10A NCAC 09 .1719 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/15/2025 Number Present: 4 Completed Date: 8/15/2025 Age: From 1 To 3 Total Minutes: 125 Time In: 09:25 AM Time Out: 11:30 AM 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. This visit was conducted Mary Mabe, Operator. Your program currently operates with a 3-Star license effective 3/25/2025. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and fireplace/woodstove not used during operating hours. Mrs. Mabe stated she is only operating first shift care at this time. The program’s compliance history was 91% 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. Mabe stated she, her husband are the only individuals living in the home. She stated none (adult) children live in the home any longer. 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 child in care playing with toys, engaging in conversations and activities with Mrs. Mabe, playing outdoors, and participating in general routines 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. Child Care Rule .1719 (a)(2) was monitored during the visit. The most recent playground inspection was recorded 7/05/2025. A fire drill was recorded on 8/01/2025. A shelter-in-place drill and lockdown for the facility were recorded on 7/11/2025. There are two pets inside the home, and all vaccinations 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 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The space beneath the railing of the stairs children use to access the playground (on the right side) is completely open beneath the wooden rail, creating the potential for children to fall from the side of the stairs. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 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. A small plastic wrapper was observed on top of a shelf located less than five feet from the ground and accessible to children under three years of age in the living room where children are in care. .1719(a)(18) 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 8/29/2025. 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 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. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Mabe stated she has completed the ABCMS Provider Portal Moodle training and has the instructions I sent via email to complete this process, but that she was unsure where to find information in the ABCMS system to complete this process to ensure it was completed correctly. I stated I would resend all ABCMS emails to Mrs. Mabe for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The space beneath the railing of the stairs (on the right side) children use to access the playground is completely open beneath the wooden rail, creating the potential for children to fall from the side of the stairs. It is essential for the outdoor environment to be a safe place for children to engaged with and explore at all times. Ms. Mabe stated vertical posts had not been placed under this railing yet because the entire stair/rail area may be changed in the near future; however, Mrs. Mabe also stated she would secure this space beneath the railing with a temporary covering until this project is complete. Consultation provided during today’s visit: Please trim the fabric weed block emerging along the stone lining of the air conditioning unit stone border. A copy of the NC FELD was provided to Mrs. Mabe during the visit. 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 I encourage you to review all information at this link, specifically: • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Listen to the Webinar: Information for Child Care Professionals (https://youtu.be/dDbutcJyrnYand ) and review the associated PowerPoint for the webinar in this link (https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/Q/QRIS_Proposed_Rules_Info_Session_for_Providers-Slides.pdf) • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ • Read Continuous Quality Improvement standards for FCCHs: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Continuous_Quality_Improvement_CQI_for_FCCH.pdf?ver=gz1h39r4NGaWkxwDb5yz7g%3d%3d • Proposed Education Standards for Family Child Care Home Operators (Rule .3217): https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/E/Education_Standards-FCCH_Operator.pdf?ver=jV4sxHpPPrAK4WI7iN_rSg%3d%3d • Family and Community Engagement Standards proposed for FCCHs: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/Family__Community_Engagement_Standards_for_FCCH.pdf?ver=wum1M2X_yxidqVMKS3RWRA%3d%3d o Competency Evaluations: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Compentency_Evaluations.pdf • QRIS PATHWAY #1 – PROGRAM ASSESSMENT FOR FAMILY CHILD CARE HOMES (FCCH): https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Pathway_1-Program_Assessment_for_FCCH.pdf?ver=rYRcx9vH-lmmMFykWs0Ibg%3d%3d • QRIS PATHWAY #2 – CLASSROOM AND INSTRUCTIONAL QUALITY FOR FAMILY CHILD CARE HOMES (FCCH): https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Pathway_2-Classroom__Instructional_Quality_for_FCCH.pdf?ver=res1BhKGvcoxvkm2e106Dw%3d%3d • QRIS PATHWAY #3 – ACCREDITATION (for Centers and FCCHs) AND HEAD START: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Pathway_3-Accreditation_and_Head_Start.pdf?ver=0xzQkgUHKHin8__1RKgPnw%3d%3d • Frequently Asked Questions: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/Q/QRIS_Frequently_Asked_Questions.pdf 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. I encourage you to attend on of the following webinars – Choosing a Pathway to the Stars: • August 18 at 1:00pm (child care centers and centers located in a residence) Join webinar • August 18 at 6:30pm (family child care homes) Join webinar • August 20 at 1:00pm (family child care homes) Join webinar • August 20 at 6:30pm (child care centers and centers located in a residence) Join webinar In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin 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 within 12 months based on the pathway chosen. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. 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.

G.S. 110-90 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/15/2025 Number Present: 4 Completed Date: 8/15/2025 Age: From 1 To 3 Total Minutes: 125 Time In: 09:25 AM Time Out: 11:30 AM 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. This visit was conducted Mary Mabe, Operator. Your program currently operates with a 3-Star license effective 3/25/2025. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and fireplace/woodstove not used during operating hours. Mrs. Mabe stated she is only operating first shift care at this time. The program’s compliance history was 91% 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. Mabe stated she, her husband are the only individuals living in the home. She stated none (adult) children live in the home any longer. 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 child in care playing with toys, engaging in conversations and activities with Mrs. Mabe, playing outdoors, and participating in general routines 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. Child Care Rule .1719 (a)(2) was monitored during the visit. The most recent playground inspection was recorded 7/05/2025. A fire drill was recorded on 8/01/2025. A shelter-in-place drill and lockdown for the facility were recorded on 7/11/2025. There are two pets inside the home, and all vaccinations 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 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The space beneath the railing of the stairs children use to access the playground (on the right side) is completely open beneath the wooden rail, creating the potential for children to fall from the side of the stairs. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 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. A small plastic wrapper was observed on top of a shelf located less than five feet from the ground and accessible to children under three years of age in the living room where children are in care. .1719(a)(18) 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 8/29/2025. 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 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. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Mabe stated she has completed the ABCMS Provider Portal Moodle training and has the instructions I sent via email to complete this process, but that she was unsure where to find information in the ABCMS system to complete this process to ensure it was completed correctly. I stated I would resend all ABCMS emails to Mrs. Mabe for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The space beneath the railing of the stairs (on the right side) children use to access the playground is completely open beneath the wooden rail, creating the potential for children to fall from the side of the stairs. It is essential for the outdoor environment to be a safe place for children to engaged with and explore at all times. Ms. Mabe stated vertical posts had not been placed under this railing yet because the entire stair/rail area may be changed in the near future; however, Mrs. Mabe also stated she would secure this space beneath the railing with a temporary covering until this project is complete. Consultation provided during today’s visit: Please trim the fabric weed block emerging along the stone lining of the air conditioning unit stone border. A copy of the NC FELD was provided to Mrs. Mabe during the visit. 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 I encourage you to review all information at this link, specifically: • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Listen to the Webinar: Information for Child Care Professionals (https://youtu.be/dDbutcJyrnYand ) and review the associated PowerPoint for the webinar in this link (https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/Q/QRIS_Proposed_Rules_Info_Session_for_Providers-Slides.pdf) • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ • Read Continuous Quality Improvement standards for FCCHs: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Continuous_Quality_Improvement_CQI_for_FCCH.pdf?ver=gz1h39r4NGaWkxwDb5yz7g%3d%3d • Proposed Education Standards for Family Child Care Home Operators (Rule .3217): https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/E/Education_Standards-FCCH_Operator.pdf?ver=jV4sxHpPPrAK4WI7iN_rSg%3d%3d • Family and Community Engagement Standards proposed for FCCHs: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/Family__Community_Engagement_Standards_for_FCCH.pdf?ver=wum1M2X_yxidqVMKS3RWRA%3d%3d o Competency Evaluations: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Compentency_Evaluations.pdf • QRIS PATHWAY #1 – PROGRAM ASSESSMENT FOR FAMILY CHILD CARE HOMES (FCCH): https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Pathway_1-Program_Assessment_for_FCCH.pdf?ver=rYRcx9vH-lmmMFykWs0Ibg%3d%3d • QRIS PATHWAY #2 – CLASSROOM AND INSTRUCTIONAL QUALITY FOR FAMILY CHILD CARE HOMES (FCCH): https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Pathway_2-Classroom__Instructional_Quality_for_FCCH.pdf?ver=res1BhKGvcoxvkm2e106Dw%3d%3d • QRIS PATHWAY #3 – ACCREDITATION (for Centers and FCCHs) AND HEAD START: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Pathway_3-Accreditation_and_Head_Start.pdf?ver=0xzQkgUHKHin8__1RKgPnw%3d%3d • Frequently Asked Questions: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/Q/QRIS_Frequently_Asked_Questions.pdf 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. I encourage you to attend on of the following webinars – Choosing a Pathway to the Stars: • August 18 at 1:00pm (child care centers and centers located in a residence) Join webinar • August 18 at 6:30pm (family child care homes) Join webinar • August 20 at 1:00pm (family child care homes) Join webinar • August 20 at 6:30pm (child care centers and centers located in a residence) Join webinar In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin 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 within 12 months based on the pathway chosen. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. 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

