10A NCAC 09 .0102 · Violation

Name of Operation: KIDDIE CARE DAY CARE HOME Facility ID: 3405334 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 12/10/2024 Number Present: 5 Completed Date: 12/10/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 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, Brenda Simmons, Operator, assisted me with the visit. Your program currently operates with a 2-Star license effective 7/14/2022. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; 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. Simmons stated she and Mr. Simmons are the only people 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. Simmons 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 and found to be in compliance. A playground inspection was recorded 12/01/2024. A fire drill was recorded 12/02/2024. A shelter in place drill for the facility was recorded on 11/01/24. There are currently no pets in the home. The program does not provide transportation or participate in aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 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. One plastic bag filled with small elastic hairbands was observed inside an unlatched cabinet of the bathroom used by children. .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: One plastic bag filled with small elastic hairbands was observed inside an unlatched cabinet of the bathroom used by children. Ms. Simmons made this bag and these bands inaccessible to children during the visit. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Simmons during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (21) It is important for children to have the opportunity to play outdoors daily; it is equally important children are dressed appropriately for outdoor conditions each day. Child Care Rule 10A NCAC 09 .0102 DEFINITIONS (24) states the following: "If weather conditions permit" means: temperatures that fall within the guidelines developed by the Iowa Department of Public Health and specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; and is incorporated by reference and includes subsequent editions and amendments; (I emailed a copy of this Weather Watch Chart to Ms. Simmons during the visit). -following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://www.deq.nc.gov/mitigation-services/publicfolder/library/news/brochures/air- quality-color-guide/download; and -no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. Please ensure a signed permission form is on file for children to be outside the fenced area when conducting planned special activities or using sidewalk chalk or bubbles during active precipitation when outdoor play is not possible 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 .1719 · Violation

Name of Operation: KIDDIE CARE DAY CARE HOME Facility ID: 3405334 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 12/10/2024 Number Present: 5 Completed Date: 12/10/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 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, Brenda Simmons, Operator, assisted me with the visit. Your program currently operates with a 2-Star license effective 7/14/2022. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; 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. Simmons stated she and Mr. Simmons are the only people 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. Simmons 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 and found to be in compliance. A playground inspection was recorded 12/01/2024. A fire drill was recorded 12/02/2024. A shelter in place drill for the facility was recorded on 11/01/24. There are currently no pets in the home. The program does not provide transportation or participate in aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 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. One plastic bag filled with small elastic hairbands was observed inside an unlatched cabinet of the bathroom used by children. .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: One plastic bag filled with small elastic hairbands was observed inside an unlatched cabinet of the bathroom used by children. Ms. Simmons made this bag and these bands inaccessible to children during the visit. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Simmons during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (21) It is important for children to have the opportunity to play outdoors daily; it is equally important children are dressed appropriately for outdoor conditions each day. Child Care Rule 10A NCAC 09 .0102 DEFINITIONS (24) states the following: "If weather conditions permit" means: temperatures that fall within the guidelines developed by the Iowa Department of Public Health and specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; and is incorporated by reference and includes subsequent editions and amendments; (I emailed a copy of this Weather Watch Chart to Ms. Simmons during the visit). -following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://www.deq.nc.gov/mitigation-services/publicfolder/library/news/brochures/air- quality-color-guide/download; and -no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. Please ensure a signed permission form is on file for children to be outside the fenced area when conducting planned special activities or using sidewalk chalk or bubbles during active precipitation when outdoor play is not possible 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

