ONE Step Child Developmental Center II

NC GS 110-90 · Violation

Name of Operation: ONE STEP CHILD DEVELOPMENTAL CENTER II Facility ID: 42000034 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 2/11/2026 Number Present: 21 Completed Date: 2/11/2026 Age: From 0 To 4 Total Minutes: 160 Time In: 09:20 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. You, G. Daily, Administrator, were present and available to assist with today’s visit. Your program currently operates with a four-star license issued on December 7, 2018, earning four (4) points in the education component, six (6) points in the program standards component and one (1) quality point for having 75% of teachers have an AAS or higher in ECE/CD. The last annual compliance visit was conducted on March 11, 2025. The sanitation inspection was completed on February 25, 2025, with a “Superior” classification “9” demerits. The fire inspection was completed on January 30, 2026, approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-one (21) children from five months old to four-years-old were present during the visit. A walk-through of the facility was completed today. I observed children in the indoor learning environment and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed engaging in free choice play in centers. The caregivers were interacting and meeting the developmental needs for each of the children. The children were served the following for lunch: chicken, collard greens, carrots, wheat bread, and milk. The facility does not provide transportation. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violation of the child care requirements were documented and corrected during today’s visit. Violation Number Comment Rule 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. C. Burgwyn first day of employment was January 5, 2026. Ms. Burgwyn did have documentation of reviewing the prevention of shaken baby syndrome and abusive head trauma policy; however, it was reviewed and signed on January 13, 2026. .0608(d)(1-4) 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. COMPLIANCE HISTORY: Prior to conducting today’s visit, your program’s Compliance History score, over an 18-month period time frame, is 92%. OWNER/FACILITY PROFILE INFORMATION: ONE STEP CHILD DEVELOPMENTAL CENTER CORPORATION is listed as the current and active on the Secretary of State website and owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN’S RECORDS: Ten percent of existing staff files and one new staff file were reviewed today. Ten percent of the children’s files were reviewed today. The files were available and well organized. PREVENTION OF SHAKEN BABY SYNDROMBE AND ABUSIVE HEAD TRAUMA: C. Burgwyn first day of employment was January 5, 2026. Ms. Burgwyn did have documentation of reviewing the prevention of shaken baby syndrome and abusive head trauma policy; however, it was reviewed and signed on January 13, 2026. Please remember the policy must be reviewed on the first day of employment. This was corrected during the visit. RMINDERS: QRIS-PATHWAY TWO: You are currently working on collecting documentation for Pathway 2. Completing the Family and community engagement, continuous quality improvement plan for facility and individual, and the additional training or coaching options. ANNUAL SANITATION INSPECTION: As a reminder your annual sanitation inspection is due on or prior to February 25, 2026. You may want to contact your local environmental health inspection to schedule this inspection. AGE APPROPRIATE SPACE: In space number one (1) where infant aged children are cared for; there was a two-year-old child with special needs who is delayed in walking, in the classroom. Please remember to keep documentation for that child as to why the Child is in a younger classroom. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on May 5, 2025. You have begun enrollment in the lead water testing, lead paint testing, and the asbestos testing. Please complete the enrollment process. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 .0604 · Violation

Name of Operation: ONE STEP CHILD DEVELOPMENTAL CENTER II Facility ID: 42000034 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 20 Completed Date: 3/11/2025 Age: From 1 To 4 Total Minutes: 110 Time In: 09:25 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. You, G. Daily, Administrator, were present and available to assist with today’s visit. Your program currently operates with a four-star license issued on December 7, 2018, earning four (4) points in the education component, six (6) points in the program standards component and one (1) quality point for having 75% of teachers have an AAS or higher in ECE/CD. The last annual compliance visit was conducted on April 9, 2024. The sanitation inspection was completed on February 25, 2025, with a “Superior” classification “9” demerits. The fire inspection was completed on February 27, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty (20) children from one-year-old to four-years-old were present during the visit. A walk-through of the facility was completed today. I observed children in the indoor learning environment and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed engaging in free choice play in centers. The caregivers were interacting and meeting the developmental needs for each of the children. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space number four (4) there was an electrical outlet along the far wall that was not covered by a protective outlet cover. 