NC GS 110-90 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 8/15/2025 Number Present: 4 Completed Date: 8/15/2025 Age: From 1 To 3 Total Minutes: 125 Time In: 09:25 AM Time Out: 11:30 AM 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. This visit was conducted Mary Mabe, Operator. Your program currently operates with a 3-Star license effective 3/25/2025. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, and fireplace/woodstove not used during operating hours. Mrs. Mabe stated she is only operating first shift care at this time. The program’s compliance history was 91% 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. Mabe stated she, her husband are the only individuals living in the home. She stated none (adult) children live in the home any longer. 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 child in care playing with toys, engaging in conversations and activities with Mrs. Mabe, playing outdoors, and participating in general routines 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. Child Care Rule .1719 (a)(2) was monitored during the visit. The most recent playground inspection was recorded 7/05/2025. A fire drill was recorded on 8/01/2025. A shelter-in-place drill and lockdown for the facility were recorded on 7/11/2025. There are two pets inside the home, and all vaccinations 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 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. The space beneath the railing of the stairs children use to access the playground (on the right side) is completely open beneath the wooden rail, creating the potential for children to fall from the side of the stairs. 10A NCAC 09 .1719 (a) 1847 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. G.S. 110-90.2 & .2703(r) 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. A small plastic wrapper was observed on top of a shelf located less than five feet from the ground and accessible to children under three years of age in the living room where children are in care. .1719(a)(18) 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 8/29/2025. 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 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. You may email the letter to cara.mckeown-stewart@dhhs.nc.gov or mail two copies of the letter to: Cara McKeown 353 Jonestown Road, Unit #146 Winston Salem, NC 27104 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: A facility profile for Criminal Background Checks had not been created; hence, the operator’s and her husband’s CBCs were also not yet linked to this profile. It is necessary for all staff members to be linked to the FCCH’s facility profile in the ABCMS system, as the process of notifying the Division of any new child care providers working who were hired or moved into the child care facility within five business days has changed to include this process. Mrs. Mabe stated she has completed the ABCMS Provider Portal Moodle training and has the instructions I sent via email to complete this process, but that she was unsure where to find information in the ABCMS system to complete this process to ensure it was completed correctly. I stated I would resend all ABCMS emails to Mrs. Mabe for easier reference following my visit. If you need additional assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. The space beneath the railing of the stairs (on the right side) children use to access the playground is completely open beneath the wooden rail, creating the potential for children to fall from the side of the stairs. It is essential for the outdoor environment to be a safe place for children to engaged with and explore at all times. Ms. Mabe stated vertical posts had not been placed under this railing yet because the entire stair/rail area may be changed in the near future; however, Mrs. Mabe also stated she would secure this space beneath the railing with a temporary covering until this project is complete. Consultation provided during today’s visit: Please trim the fabric weed block emerging along the stone lining of the air conditioning unit stone border. A copy of the NC FELD was provided to Mrs. Mabe during the visit. 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 I encourage you to review all information at this link, specifically: • Consider participating in an outreach assessment: https://ncrlap.org/Resources/pages/outreachassessments/ • Listen to the Webinar: Information for Child Care Professionals (https://youtu.be/dDbutcJyrnYand ) and review the associated PowerPoint for the webinar in this link (https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/Q/QRIS_Proposed_Rules_Info_Session_for_Providers-Slides.pdf) • Visit the NCRLAP website: Get Ready for the 3s (ECERS-3, ITERS-3, FCCERS-3) https://ncrlap.org/Resources/pages/get-ready-for-3s/ • Read Continuous Quality Improvement standards for FCCHs: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Continuous_Quality_Improvement_CQI_for_FCCH.pdf?ver=gz1h39r4NGaWkxwDb5yz7g%3d%3d • Proposed Education Standards for Family Child Care Home Operators (Rule .3217): https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/E/Education_Standards-FCCH_Operator.pdf?ver=jV4sxHpPPrAK4WI7iN_rSg%3d%3d • Family and Community Engagement Standards proposed for FCCHs: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/F/Family__Community_Engagement_Standards_for_FCCH.pdf?ver=wum1M2X_yxidqVMKS3RWRA%3d%3d o Competency Evaluations: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/C/Compentency_Evaluations.pdf • QRIS PATHWAY #1 – PROGRAM ASSESSMENT FOR FAMILY CHILD CARE HOMES (FCCH): https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Pathway_1-Program_Assessment_for_FCCH.pdf?ver=rYRcx9vH-lmmMFykWs0Ibg%3d%3d • QRIS PATHWAY #2 – CLASSROOM AND INSTRUCTIONAL QUALITY FOR FAMILY CHILD CARE HOMES (FCCH): https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Pathway_2-Classroom__Instructional_Quality_for_FCCH.pdf?ver=res1BhKGvcoxvkm2e106Dw%3d%3d • QRIS PATHWAY #3 – ACCREDITATION (for Centers and FCCHs) AND HEAD START: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/P/Pathway_3-Accreditation_and_Head_Start.pdf?ver=0xzQkgUHKHin8__1RKgPnw%3d%3d • Frequently Asked Questions: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/Q/QRIS_Frequently_Asked_Questions.pdf 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. I encourage you to attend on of the following webinars – Choosing a Pathway to the Stars: • August 18 at 1:00pm (child care centers and centers located in a residence) Join webinar • August 18 at 6:30pm (family child care homes) Join webinar • August 20 at 1:00pm (family child care homes) Join webinar • August 20 at 6:30pm (child care centers and centers located in a residence) Join webinar In September, child care consultants will host in-person facility operator/administrator meetings within the counties they serve to provide additional guidance on the changes, the transition plan and timeline. Beginning in October, child care consultants will begin 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 within 12 months based on the pathway chosen. At the completion of the visit, this visit summary was reviewed with and provided to you, and you were given the opportunity to ask questions regarding the visit. 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 .1705 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/5/2025 Number Present: 5 Completed Date: 3/5/2025 Age: From 0 To 3 Total Minutes: 230 Time In: 10:25 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. You, Mary Mabe, Operator, assisted me with the visit. Your program currently operates with a 3-Star license effective 12/19/2019. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, fireplace/ woodstove not used during operating hours, and serves no more than two children less than one year of age. Mrs. Mabe stated she is only operating 1st shift care at this time. The program’s compliance history was 91 % prior to today’s visit. All programs are required to maintain at least 75% compliance. The last annual compliance visit was conducted on 3/14/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator 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. The license was observed, and the restrictions were monitored. Mrs. Mabe stated she and her husband 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 and activities with each other and with Mrs. Mabe, participating in general routines, and eating lunch during the visit. Child Care Rule .1719(a) was monitored during the visit. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 2/02/25. A fire drill was recorded 2/03/25. A lockdown and shelter-in-place drill for the facility were recorded on 1/03/2025. There are currently two pets at the home, and all required vaccination records were monitored. 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 spray bottle of Clorox disinfectant was observed stored greater than five feet from the ground, but in unlocked storage, in the childcare space designated for younger children. .1719 (a)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator was required to complete two additional hours of ongoing training following the last AC visit by 4/13/2024; half an hour of training was completed prior to this date, and no additional training hours have been completed to date. