice serving as part of the fencing was observed to be cracked and sharp to the touch, and a sharp rusted screw was observed to have come unsecured from the lattice. The First Aid kit was observed to contain alcohol wipes and New Skin, all labeled Keep Out of Reach of Children with additional warnings. This kit was inaccessible to children, but Ms. Bowman placed the above items into locked storage during the visit. 10A NCAC 09 .1719 (a) 2029 Medication authorization, as required by the medical action plan, did not include the specific information and instructions noted by the parent and/or physician as documented the medical action plan. The medication authorization form for sunscreen for one child was not on file for review. .1721(a)(5) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. You must correct the violations cited during today's visit immediately and send me documentation verifying compliance on or before 8/01/2023. The following information must be included in your signed and dated compliance letter: • the name of your center • facility ID number • date • title of the person who signs the letter • each violation number(s) • describes accurately and in detail how and when you corrected each violation You may email the letter to cara.mckeown@dhhs.nc.gov or mail two copies of the letter to: 353 Jonestown Road Unit 146 Winston Salem, NC 27104 If you state in your letter that corrections or changes have been made when they have not, it will be considered falsification of information and could lead to administrative action taken by the DCDEE. Repeated violations, continued non-compliance, or failure to submit the compliance letter prior to the date given in this visit summary can also lead to administrative action taken by the DCDEE. Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical assistance provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. • The following Child Care Rules were thoroughly discussed with Ms. Bowman during the visit: 10A NCAC 09 .1715 OPERATIONAL POLICIES (a) Each operator shall have written operational policies that include at least the following information: (5) information about services provided by the operator, such as before and after school care, and transportation; (7) a schedule of daily, weekly, and monthly cleaning duties Please consider adding your cat, Shadow, to your pets listed in your Operational Policies. • You can access the Automated Background Check Management System (ABCMS) at the following link to print a copy of your most recent Criminal Background Check qualifying letter: https://ncabcms.nc.gov/DCDEE/Applicant/ • Please monitor the outdoor environment and the inside of nonstationary structures for dead insects, insect nests, and cobwebs prior to the children using the playground daily. • Please pressure wash all outdoor equipment used by children enrolled. - Please check the box for each item on your facility’s safe sleep policy which the program follows; please also ensure that enrolled/enrolling parents receive a copy of this updated policy. At the completion of the visit, this visit summary was reviewed with and provided to you. Thank you for your time and assistance during the visit. If you have any questions about the visit, please contact me or my supervisor using the information below. Cara McKeown-Stewart, Child Care Consultant (336) 408-4849 cara.mckeown@dhhs.nc.gov Pamela Hauser, Supervisor pamela.hauser@dhhs.nc.gov For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.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