10A NCAC 09 .1725 · Violation

Name of Operation: KIDDIE CARE DAY CARE HOME Facility ID: 3405334 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 12/10/2024 Number Present: 5 Completed Date: 12/10/2024 Age: From 0 To 2 Total Minutes: 155 Time In: 10:25 AM Time Out: 01:00 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, Brenda Simmons, Operator, assisted me with the visit. Your program currently operates with a 2-Star license effective 7/14/2022. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; 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. Simmons stated she and Mr. Simmons are the only people 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. Simmons 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 and found to be in compliance. A playground inspection was recorded 12/01/2024. A fire drill was recorded 12/02/2024. A shelter in place drill for the facility was recorded on 11/01/24. There are currently no pets in the home. The program does not provide transportation or participate in aquatic activities at this time. The following violation was cited during today’s visit: Violation Number Comment Rule 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. One plastic bag filled with small elastic hairbands was observed inside an unlatched cabinet of the bathroom used by children. .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: One plastic bag filled with small elastic hairbands was observed inside an unlatched cabinet of the bathroom used by children. Ms. Simmons made this bag and these bands inaccessible to children during the visit. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Simmons during the visit: 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (a) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (21) It is important for children to have the opportunity to play outdoors daily; it is equally important children are dressed appropriately for outdoor conditions each day. Child Care Rule 10A NCAC 09 .0102 DEFINITIONS (24) states the following: "If weather conditions permit" means: temperatures that fall within the guidelines developed by the Iowa Department of Public Health and specified on the Child Care Weather Watch chart. These guidelines shall be used when determining appropriate weather conditions for taking children outside for outdoor learning activities and playtime. This chart may be downloaded free of charge from http://idph.iowa.gov/Portals/1/Files/HCCI/weatherwatch.pdf; and is incorporated by reference and includes subsequent editions and amendments; (I emailed a copy of this Weather Watch Chart to Ms. Simmons during the visit). -following the air quality standards as set out in 15A NCAC 18A .2832(d). The Air Quality Color Guide can be found on the Division's web site at https://www.deq.nc.gov/mitigation-services/publicfolder/library/news/brochures/air- quality-color-guide/download; and -no active precipitation. Caregivers may choose to go outdoors when there is active precipitation if children have appropriate clothing such as rain boots and rain coats, or if they are under a covered area. Please ensure a signed permission form is on file for children to be outside the fenced area when conducting planned special activities or using sidewalk chalk or bubbles during active precipitation when outdoor play is not possible 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

10A NCAC 09 .1711 · Violation

Name of Operation: KIDDIE CARE DAY CARE HOME Facility ID: 3405334 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/6/2024 Number Present: 5 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 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 Brenda Simmons, Operator. Your program currently operates with a 2-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time, and no more than two infants enrolled at one time. Ms. Simmons stated she is currently only operating first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. Ms. Simmons stated only she and her husband, Mr. Simmons, live in the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed five children in care playing with toys, engaging in conversations, eating lunch, napping, and participating in general routines with Ms. Simmons 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 6/13/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the forms with Ms. Simmons 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 6/03/2024. The most recent shelter-in-place drill was documented on 5/01/2024. The last outdoor inspection was documented on 6/02/2024. There are currently no pets at this facility. 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. Child Care Rule .1719 (a)(2) was monitored for compliance. Ms. Simmons stated 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 816 Each child's hands were not washed before and after eating. The hands of one infant enrolled were not washed prior to the operator feeding the infant a bottle during nap time. .1725(a)(7)(B) 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 6/21/2024. 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: • The hands of one infant enrolled were not washed prior to the operator feeding the infant a bottle during nap time. It is important for hand washing practices to be followed at all times to reduce the risk of cross-contamination and the spread of germs. I asked Mrs. Simmons to wash the infant’s hands when she began feeding, and she did so immediately. Mrs. Simmons stated this was unintentional. You may consider reviewing Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (3-9) to ensure you are familiar with all circumstances in which your hands and/or a child’s hands must be washed. Consultation provided following today’s visit: • Ms. Simmons stated she would add the name of an Alternate person on the Emergency Medical Care Plan who is able to provide support in the event of an emergency. The following Child Care Rules were reviewed with Ms. Simmons during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (17) 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a)(4)(d) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Simmons confirmed during today’s visit that the email was received and provided information that she completed testing and she received notification the facility’s samples were analyzed by RTI on 3/11/2024. • 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 .1719 · Violation

Name of Operation: KIDDIE CARE DAY CARE HOME Facility ID: 3405334 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/6/2024 Number Present: 5 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 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 Brenda Simmons, Operator. Your program currently operates with a 2-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time, and no more than two infants enrolled at one time. Ms. Simmons stated she is currently only operating first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. Ms. Simmons stated only she and her husband, Mr. Simmons, live in the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed five children in care playing with toys, engaging in conversations, eating lunch, napping, and participating in general routines with Ms. Simmons 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 6/13/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the forms with Ms. Simmons 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 6/03/2024. The most recent shelter-in-place drill was documented on 5/01/2024. The last outdoor inspection was documented on 6/02/2024. There are currently no pets at this facility. 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. Child Care Rule .1719 (a)(2) was monitored for compliance. Ms. Simmons stated 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 816 Each child's hands were not washed before and after eating. The hands of one infant enrolled were not washed prior to the operator feeding the infant a bottle during nap time. .1725(a)(7)(B) 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 6/21/2024. 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: • The hands of one infant enrolled were not washed prior to the operator feeding the infant a bottle during nap time. It is important for hand washing practices to be followed at all times to reduce the risk of cross-contamination and the spread of germs. I asked Mrs. Simmons to wash the infant’s hands when she began feeding, and she did so immediately. Mrs. Simmons stated this was unintentional. You may consider reviewing Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (3-9) to ensure you are familiar with all circumstances in which your hands and/or a child’s hands must be washed. Consultation provided following today’s visit: • Ms. Simmons stated she would add the name of an Alternate person on the Emergency Medical Care Plan who is able to provide support in the event of an emergency. The following Child Care Rules were reviewed with Ms. Simmons during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (17) 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a)(4)(d) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Simmons confirmed during today’s visit that the email was received and provided information that she completed testing and she received notification the facility’s samples were analyzed by RTI on 3/11/2024. • 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 .1725 · Violation