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1603 The home was not in compliance with permit restrictions. Three children less than one year of age were observed in care during today’s visit. A restriction on the license states the program will serve no more than two infants less than one year of age. GS 110-91 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 9/11/2023. .1714(e ) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The infant feeding plans for two children enrolled were observed to be without a parent’s signature. .1706(i) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Today’s Visit: One spray bottle of Clorox disinfectant was observed stored greater than five feet from the ground, but in unlocked storage, in the childcare space designated for younger children; Mrs. Mabe placed this spray bottle into locked storage during the visit. Three children less than one year of age were observed in care during today’s visit. A restriction on the license states the program will serve no more than two infants less than one year of age. It is important that all restrictions on the license are followed at all times to ensure optimal care of all children enrolled. Mrs. Mabe stated she will email me today a written request to remove this Quality Point from her license; Mrs. Mabe will retain a 3-Star license, even after the Quality Point is removed. The infant feeding plans for two children enrolled were observed to be without a parent’s signature. The Emergency Preparedness and Response Plan had not been updated since 9/11/2023. The operator was required to complete two additional hours of ongoing training following the last AC visit by 4/13/2024; half an hour of training was completed prior to this date, and no additional training hours have been completed to date. Mrs. Mabe must complete 9 ½ training hours (8 hours by 3/14/2025 and 1 ½ hours by 3/19/2025). It is imperative all required documentation is on file and up to date at all times to ensure the health, safety, and quality of care of children enrolled. Mrs. Mabe stated she did not realize the infant feeding schedules did not have a signature and that she will complete all required training hours as soon as possible. You may consider creating a system of both reviewing each child's file as the child enrolls for missing documentation, and of reminders for vaccinations, documents, or trainings due to be updated or completed. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Mrs. Mabe during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (l)(m) regarding breast milk Consider pressure washing the outdoor play structures when the weather clears to remove mildew and other buildup. 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) 814-6401 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 .1706 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/5/2025 Number Present: 5 Completed Date: 3/5/2025 Age: From 0 To 3 Total Minutes: 230 Time In: 10:25 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. You, Mary Mabe, Operator, assisted me with the visit. Your program currently operates with a 3-Star license effective 12/19/2019. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, fireplace/ woodstove not used during operating hours, and serves no more than two children less than one year of age. Mrs. Mabe stated she is only operating 1st shift care at this time. The program’s compliance history was 91 % prior to today’s visit. All programs are required to maintain at least 75% compliance. The last annual compliance visit was conducted on 3/14/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator 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. The license was observed, and the restrictions were monitored. Mrs. Mabe stated she and her husband 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 and activities with each other and with Mrs. Mabe, participating in general routines, and eating lunch during the visit. Child Care Rule .1719(a) was monitored during the visit. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 2/02/25. A fire drill was recorded 2/03/25. A lockdown and shelter-in-place drill for the facility were recorded on 1/03/2025. There are currently two pets at the home, and all required vaccination records were monitored. 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 spray bottle of Clorox disinfectant was observed stored greater than five feet from the ground, but in unlocked storage, in the childcare space designated for younger children. .1719 (a)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator was required to complete two additional hours of ongoing training following the last AC visit by 4/13/2024; half an hour of training was completed prior to this date, and no additional training hours have been completed to date. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1603 The home was not in compliance with permit restrictions. Three children less than one year of age were observed in care during today’s visit. A restriction on the license states the program will serve no more than two infants less than one year of age. GS 110-91 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 9/11/2023. .1714(e ) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The infant feeding plans for two children enrolled were observed to be without a parent’s signature. .1706(i) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Today’s Visit: One spray bottle of Clorox disinfectant was observed stored greater than five feet from the ground, but in unlocked storage, in the childcare space designated for younger children; Mrs. Mabe placed this spray bottle into locked storage during the visit. Three children less than one year of age were observed in care during today’s visit. A restriction on the license states the program will serve no more than two infants less than one year of age. It is important that all restrictions on the license are followed at all times to ensure optimal care of all children enrolled. Mrs. Mabe stated she will email me today a written request to remove this Quality Point from her license; Mrs. Mabe will retain a 3-Star license, even after the Quality Point is removed. The infant feeding plans for two children enrolled were observed to be without a parent’s signature. The Emergency Preparedness and Response Plan had not been updated since 9/11/2023. The operator was required to complete two additional hours of ongoing training following the last AC visit by 4/13/2024; half an hour of training was completed prior to this date, and no additional training hours have been completed to date. Mrs. Mabe must complete 9 ½ training hours (8 hours by 3/14/2025 and 1 ½ hours by 3/19/2025). It is imperative all required documentation is on file and up to date at all times to ensure the health, safety, and quality of care of children enrolled. Mrs. Mabe stated she did not realize the infant feeding schedules did not have a signature and that she will complete all required training hours as soon as possible. You may consider creating a system of both reviewing each child's file as the child enrolls for missing documentation, and of reminders for vaccinations, documents, or trainings due to be updated or completed. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Mrs. Mabe during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (l)(m) regarding breast milk Consider pressure washing the outdoor play structures when the weather clears to remove mildew and other buildup. 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) 814-6401 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

GS 110-91 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/5/2025 Number Present: 5 Completed Date: 3/5/2025 Age: From 0 To 3 Total Minutes: 230 Time In: 10:25 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable childcare requirements for an annual compliance visit. You, Mary Mabe, Operator, assisted me with the visit. Your program currently operates with a 3-Star license effective 12/19/2019. Restrictions include 1st, 2nd, and 3rd shift care, a maximum of five preschool children at any time, fireplace/ woodstove not used during operating hours, and serves no more than two children less than one year of age. Mrs. Mabe stated she is only operating 1st shift care at this time. The program’s compliance history was 91 % prior to today’s visit. All programs are required to maintain at least 75% compliance. The last annual compliance visit was conducted on 3/14/2024. A Verification of Required Information for Operator and Additional Caregivers form was completed for the Operator 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. The license was observed, and the restrictions were monitored. Mrs. Mabe stated she and her husband 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 and activities with each other and with Mrs. Mabe, participating in general routines, and eating lunch during the visit. Child Care Rule .1719(a) was monitored during the visit. No medications were observed nor reported. Storage of hazardous items was monitored today. A playground inspection was recorded 2/02/25. A fire drill was recorded 2/03/25. A lockdown and shelter-in-place drill for the facility were recorded on 1/03/2025. There are currently two pets at the home, and all required vaccination records were monitored. 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 spray bottle of Clorox disinfectant was observed stored greater than five feet from the ground, but in unlocked storage, in the childcare space designated for younger children. .1719 (a)(7) 1301 Operator did not complete the required number of on-going training hours as specified in rule. The operator was required to complete two additional hours of ongoing training following the last AC visit by 4/13/2024; half an hour of training was completed prior to this date, and no additional training hours have been completed to date. GS 110-91(11); 10A NCAC 09 .1705(b)(5) 1603 The home was not in compliance with permit restrictions. Three children less than one year of age were observed in care during today’s visit. A restriction on the license states the program will serve no more than two infants less than one year of age. GS 110-91 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The Emergency Preparedness and Response Plan had not been updated since 9/11/2023. .1714(e ) 1990 Infant feeding plans did not include the required information, including but not limited to the type and amount of milk, formula and food, and the frequency of feedings, and/or was not available for reference. The infant feeding plans for two children enrolled were observed to be without a parent’s signature. .1706(i) Additional monitoring visits may be conducted during the year to monitor compliance with applicable childcare requirements. Technical Assistance Provided During Today’s Visit: One spray bottle of Clorox disinfectant was observed stored greater than five feet from the ground, but in unlocked storage, in the childcare space designated for younger children; Mrs. Mabe placed this spray bottle into locked storage during the visit. Three children less than one year of age were observed in care during today’s visit. A restriction on the license states the program will serve no more than two infants less than one year of age. It is important that all restrictions on the license are followed at all times to ensure optimal care of all children enrolled. Mrs. Mabe stated she will email me today a written request to remove this Quality Point from her license; Mrs. Mabe will retain a 3-Star license, even after the Quality Point is removed. The infant feeding plans for two children enrolled were observed to be without a parent’s signature. The Emergency Preparedness and Response Plan had not been updated since 9/11/2023. The operator was required to complete two additional hours of ongoing training following the last AC visit by 4/13/2024; half an hour of training was completed prior to this date, and no additional training hours have been completed to date. Mrs. Mabe must complete 9 ½ training hours (8 hours by 3/14/2025 and 1 ½ hours by 3/19/2025). It is imperative all required documentation is on file and up to date at all times to ensure the health, safety, and quality of care of children enrolled. Mrs. Mabe stated she did not realize the infant feeding schedules did not have a signature and that she will complete all required training hours as soon as possible. You may consider creating a system of both reviewing each child's file as the child enrolls for missing documentation, and of reminders for vaccinations, documents, or trainings due to be updated or completed. Consultation provided during today’s visit: The following Child Care Rule was reviewed with Mrs. Mabe during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (l)(m) regarding breast milk Consider pressure washing the outdoor play structures when the weather clears to remove mildew and other buildup. 