10A NCAC 09 .0604(c) 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. The one violation cited during this visit was corrected during the visit. COMPLIANCE HISTORY: Prior to conducting today’s visit, your program’s Compliance History score, over an 18-month period time frame, is 92%. OWNER/FACILITY PROFILE INFORMATION: ONE STEP CHILD DEVELOPMENTAL CENTER CORPORATION is listed as the current and active on the Secretary of State website and owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN’S RECORDS: Staff and children’s records were not reviewed today, due to unforeseen circumstances. The staff and children’s records will be reviewed at a later date. SAFETY AND HEALTH: In space number four (4) there was an electrical outlet along the far wall that was not covered by a protective outlet cover. The teacher immediately placed a protective cover in the outlet (this was corrected during the visit). RMINDERS: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357), which includes the $67.5 million for reduced compensation payments for the first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on March 18, 2021. You have begun enrollment in the lead water testing, lead paint testing, and the asbestos testing. Please complete the enrollment process. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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: ONE STEP CHILD DEVELOPMENTAL CENTER II Facility ID: 42000034 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 3/11/2025 Number Present: 20 Completed Date: 3/11/2025 Age: From 1 To 4 Total Minutes: 110 Time In: 09:25 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during an annual compliance visit. You, G. Daily, Administrator, were present and available to assist with today’s visit. Your program currently operates with a four-star license issued on December 7, 2018, earning four (4) points in the education component, six (6) points in the program standards component and one (1) quality point for having 75% of teachers have an AAS or higher in ECE/CD. The last annual compliance visit was conducted on April 9, 2024. The sanitation inspection was completed on February 25, 2025, with a “Superior” classification “9” demerits. The fire inspection was completed on February 27, 2025, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty (20) children from one-year-old to four-years-old were present during the visit. A walk-through of the facility was completed today. I observed children in the indoor learning environment and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed engaging in free choice play in centers. The caregivers were interacting and meeting the developmental needs for each of the children. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space number four (4) there was an electrical outlet along the far wall that was not covered by a protective outlet cover. 10A NCAC 09 .0604(c) 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. The one violation cited during this visit was corrected during the visit. COMPLIANCE HISTORY: Prior to conducting today’s visit, your program’s Compliance History score, over an 18-month period time frame, is 92%. OWNER/FACILITY PROFILE INFORMATION: ONE STEP CHILD DEVELOPMENTAL CENTER CORPORATION is listed as the current and active on the Secretary of State website and owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: STAFF AND CHILDREN’S RECORDS: Staff and children’s records were not reviewed today, due to unforeseen circumstances. The staff and children’s records will be reviewed at a later date. SAFETY AND HEALTH: In space number four (4) there was an electrical outlet along the far wall that was not covered by a protective outlet cover. The teacher immediately placed a protective cover in the outlet (this was corrected during the visit). RMINDERS: DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please contact the WORKS department if you have questions on what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357), which includes the $67.5 million for reduced compensation payments for the first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR CAROLINA KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on March 18, 2021. You have begun enrollment in the lead water testing, lead paint testing, and the asbestos testing. Please complete the enrollment process. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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

G.S. 110-90 · Violation

Name of Operation: ONE STEP CHILD DEVELOPMENTAL CENTER II Facility ID: 42000034 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 12/6/2024 Number Present: 21 Completed Date: 12/6/2024 Age: From 0 To 4 Total Minutes: 155 Time In: 09:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, G. Daily, Administrator, were present and available to assist with today’s visit. Your program currently operates with a four-star license issued on December 7, 2018, earning four (4) points in the education component, six (6) points in the program standards component and one (1) quality point for having 75% of teachers have an AAS or higher in ECE/CD. The last annual compliance visit was conducted on April 9, 2024. The sanitation inspection was completed on February 27, 2024, with a “Superior” classification “7” demerits. The fire inspection was completed on April 10, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-on (21) children from infant aged to four-years-old were present during the visit. A walk-through of the facility was completed today. I observed children in the indoor learning environment and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed engaging in free choice play in centers. The caregivers were interacting and meeting the developmental needs for each of the children. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, License Posted, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Teressa Miles had a Criminal Background Check (CBC) letter on file dated November 18, 2019, however; the CBC letter expired on November 18, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. T. Miles did not have First Aid documentation available for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. T. Miles did not have CPR documentation available for review .1102(d) 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. The violation(s) documented must be corrected immediately. On or before December 20, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your program’s Compliance History score, over an 18-month period time frame, is 98%. OWNER/FACILITY PROFILE INFORMATION: ONE STEP CHILD DEVELOPMENTAL CENTER CORPORATION is listed as the current and active on the Secretary of State website and owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CRMINIAL BACKGROUND CHECK: Teressa Miles had a Criminal Background Check (CBC) letter on file dated November 18, 2019, however; the CBC letter expired on November 18, 2024. Please have Ms. Miles complete the criminal background check process in the ABCMS portal at https://ncabcms.nc.gov/DCDEE/Home immediately. You stated Ms. Miles has begun the renewal process and has submitted her finger prints. Ms. Miles has fourteen (14) days to complete the CBC process and have a current CBC letter on file. If Ms. Miles does not have a current CBC letter on file by December 20, 2024, she may not return to the facility until she has a current CBC letter on file. Please remember all CBC letters have to be renewed every five years. You may want to create a chart of all your employees with the dates the CBC letters need to be renewed and post in a place where you can easily see them. CPR AND FIRST AID: T. Miles did not have CPR and First Aid documentation available for review. Please have Ms. Miles complete pediatric and adults First Aid and CPR training and place her documentation in her file. REMINDERS: ANNUAL LICENSING FEE: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024. It is not based on the number of children enrolled at your facility. Annual license fees do not apply to state- or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. For questions regarding license fees, check out these Frequently Asked Questions (Preguntas frecuentes). For help with the annual license fee, contact DCDEE_LF@dhhs.nc.gov. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357), which includes the $67.5 million for reduced compensation payments for the first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on March 18, 2021. You must test your drinking and cooking water every three (3) years. Please enroll in the lead water testing at https://www.cleanwaterforuskids.org/en/carolina/. You have begun enrollment for the lead paint and asbestos testing. Please complete enrollment. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: 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 on 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 1-800-859-0829 and someone will assist you. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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: ONE STEP CHILD DEVELOPMENTAL CENTER II Facility ID: 42000034 Consultant: ANGELA NIEVES Operation Type: Center Case Number: Visit Date: 12/6/2024 Number Present: 21 Completed Date: 12/6/2024 Age: From 0 To 4 Total Minutes: 155 Time In: 09:15 AM Time Out: 11:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor this facility for compliance with applicable child care requirements during a routine unannounced visit. You, G. Daily, Administrator, were present and available to assist with today’s visit. Your program currently operates with a four-star license issued on December 7, 2018, earning four (4) points in the education component, six (6) points in the program standards component and one (1) quality point for having 75% of teachers have an AAS or higher in ECE/CD. The last annual compliance visit was conducted on April 9, 2024. The sanitation inspection was completed on February 27, 2024, with a “Superior” classification “7” demerits. The fire inspection was completed on April 10, 2024, and the center was approved for daytime care only. The license was posted, and the restrictions were in compliance. Twenty-on (21) children from infant aged to four-years-old were present during the visit. A walk-through of the facility was completed today. I observed children in the indoor learning environment and outdoor learning environment and found supervision and staff/child ratios to be in compliance. Children were observed engaging in free choice play in centers. The caregivers were interacting and meeting the developmental needs for each of the children. The following were monitored: Supervision, Staff Child Ratio, First Aid, CPR, Special Training, CBC Qualification, Emergency Medical Care Plan, Storage of Hazardous Substances, Administration of Medication, Adequate/Approved Space, License Posted, Permit Restrictions, and Program Records. Any violations of the child care requirements observed today were discussed with you and documented in the visit summary report and reviewed with you at the conclusion of the visit. The following violations of the child care requirements were documented today: Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Teressa Miles had a Criminal Background Check (CBC) letter on file dated November 18, 2019, however; the CBC letter expired on November 18, 2024. G.S. 110-90.2(b) & .2703(n)&(o) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. T. Miles did not have First Aid documentation available for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. T. Miles did not have CPR documentation available for review .1102(d) 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. The violation(s) documented must be corrected immediately. On or before December 20, 2024. I must receive a written, dated, and signed compliance letter that describes accurately and in detail how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Angela Nieves, Child Care Consultant