Name of Operation: KIDDIE CARE DAY CARE HOME Facility ID: 3405334 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/6/2024 Number Present: 5 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 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 Brenda Simmons, Operator. Your program currently operates with a 2-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time, and no more than two infants enrolled at one time. Ms. Simmons stated she is currently only operating first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. Ms. Simmons stated only she and her husband, Mr. Simmons, live in the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed five children in care playing with toys, engaging in conversations, eating lunch, napping, and participating in general routines with Ms. Simmons 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 6/13/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the forms with Ms. Simmons 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 6/03/2024. The most recent shelter-in-place drill was documented on 5/01/2024. The last outdoor inspection was documented on 6/02/2024. There are currently no pets at this facility. 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. Child Care Rule .1719 (a)(2) was monitored for compliance. Ms. Simmons stated 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 816 Each child's hands were not washed before and after eating. The hands of one infant enrolled were not washed prior to the operator feeding the infant a bottle during nap time. .1725(a)(7)(B) 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 6/21/2024. 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: • The hands of one infant enrolled were not washed prior to the operator feeding the infant a bottle during nap time. It is important for hand washing practices to be followed at all times to reduce the risk of cross-contamination and the spread of germs. I asked Mrs. Simmons to wash the infant’s hands when she began feeding, and she did so immediately. Mrs. Simmons stated this was unintentional. You may consider reviewing Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (3-9) to ensure you are familiar with all circumstances in which your hands and/or a child’s hands must be washed. Consultation provided following today’s visit: • Ms. Simmons stated she would add the name of an Alternate person on the Emergency Medical Care Plan who is able to provide support in the event of an emergency. The following Child Care Rules were reviewed with Ms. Simmons during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (17) 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a)(4)(d) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Simmons confirmed during today’s visit that the email was received and provided information that she completed testing and she received notification the facility’s samples were analyzed by RTI on 3/11/2024. • 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: KIDDIE CARE DAY CARE HOME Facility ID: 3405334 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 6/6/2024 Number Present: 5 Completed Date: 6/6/2024 Age: From 0 To 5 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 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 Brenda Simmons, Operator. Your program currently operates with a 2-Star license. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschoolers at any time, and no more than two infants enrolled at one time. Ms. Simmons stated she is currently only operating first shift care. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 97% 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. Ms. Simmons stated only she and her husband, Mr. Simmons, live in the home. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed five children in care playing with toys, engaging in conversations, eating lunch, napping, and participating in general routines with Ms. Simmons 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 6/13/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. I completed spaces which were left blank or needed revised on the form, and I discussed all information added or changed on the forms with Ms. Simmons 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 6/03/2024. The most recent shelter-in-place drill was documented on 5/01/2024. The last outdoor inspection was documented on 6/02/2024. There are currently no pets at this facility. 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. Child Care Rule .1719 (a)(2) was monitored for compliance. Ms. Simmons stated 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 816 Each child's hands were not washed before and after eating. The hands of one infant enrolled were not washed prior to the operator feeding the infant a bottle during nap time. .1725(a)(7)(B) 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 6/21/2024. 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: • The hands of one infant enrolled were not washed prior to the operator feeding the infant a bottle during nap time. It is important for hand washing practices to be followed at all times to reduce the risk of cross-contamination and the spread of germs. I asked Mrs. Simmons to wash the infant’s hands when she began feeding, and she did so immediately. Mrs. Simmons stated this was unintentional. You may consider reviewing Child Care Rule 10A NCAC 09 .1725 SANITATION REQUIREMENTS FOR FAMILY CHILD CARE HOMES (3-9) to ensure you are familiar with all circumstances in which your hands and/or a child’s hands must be washed. Consultation provided following today’s visit: • Ms. Simmons stated she would add the name of an Alternate person on the Emergency Medical Care Plan who is able to provide support in the event of an emergency. The following Child Care Rules were reviewed with Ms. Simmons during the visit: 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (17) 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a)(4)(d) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Mrs. Simmons confirmed during today’s visit that the email was received and provided information that she completed testing and she received notification the facility’s samples were analyzed by RTI on 3/11/2024. • 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