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) 814-6401 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 .1706 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/18/2024 Number Present: 4 Completed Date: 9/18/2024 Age: From 0 To 2 Total Minutes: 830 Time In: 09:55 AM Time Out: 11:45 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, Mary Mabe, Operator, assisted me with the visit. Your program currently operates with a 3-Star license effective 12/19/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; fireplace/ wood burning stove not used during operating hours; and serves no more than two infants under age one. Ms. Mabe stated she is currently only operating first shift care. The program’s compliance history was 89 % 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. Ms. Mabe stated she and her husband 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 children playing with toys, engaging in conversations, general routines and other activities with Ms. Mabe 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 9/02/2024. A fire drill was recorded 8/29/2024. The most recent lockdown and shelter-in-place drill for the facility was recorded 6/10/2024. The last lockdown and shelter-in-place drill for the facility was recorded 2/08/2024. 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 716 Electrical outlets not in use were not covered. Two outlets in the additional room designated for child care (next to the bathroom) were observed without safety covers. 10A NCAC .1719(a)(27) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown and shelter-in-place drill for the facility was recorded 6/10/2024. The last lockdown and shelter-in-place drill for the facility was recorded 2/08/2024. .1719(a )(16) & .1721(e )(7) 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 10/02/2024. 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 during today’s visit: Two outlets in the additional room designated for child care (next to the bathroom) were observed without safety covers. Ms. Mabe placed safety covers in this outlet during the visit. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Mabe during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (l)(m)(n) Mrs. Mabe stated her son moved from the home, and she has now designated this space for child care. This space was also monitored during today’s visit. Mrs. Mabe stated she would update her floor plan and evacuation plan to reflect this space as well and send me pictures of these updated plans when she sends me her compliance letter. 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. 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.

NC GS 110-90 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/18/2024 Number Present: 4 Completed Date: 9/18/2024 Age: From 0 To 2 Total Minutes: 830 Time In: 09:55 AM Time Out: 11:45 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, Mary Mabe, Operator, assisted me with the visit. Your program currently operates with a 3-Star license effective 12/19/2019. Restrictions include 1st, 2nd, and 3rd shift care; a maximum of five preschool children at any time; fireplace/ wood burning stove not used during operating hours; and serves no more than two infants under age one. Ms. Mabe stated she is currently only operating first shift care. The program’s compliance history was 89 % 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. Ms. Mabe stated she and her husband 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 children playing with toys, engaging in conversations, general routines and other activities with Ms. Mabe 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 9/02/2024. A fire drill was recorded 8/29/2024. The most recent lockdown and shelter-in-place drill for the facility was recorded 6/10/2024. The last lockdown and shelter-in-place drill for the facility was recorded 2/08/2024. 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 716 Electrical outlets not in use were not covered. Two outlets in the additional room designated for child care (next to the bathroom) were observed without safety covers. 10A NCAC .1719(a)(27) 1854 The operator did not conduct a quarterly lockdown or shelter-in-place drill and or the drill record was incomplete. The most recent lockdown and shelter-in-place drill for the facility was recorded 6/10/2024. The last lockdown and shelter-in-place drill for the facility was recorded 2/08/2024. .1719(a )(16) & .1721(e )(7) 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 10/02/2024. 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 during today’s visit: Two outlets in the additional room designated for child care (next to the bathroom) were observed without safety covers. Ms. Mabe placed safety covers in this outlet during the visit. Consultation provided during today’s visit: The following Child Care Rules were reviewed with Ms. Mabe during the visit: 10A NCAC 09 .1706 NUTRITION STANDARDS (l)(m)(n) Mrs. Mabe stated her son moved from the home, and she has now designated this space for child care. This space was also monitored during today’s visit. Mrs. Mabe stated she would update her floor plan and evacuation plan to reflect this space as well and send me pictures of these updated plans when she sends me her compliance letter. 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. 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: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/14/2024 Number Present: 4 Completed Date: 3/14/2024 Age: From 0 To 5 Total Minutes: 280 Time In: 09:50 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 Mary Mabe, Operator. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants less than one year of age; fireplace/wood stove not used during operating hours; and a maximum of five preschoolers at any time. Ms. Mabe stated she is only providing 1st shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 91% 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. Two plastic bags were observed in an unlatched cupboard beneath the kitchen sink, and three open plastic drink case wrappers were observed on the floor to the left of the kitchen entrance. A pair of pliers with points sharp to the touch was observed on the back of the toilet tank in the bathroom used by children enrolled. A dirty diaper was observed in an uncovered wastebasket in the bathroom used by children enrolled. Ms. Mabe removed or made each of these items inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed four children in care playing with toys, playing outdoors, engaging in conversations and activities with Ms. Mabe, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 4/13/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. 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 2/08/2024. The most recent lockdown and shelter-in-place drill was documented on 2/08/2023. The last outdoor inspection was documented on 2/01/2024. .1719 (a)(2) was not monitored during today’s visit; Ms. Mabe stated she would email me three dates in the near future that an additional visit can be made to monitor this item during operating hours. There are two pets at the home, and all vaccinations and required documentation were monitored. The pet acknowledgement forms for all children enrolled did not include one pet and where the pet was kept in the home. This was corrected during the visit. Staff files and children’s records were monitored per DCDEE procedures. A safe sleep policy was not posted; this was corrected during the visit. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled had an emergency medication (inhaler). Required documentation for this inhaler was monitored. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 805 All garbage was not stored in water-proof containers with tight fitting covers both indoors and outdoors. A dirty diaper was observed in an uncovered wastebasket in the basket used by children enrolled. .1725(a)(13) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. The vaccination record for one pet expired on 3/08/2024. .1719(b)(1) 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. The emergency medication for one child enrolled did was not stored in/with the original container with a pharmacy label. 10A NCAC 09 .1720(c)(1)&(2) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic outdoor non-stationary slide was observed to have a cracked hole, sharp to the touch, located at the base of the bottom left stair. A pair of pliers with points sharp to the touch was observed on the back of the toilet tank in the bathroom used by children enrolled. Ms. Mabe made the pliers inaccessible to children during the visit. 10A NCAC 09 .1719 (a) 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. The pet acknowledgement forms for all children enrolled did not include one pet and where the pet was kept in the home. 10 NCAC 09 .1719(b)(3) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. A Safe Sleep Policy was not posted. .1724(b) 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 bags were observed in an unlatched cupboard beneath the kitchen sink, and three open plastic drink case wrappers were observed on the floor to the left of the kitchen entrance. .1719(a)(18) 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 3/28/2024. 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 during today’s visit: • The vaccination record for one pet expired on 3/08/24. The emergency medication for one child enrolled did was not stored in/with the original container with a pharmacy label. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. Ms. Mabe stated she would schedule a veterinary appointment for her dog immediately. She also stated she would return the prescription medication to the parent upon pick-up today until a prescription stored in/with its original container is received. I recommended Ms. Mabe create a routine schedule for monitoring all program and child files to ensure all records remain complete and current. • A plastic outdoor non-stationary slide was observed to have a cracked hole, sharp to the touch, located at the base of the bottom left stair. It is important to monitor the outdoor learning environment daily prior to children using the space to ensure it is free of safety hazards and ready for children to explore safely. Ms. Mabe was unaware of this hole in the equipment. I recommended Ms. Mabe monitor outdoor equipment greater than once per month to ensure it is in good repair. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. - Please complete two additional ongoing training hours by 4/13/2024. The following Child Care Rules were thoroughly discussed with Ms. Mabe during the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (17) 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Mabe confirmed during today’s visit that the email was received and provided information that she enrolled in testing earlier this week. 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 (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: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/14/2024 Number Present: 4 Completed Date: 3/14/2024 Age: From 0 To 5 Total Minutes: 280 Time In: 09:50 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 Mary Mabe, Operator. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants less than one year of age; fireplace/wood stove not used during operating hours; and a maximum of five preschoolers at any time. Ms. Mabe stated she is only providing 1st shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 91% 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. Two plastic bags were observed in an unlatched cupboard beneath the kitchen sink, and three open plastic drink case wrappers were observed on the floor to the left of the kitchen entrance. A pair of pliers with points sharp to the touch was observed on the back of the toilet tank in the bathroom used by children enrolled. A dirty diaper was observed in an uncovered wastebasket in the bathroom used by children enrolled. Ms. Mabe removed or made each of these items inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed four children in care playing with toys, playing outdoors, engaging in conversations and activities with Ms. Mabe, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 4/13/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. 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 2/08/2024. The most recent lockdown and shelter-in-place drill was documented on 2/08/2023. The last outdoor inspection was documented on 2/01/2024. .1719 (a)(2) was not monitored during today’s visit; Ms. Mabe stated she would email me three dates in the near future that an additional visit can be made to monitor this item during operating hours. There are two pets at the home, and all vaccinations and required documentation were monitored. The pet acknowledgement forms for all children enrolled did not include one pet and where the pet was kept in the home. This was corrected during the visit. Staff files and children’s records were monitored per DCDEE procedures. A safe sleep policy was not posted; this was corrected during the visit. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled had an emergency medication (inhaler). Required documentation for this inhaler was monitored. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 805 All garbage was not stored in water-proof containers with tight fitting covers both indoors and outdoors. A dirty diaper was observed in an uncovered wastebasket in the basket used by children enrolled. .1725(a)(13) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. The vaccination record for one pet expired on 3/08/2024. .1719(b)(1) 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. The emergency medication for one child enrolled did was not stored in/with the original container with a pharmacy label. 10A NCAC 09 .1720(c)(1)&(2) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic outdoor non-stationary slide was observed to have a cracked hole, sharp to the touch, located at the base of the bottom left stair. A pair of pliers with points sharp to the touch was observed on the back of the toilet tank in the bathroom used by children enrolled. Ms. Mabe made the pliers inaccessible to children during the visit. 10A NCAC 09 .1719 (a) 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. The pet acknowledgement forms for all children enrolled did not include one pet and where the pet was kept in the home. 10 NCAC 09 .1719(b)(3) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. A Safe Sleep Policy was not posted. .1724(b) 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 bags were observed in an unlatched cupboard beneath the kitchen sink, and three open plastic drink case wrappers were observed on the floor to the left of the kitchen entrance. .1719(a)(18) 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 3/28/2024. 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 during today’s visit: • The vaccination record for one pet expired on 3/08/24. The emergency medication for one child enrolled did was not stored in/with the original container with a pharmacy label. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. Ms. Mabe stated she would schedule a veterinary appointment for her dog immediately. She also stated she would return the prescription medication to the parent upon pick-up today until a prescription stored in/with its original container is received. I recommended Ms. Mabe create a routine schedule for monitoring all program and child files to ensure all records remain complete and current. • A plastic outdoor non-stationary slide was observed to have a cracked hole, sharp to the touch, located at the base of the bottom left stair. It is important to monitor the outdoor learning environment daily prior to children using the space to ensure it is free of safety hazards and ready for children to explore safely. Ms. Mabe was unaware of this hole in the equipment. I recommended Ms. Mabe monitor outdoor equipment greater than once per month to ensure it is in good repair. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. - Please complete two additional ongoing training hours by 4/13/2024. The following Child Care Rules were thoroughly discussed with Ms. Mabe during the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (17) 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Mabe confirmed during today’s visit that the email was received and provided information that she enrolled in testing earlier this week. 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 (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 .1720 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/14/2024 Number Present: 4 Completed Date: 3/14/2024 Age: From 0 To 5 Total Minutes: 280 Time In: 09:50 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 Mary Mabe, Operator. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants less than one year of age; fireplace/wood stove not used during operating hours; and a maximum of five preschoolers at any time. Ms. Mabe stated she is only providing 1st shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 91% 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. Two plastic bags were observed in an unlatched cupboard beneath the kitchen sink, and three open plastic drink case wrappers were observed on the floor to the left of the kitchen entrance. A pair of pliers with points sharp to the touch was observed on the back of the toilet tank in the bathroom used by children enrolled. A dirty diaper was observed in an uncovered wastebasket in the bathroom used by children enrolled. Ms. Mabe removed or made each of these items inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed four children in care playing with toys, playing outdoors, engaging in conversations and activities with Ms. Mabe, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 4/13/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. 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 2/08/2024. The most recent lockdown and shelter-in-place drill was documented on 2/08/2023. The last outdoor inspection was documented on 2/01/2024. .1719 (a)(2) was not monitored during today’s visit; Ms. Mabe stated she would email me three dates in the near future that an additional visit can be made to monitor this item during operating hours. There are two pets at the home, and all vaccinations and required documentation were monitored. The pet acknowledgement forms for all children enrolled did not include one pet and where the pet was kept in the home. This was corrected during the visit. Staff files and children’s records were monitored per DCDEE procedures. A safe sleep policy was not posted; this was corrected during the visit. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled had an emergency medication (inhaler). Required documentation for this inhaler was monitored. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 805 All garbage was not stored in water-proof containers with tight fitting covers both indoors and outdoors. A dirty diaper was observed in an uncovered wastebasket in the basket used by children enrolled. .1725(a)(13) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. The vaccination record for one pet expired on 3/08/2024. .1719(b)(1) 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. The emergency medication for one child enrolled did was not stored in/with the original container with a pharmacy label. 10A NCAC 09 .1720(c)(1)&(2) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic outdoor non-stationary slide was observed to have a cracked hole, sharp to the touch, located at the base of the bottom left stair. A pair of pliers with points sharp to the touch was observed on the back of the toilet tank in the bathroom used by children enrolled. Ms. Mabe made the pliers inaccessible to children during the visit. 10A NCAC 09 .1719 (a) 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. The pet acknowledgement forms for all children enrolled did not include one pet and where the pet was kept in the home. 10 NCAC 09 .1719(b)(3) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. A Safe Sleep Policy was not posted. .1724(b) 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 bags were observed in an unlatched cupboard beneath the kitchen sink, and three open plastic drink case wrappers were observed on the floor to the left of the kitchen entrance. .1719(a)(18) 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 3/28/2024. 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 during today’s visit: • The vaccination record for one pet expired on 3/08/24. The emergency medication for one child enrolled did was not stored in/with the original container with a pharmacy label. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. Ms. Mabe stated she would schedule a veterinary appointment for her dog immediately. She also stated she would return the prescription medication to the parent upon pick-up today until a prescription stored in/with its original container is received. I recommended Ms. Mabe create a routine schedule for monitoring all program and child files to ensure all records remain complete and current. • A plastic outdoor non-stationary slide was observed to have a cracked hole, sharp to the touch, located at the base of the bottom left stair. It is important to monitor the outdoor learning environment daily prior to children using the space to ensure it is free of safety hazards and ready for children to explore safely. Ms. Mabe was unaware of this hole in the equipment. I recommended Ms. Mabe monitor outdoor equipment greater than once per month to ensure it is in good repair. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. - Please complete two additional ongoing training hours by 4/13/2024. The following Child Care Rules were thoroughly discussed with Ms. Mabe during the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (17) 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Mabe confirmed during today’s visit that the email was received and provided information that she enrolled in testing earlier this week. 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 (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: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 3/14/2024 Number Present: 4 Completed Date: 3/14/2024 Age: From 0 To 5 Total Minutes: 280 Time In: 09:50 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 Mary Mabe, Operator. Your program currently operates with a 3-Star license. Restrictions include 1st, 2nd, and 3rd shift care; serves no more than two infants less than one year of age; fireplace/wood stove not used during operating hours; and a maximum of five preschoolers at any time. Ms. Mabe stated she is only providing 1st shift care at this time. The license was observed, and the restrictions were found in compliance. The program’s compliance history was 91% 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. Two plastic bags were observed in an unlatched cupboard beneath the kitchen sink, and three open plastic drink case wrappers were observed on the floor to the left of the kitchen entrance. A pair of pliers with points sharp to the touch was observed on the back of the toilet tank in the bathroom used by children enrolled. A dirty diaper was observed in an uncovered wastebasket in the bathroom used by children enrolled. Ms. Mabe removed or made each of these items inaccessible to children during the visit. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. I observed four children in care playing with toys, playing outdoors, engaging in conversations and activities with Ms. Mabe, and eating lunch during the visit. I observed developmentally appropriate materials and activities were available to the child in the licensed space. The last annual compliance visit was conducted on 4/13/2023. A Verification of Required Information for Operator and Additional Caregivers form was submitted prior to the visit for the operator. 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 2/08/2024. The most recent lockdown and shelter-in-place drill was documented on 2/08/2023. The last outdoor inspection was documented on 2/01/2024. .1719 (a)(2) was not monitored during today’s visit; Ms. Mabe stated she would email me three dates in the near future that an additional visit can be made to monitor this item during operating hours. There are two pets at the home, and all vaccinations and required documentation were monitored. The pet acknowledgement forms for all children enrolled did not include one pet and where the pet was kept in the home. This was corrected during the visit. Staff files and children’s records were monitored per DCDEE procedures. A safe sleep policy was not posted; this was corrected during the visit. Storage of hazardous items was monitored today and found to be in compliance. One child enrolled had an emergency medication (inhaler). Required documentation for this inhaler was monitored. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities at this time. The following violations were cited during today’s visit: Violation Number Comment Rule 805 All garbage was not stored in water-proof containers with tight fitting covers both indoors and outdoors. A dirty diaper was observed in an uncovered wastebasket in the basket used by children enrolled. .1725(a)(13) 907 Written record of up-to-date pet vaccinations as required by NC law and local ordinances, including rabies vaccination for dogs and cats, was not available. The vaccination record for one pet expired on 3/08/2024. .1719(b)(1) 1401 Prescribed medications were not stored in their original containers in which they are dispensed with the pharmacy label. The emergency medication for one child enrolled did was not stored in/with the original container with a pharmacy label. 10A NCAC 09 .1720(c)(1)&(2) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A plastic outdoor non-stationary slide was observed to have a cracked hole, sharp to the touch, located at the base of the bottom left stair. A pair of pliers with points sharp to the touch was observed on the back of the toilet tank in the bathroom used by children enrolled. Ms. Mabe made the pliers inaccessible to children during the visit. 10A NCAC 09 .1719 (a) 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. The pet acknowledgement forms for all children enrolled did not include one pet and where the pet was kept in the home. 10 NCAC 09 .1719(b)(3) 1804 Safe sleep policy and poster about safe sleep practices was not posted in a prominent place in the infant sleeping room or area where parents and caregivers are able to view daily. A Safe Sleep Policy was not posted. .1724(b) 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 bags were observed in an unlatched cupboard beneath the kitchen sink, and three open plastic drink case wrappers were observed on the floor to the left of the kitchen entrance. .1719(a)(18) 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 3/28/2024. 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 during today’s visit: • The vaccination record for one pet expired on 3/08/24. The emergency medication for one child enrolled did was not stored in/with the original container with a pharmacy label. It is imperative that all required records are current and onsite for review at all times to ensure the health and safety of children enrolled. Ms. Mabe stated she would schedule a veterinary appointment for her dog immediately. She also stated she would return the prescription medication to the parent upon pick-up today until a prescription stored in/with its original container is received. I recommended Ms. Mabe create a routine schedule for monitoring all program and child files to ensure all records remain complete and current. • A plastic outdoor non-stationary slide was observed to have a cracked hole, sharp to the touch, located at the base of the bottom left stair. It is important to monitor the outdoor learning environment daily prior to children using the space to ensure it is free of safety hazards and ready for children to explore safely. Ms. Mabe was unaware of this hole in the equipment. I recommended Ms. Mabe monitor outdoor equipment greater than once per month to ensure it is in good repair. Consultation provided during today’s visit: • You must notify your consultant 30 days prior to changing the ownership status of your facility. - Please complete two additional ongoing training hours by 4/13/2024. The following Child Care Rules were thoroughly discussed with Ms. Mabe during the visit: 10A NCAC 09 .1711 SUPERVISION OF CHILDREN IN A FAMILY CHILD CARE HOME (a) (1) 10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) (17) 10A NCAC 09 .1720 MEDICATION REQUIREMENTS (b) (2) On February 21, 2024, I emailed you a document regarding required Lead and Asbestos Testing. Ms. Mabe confirmed during today’s visit that the email was received and provided information that she enrolled in testing earlier this week. 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 (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 .0604 · Violation

Name of Operation: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/21/2023 Number Present: 4 Completed Date: 9/21/2023 Age: From 1 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Mary Mabe, Operator, assisted me with the visit. Your program currently operates with a 3-Star license effective 12/19/2019. Restrictions include 1st, 2nd, and 3rd shift care; maximum of 5 preschool children at any time; fire place/ wood stove not used during operating hours; and serves no more than two children under age one year old. The program’s compliance history was 96% 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. Ms. Mabe stated she and her husband are the only people living in the home. She also stated her adult son visits home regularly from college. A current CBC qualification letter was observed to be on file for each individual. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A smoker was observed to be rusting on the patio. The spaces between each step leading from the patio to the playground measured five and one half inches, presenting a potential entrapment hazard. A rusted dog chain was observed to be hanging on the inside of the fencing. One metal drop rod with a round top located between the gate doors nearest the trailer was observed to be heavily rusted. A metal crate to the right of the shed was observed to be rusted. An orange piece of rope was observed hanging inside the fencing, attached to two parts of the fencing, presenting a potential safety hazard. Metal wiring was observed looped around wooden fence posts inside the fenced-in area; a space measuring four inches was observed between this wiring, creating a potential entrapment hazard. Two small balls were observed to be covered with mildew. Four golf clubs were observed to be rusting and laying on top of a picnic table. The plastic swing chain covers on a stationary swing set were observed to be splitting, exposing severely rusting swing chains. Two pieces of rebar were observed protruding from the ground inside the fenced-in area, creating a potential safety hazard. Two holes measuring three to four inches in depth were observed near the back fence next to the dead tree, presenting a potential tripping hazard. One hole was observed on the top rail of a section of fencing, which was observed to be sharp to the touch. A section of fencing toward the back left of the playground (facing away from the home) was observed to have come detached from the fence posts. Behind the shed on the playground, within the fenced-in area, greater than ten pieces of broken glass were observed on the ground. A heavily rusted bracket was observed hanging on the fence to the right of the shed. The top fencing rail of the section of fencing to the right of the shed was observed to be heavily rusted. Yellow extension cords were observed to be wrapped and hanging on the inside of the fencing, presenting a potential safety hazard. A five-gallon gardening bucket was observed to be filled two thirds of the way with standing water, presenting a potential safety and sanitation hazard. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Ms. Mabe does not use an additional caregiver or substitute at this time. I observed positive interactions today. I observed the children in care playing with toys in activity centers, painting with water colors, playing outdoors, engaging in conversations and play with Ms. Mabe, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. All records were observed to be current and in compliance. Ms. Mabe stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. One container of deodorant and one liquid scented plug-in labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage in the bathroom used by children. One package of Mr. Clean Magic Erasers labeled Keep Out of Reach of Toddlers was observed in an unlocked cabinet less than five feet from the ground. Ms. Mabe placed each of these items into appropriate storage during the visit. A playground inspection was recorded 9/04/2023. A fire drill was recorded 9/05/2023. A shelter in place and lockdown drill for the facility were recorded 7/14/2023. There are two pets at this facility. All vaccination records were observed to be current and in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. 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 container of deodorant and one liquid scented plug-in labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage in the bathroom used by children. One package of Mr. Clean Magic Erasers labeled Keep Out of Reach of Toddlers was observed in an unlocked cabinet less than five feet from the ground. .1719 (a)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A smoker was observed to be rusting on the patio. The spaces between each step leading from the patio to the playground measured five and one half inches, presenting a potential entrapment hazard. A rusted dog chain was observed to be hanging on the inside of the fencing. One metal drop rod with a round top located between the gate doors nearest the trailer was observed to be heavily rusted. A metal crate to the right of the shed was observed to be rusted. An orange piece of rope was observed hanging inside the fencing, attached to two parts of the fencing, presenting a potential safety hazard. Metal wiring was observed looped around wooden fence posts inside the fenced-in area; a space measuring four inches was observed between this wiring, creating a potential entrapment hazard. Two small balls were observed to be covered with mildew. Four golf clubs were observed to be rusting and laying on top of a picnic table. The plastic swing chain covers on a stationary swing set were observed to be splitting, exposing severely rusting swing chains. Two pieces of rebar were observed protruding from the ground inside the fenced-in area, creating a potential safety hazard. Two holes measuring three to four inches in depth were observed near the back fence next to the dead tree, presenting a potential tripping hazard. One hole was observed on the top rail of a section of fencing, which was observed to be sharp to the touch. A section of fencing toward the back left of the playground (facing away from the home) was observed to have come detached from the fence posts. Behind the shed on the playground, within the fenced-in area, greater than ten pieces of broken glass were observed on the ground. A heavily rusted bracket was observed hanging on the fence to the right of the shed. The top fencing rail of the section of fencing to the right of the shed was observed to be heavily rusted. Yellow extension cords were observed to be wrapped and hanging on the inside of the fencing, presenting a potential safety hazard. A five-gallon gardening bucket was observed to be filled two thirds of the way with standing water, presenting a potential safety and sanitation hazard. 10A NCAC 09 .1719 (a) 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 10/05/2023. 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 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. 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. Mabe during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please print and post the most updated Infant Safe Sleep Policy which can be found at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/Infant_Toddler_Safe_Sleep_Policy_Sample_1.pdf?ver=fDhA7_9-wzK0vsrb9-6SaA%3d%3d o Please also check the boxes on the form which your facility follows for infants enrolled. Please also provide this completed form for future infants enrolled. • 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 all fencing and outdoor equipment for developing rust. • Please monitor all equipment for animal droppings prior to the children playing outdoors. • Keturah Oglesby, from Smart Start of Forsyth County, is the current Child Care Health Consultant for Forsyth County. She can be contacted at: keturaho@smartstart-fc.org • Please be reminded your current Its SIDS certification expires on 9/24/23 (although you currently do not have any infants enrolled in care). You may register to complete Its SIDS training virtually at the following link: https://childcareresourcecenter.org/event/its-sids-health-safety-training/ 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: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/21/2023 Number Present: 4 Completed Date: 9/21/2023 Age: From 1 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Mary Mabe, Operator, assisted me with the visit. Your program currently operates with a 3-Star license effective 12/19/2019. Restrictions include 1st, 2nd, and 3rd shift care; maximum of 5 preschool children at any time; fire place/ wood stove not used during operating hours; and serves no more than two children under age one year old. The program’s compliance history was 96% 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. Ms. Mabe stated she and her husband are the only people living in the home. She also stated her adult son visits home regularly from college. A current CBC qualification letter was observed to be on file for each individual. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A smoker was observed to be rusting on the patio. The spaces between each step leading from the patio to the playground measured five and one half inches, presenting a potential entrapment hazard. A rusted dog chain was observed to be hanging on the inside of the fencing. One metal drop rod with a round top located between the gate doors nearest the trailer was observed to be heavily rusted. A metal crate to the right of the shed was observed to be rusted. An orange piece of rope was observed hanging inside the fencing, attached to two parts of the fencing, presenting a potential safety hazard. Metal wiring was observed looped around wooden fence posts inside the fenced-in area; a space measuring four inches was observed between this wiring, creating a potential entrapment hazard. Two small balls were observed to be covered with mildew. Four golf clubs were observed to be rusting and laying on top of a picnic table. The plastic swing chain covers on a stationary swing set were observed to be splitting, exposing severely rusting swing chains. Two pieces of rebar were observed protruding from the ground inside the fenced-in area, creating a potential safety hazard. Two holes measuring three to four inches in depth were observed near the back fence next to the dead tree, presenting a potential tripping hazard. One hole was observed on the top rail of a section of fencing, which was observed to be sharp to the touch. A section of fencing toward the back left of the playground (facing away from the home) was observed to have come detached from the fence posts. Behind the shed on the playground, within the fenced-in area, greater than ten pieces of broken glass were observed on the ground. A heavily rusted bracket was observed hanging on the fence to the right of the shed. The top fencing rail of the section of fencing to the right of the shed was observed to be heavily rusted. Yellow extension cords were observed to be wrapped and hanging on the inside of the fencing, presenting a potential safety hazard. A five-gallon gardening bucket was observed to be filled two thirds of the way with standing water, presenting a potential safety and sanitation hazard. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Ms. Mabe does not use an additional caregiver or substitute at this time. I observed positive interactions today. I observed the children in care playing with toys in activity centers, painting with water colors, playing outdoors, engaging in conversations and play with Ms. Mabe, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. All records were observed to be current and in compliance. Ms. Mabe stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. One container of deodorant and one liquid scented plug-in labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage in the bathroom used by children. One package of Mr. Clean Magic Erasers labeled Keep Out of Reach of Toddlers was observed in an unlocked cabinet less than five feet from the ground. Ms. Mabe placed each of these items into appropriate storage during the visit. A playground inspection was recorded 9/04/2023. A fire drill was recorded 9/05/2023. A shelter in place and lockdown drill for the facility were recorded 7/14/2023. There are two pets at this facility. All vaccination records were observed to be current and in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. 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 container of deodorant and one liquid scented plug-in labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage in the bathroom used by children. One package of Mr. Clean Magic Erasers labeled Keep Out of Reach of Toddlers was observed in an unlocked cabinet less than five feet from the ground. .1719 (a)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A smoker was observed to be rusting on the patio. The spaces between each step leading from the patio to the playground measured five and one half inches, presenting a potential entrapment hazard. A rusted dog chain was observed to be hanging on the inside of the fencing. One metal drop rod with a round top located between the gate doors nearest the trailer was observed to be heavily rusted. A metal crate to the right of the shed was observed to be rusted. An orange piece of rope was observed hanging inside the fencing, attached to two parts of the fencing, presenting a potential safety hazard. Metal wiring was observed looped around wooden fence posts inside the fenced-in area; a space measuring four inches was observed between this wiring, creating a potential entrapment hazard. Two small balls were observed to be covered with mildew. Four golf clubs were observed to be rusting and laying on top of a picnic table. The plastic swing chain covers on a stationary swing set were observed to be splitting, exposing severely rusting swing chains. Two pieces of rebar were observed protruding from the ground inside the fenced-in area, creating a potential safety hazard. Two holes measuring three to four inches in depth were observed near the back fence next to the dead tree, presenting a potential tripping hazard. One hole was observed on the top rail of a section of fencing, which was observed to be sharp to the touch. A section of fencing toward the back left of the playground (facing away from the home) was observed to have come detached from the fence posts. Behind the shed on the playground, within the fenced-in area, greater than ten pieces of broken glass were observed on the ground. A heavily rusted bracket was observed hanging on the fence to the right of the shed. The top fencing rail of the section of fencing to the right of the shed was observed to be heavily rusted. Yellow extension cords were observed to be wrapped and hanging on the inside of the fencing, presenting a potential safety hazard. A five-gallon gardening bucket was observed to be filled two thirds of the way with standing water, presenting a potential safety and sanitation hazard. 10A NCAC 09 .1719 (a) 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 10/05/2023. 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 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. 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. Mabe during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please print and post the most updated Infant Safe Sleep Policy which can be found at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/Infant_Toddler_Safe_Sleep_Policy_Sample_1.pdf?ver=fDhA7_9-wzK0vsrb9-6SaA%3d%3d o Please also check the boxes on the form which your facility follows for infants enrolled. Please also provide this completed form for future infants enrolled. • 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 all fencing and outdoor equipment for developing rust. • Please monitor all equipment for animal droppings prior to the children playing outdoors. • Keturah Oglesby, from Smart Start of Forsyth County, is the current Child Care Health Consultant for Forsyth County. She can be contacted at: keturaho@smartstart-fc.org • Please be reminded your current Its SIDS certification expires on 9/24/23 (although you currently do not have any infants enrolled in care). You may register to complete Its SIDS training virtually at the following link: https://childcareresourcecenter.org/event/its-sids-health-safety-training/ 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: POOH BEAR'S HONEY POT Facility ID: 34000679 Consultant: CARA MCKEOWN-STEWART Operation Type: Family CC Home Case Number: Visit Date: 9/21/2023 Number Present: 4 Completed Date: 9/21/2023 Age: From 1 To 4 Total Minutes: 215 Time In: 09:40 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable childcare requirements for a routine unannounced visit. You, Mary Mabe, Operator, assisted me with the visit. Your program currently operates with a 3-Star license effective 12/19/2019. Restrictions include 1st, 2nd, and 3rd shift care; maximum of 5 preschool children at any time; fire place/ wood stove not used during operating hours; and serves no more than two children under age one year old. The program’s compliance history was 96% 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. Ms. Mabe stated she and her husband are the only people living in the home. She also stated her adult son visits home regularly from college. A current CBC qualification letter was observed to be on file for each individual. A walk-through of the facility was completed today. Indoor and outdoor areas were observed. A smoker was observed to be rusting on the patio. The spaces between each step leading from the patio to the playground measured five and one half inches, presenting a potential entrapment hazard. A rusted dog chain was observed to be hanging on the inside of the fencing. One metal drop rod with a round top located between the gate doors nearest the trailer was observed to be heavily rusted. A metal crate to the right of the shed was observed to be rusted. An orange piece of rope was observed hanging inside the fencing, attached to two parts of the fencing, presenting a potential safety hazard. Metal wiring was observed looped around wooden fence posts inside the fenced-in area; a space measuring four inches was observed between this wiring, creating a potential entrapment hazard. Two small balls were observed to be covered with mildew. Four golf clubs were observed to be rusting and laying on top of a picnic table. The plastic swing chain covers on a stationary swing set were observed to be splitting, exposing severely rusting swing chains. Two pieces of rebar were observed protruding from the ground inside the fenced-in area, creating a potential safety hazard. Two holes measuring three to four inches in depth were observed near the back fence next to the dead tree, presenting a potential tripping hazard. One hole was observed on the top rail of a section of fencing, which was observed to be sharp to the touch. A section of fencing toward the back left of the playground (facing away from the home) was observed to have come detached from the fence posts. Behind the shed on the playground, within the fenced-in area, greater than ten pieces of broken glass were observed on the ground. A heavily rusted bracket was observed hanging on the fence to the right of the shed. The top fencing rail of the section of fencing to the right of the shed was observed to be heavily rusted. Yellow extension cords were observed to be wrapped and hanging on the inside of the fencing, presenting a potential safety hazard. A five-gallon gardening bucket was observed to be filled two thirds of the way with standing water, presenting a potential safety and sanitation hazard. Upon arrival, capacity was monitored as indicated on the attached worksheet. Supervision was adequate during the visit. Ms. Mabe does not use an additional caregiver or substitute at this time. I observed positive interactions today. I observed the children in care playing with toys in activity centers, painting with water colors, playing outdoors, engaging in conversations and play with Ms. Mabe, participating in general routines and eating lunch during the visit. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, ITS-SIDS, Special Trainings, and Criminal Background Checks. All records were observed to be current and in compliance. Ms. Mabe stated no children enrolled take medication during operating hours. Storage of hazardous items was monitored today. One container of deodorant and one liquid scented plug-in labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage in the bathroom used by children. One package of Mr. Clean Magic Erasers labeled Keep Out of Reach of Toddlers was observed in an unlocked cabinet less than five feet from the ground. Ms. Mabe placed each of these items into appropriate storage during the visit. A playground inspection was recorded 9/04/2023. A fire drill was recorded 9/05/2023. A shelter in place and lockdown drill for the facility were recorded 7/14/2023. There are two pets at this facility. All vaccination records were observed to be current and in compliance. The program does not provide transportation, participate in off-premise activities, or participate in aquatic activities. 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 container of deodorant and one liquid scented plug-in labeled Keep Out of Reach of Children with additional warnings were observed in unlocked storage in the bathroom used by children. One package of Mr. Clean Magic Erasers labeled Keep Out of Reach of Toddlers was observed in an unlocked cabinet less than five feet from the ground. .1719 (a)(7) 1409 Operator did not provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of the children in care. A smoker was observed to be rusting on the patio. The spaces between each step leading from the patio to the playground measured five and one half inches, presenting a potential entrapment hazard. A rusted dog chain was observed to be hanging on the inside of the fencing. One metal drop rod with a round top located between the gate doors nearest the trailer was observed to be heavily rusted. A metal crate to the right of the shed was observed to be rusted. An orange piece of rope was observed hanging inside the fencing, attached to two parts of the fencing, presenting a potential safety hazard. Metal wiring was observed looped around wooden fence posts inside the fenced-in area; a space measuring four inches was observed between this wiring, creating a potential entrapment hazard. Two small balls were observed to be covered with mildew. Four golf clubs were observed to be rusting and laying on top of a picnic table. The plastic swing chain covers on a stationary swing set were observed to be splitting, exposing severely rusting swing chains. Two pieces of rebar were observed protruding from the ground inside the fenced-in area, creating a potential safety hazard. Two holes measuring three to four inches in depth were observed near the back fence next to the dead tree, presenting a potential tripping hazard. One hole was observed on the top rail of a section of fencing, which was observed to be sharp to the touch. A section of fencing toward the back left of the playground (facing away from the home) was observed to have come detached from the fence posts. Behind the shed on the playground, within the fenced-in area, greater than ten pieces of broken glass were observed on the ground. A heavily rusted bracket was observed hanging on the fence to the right of the shed. The top fencing rail of the section of fencing to the right of the shed was observed to be heavily rusted. Yellow extension cords were observed to be wrapped and hanging on the inside of the fencing, presenting a potential safety hazard. A five-gallon gardening bucket was observed to be filled two thirds of the way with standing water, presenting a potential safety and sanitation hazard. 10A NCAC 09 .1719 (a) 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 10/05/2023. 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 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. 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. Mabe during the visit: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. • Please print and post the most updated Infant Safe Sleep Policy which can be found at the following link: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/I/Infant_Toddler_Safe_Sleep_Policy_Sample_1.pdf?ver=fDhA7_9-wzK0vsrb9-6SaA%3d%3d o Please also check the boxes on the form which your facility follows for infants enrolled. Please also provide this completed form for future infants enrolled. • 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 all fencing and outdoor equipment for developing rust. • Please monitor all equipment for animal droppings prior to the children playing outdoors. • Keturah Oglesby, from Smart Start of Forsyth County, is the current Child Care Health Consultant for Forsyth County. She can be contacted at: keturaho@smartstart-fc.org • Please be reminded your current Its SIDS certification expires on 9/24/23 (although you currently do not have any infants enrolled in care). You may register to complete Its SIDS training virtually at the following link: https://childcareresourcecenter.org/event/its-sids-health-safety-training/ 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