PO Box 8741 Rocky Mount, NC 27804 Angela.nieves@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 The two-week time frame is established to allow you time for submitting your compliance letter. This time frame is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during today's visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's license could be issued. COMPLIANCE HISTORY: Prior to conducting today’s visit, your program’s Compliance History score, over an 18-month period time frame, is 98%. OWNER/FACILITY PROFILE INFORMATION: ONE STEP CHILD DEVELOPMENTAL CENTER CORPORATION is listed as the current and active on the Secretary of State website and owner of this center. You verified the mailing address, email address, and phone number listed on the facility profile are correct. If changes in your facility’s information occurs, please contact me at 252-557-5597 or email me at angela.nieves@dhhs.nc.gov to discuss the changes and ensure the information is current in our system. TECHNICAL ASSISTANCE/CONSULTATION: CRMINIAL BACKGROUND CHECK: Teressa Miles had a Criminal Background Check (CBC) letter on file dated November 18, 2019, however; the CBC letter expired on November 18, 2024. Please have Ms. Miles complete the criminal background check process in the ABCMS portal at https://ncabcms.nc.gov/DCDEE/Home immediately. You stated Ms. Miles has begun the renewal process and has submitted her finger prints. Ms. Miles has fourteen (14) days to complete the CBC process and have a current CBC letter on file. If Ms. Miles does not have a current CBC letter on file by December 20, 2024, she may not return to the facility until she has a current CBC letter on file. Please remember all CBC letters have to be renewed every five years. You may want to create a chart of all your employees with the dates the CBC letters need to be renewed and post in a place where you can easily see them. CPR AND FIRST AID: T. Miles did not have CPR and First Aid documentation available for review. Please have Ms. Miles complete pediatric and adults First Aid and CPR training and place her documentation in her file. REMINDERS: ANNUAL LICENSING FEE: Keep an eye on your inbox for the 2024 annual license fee invoice. Invoices will be emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. Per North Carolina General Statute § 110-90(1a), licensed child care facilities are assessed an annual license fee. The amount of your annual license fee is based on the licensed capacity printed on your license as of October 1, 2024. It is not based on the number of children enrolled at your facility. Annual license fees do not apply to state- or public school-operated child care facilities, or to religious-sponsored facilities operating under a Notice of Compliance. For questions regarding license fees, check out these Frequently Asked Questions (Preguntas frecuentes). For help with the annual license fee, contact DCDEE_LF@dhhs.nc.gov. DCDEE WORKS: Please continue to keep your Staff and Training worksheets up to date. Update the worksheets when changes are made, such as hiring new staff, additional coursework, and completed training. We discussed making sure new employees you hire and any current staff working on education submit any education transcripts to the “WORKS” system, so their education can be evaluated. If the education information is not in the “WORKS” system when the star-rated license is reassessed it could affect the points in Education Standards. Please print each staff member’s DCDEE WORKS letter and file. Please contact the WORKS department if you have questions about what is needed. The information is below 919-814-6350 or dcdee.works@dhhs.nc.gov. START RATED LICENSE/QUALITY IMPROVEMENT RATING SYSTEM (QRIS) UPDATE: The Governor signed 12 bills on July 8, 2024. Including the Adjustments to the Appropriations Act (SB 357), which includes the $67.5 million for reduced compensation payments for the first two quarters of FY 24-25 and the DHHS Agency Bill (Senate Bill 425) which includes the QRIS provisions: • QRIS modernization (3 new pathways to stars) is now approved (SB 425). • Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year unless they want to. • SB 425 does mean that programs currently accredited through the approved accrediting bodies can move to a 3- or 5-star license if they are not already at this star level. Providers will need to submit a request to their consultant and provide a copy of their accreditation certificate for processing. • SB 425 also requires that we move to the ERS-3 versions for ECCERS. ITERS and FCCERS, effective February 1, 2025. Self-paced online training modules regarding the new assessments will be available in September 2024. • SB 357 provides $67.5 million dollars to continue a reduced level of funding for the compensation portion only of the Child Care Stabilization Grant. Funding is designated for the first two quarters of FY 2024-25 and provides only about 75% of funding needed to maintain compensation payment amounts provided through ARPA funding which ended June 30, 2024. DCDEE will continue to utilize the NC FAST Stabilization Grant portal to distribute funds. CLEAN WATER FOR US KIDS: According to the Clean Water for Us Kids website you last tested your water for lead on March 18, 2021. You must test your drinking and cooking water every three (3) years. Please enroll in the lead water testing at https://www.cleanwaterforuskids.org/en/carolina/. You have begun enrollment for the lead paint and asbestos testing. Please complete enrollment. CRMINAL BACKGROUND CHECK-AMBCMS PORTAL: 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 on 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 1-800-859-0829 and someone will assist you. CONTACT INFORMATION: If you have any questions about today’s visit, you may contact me at 252-557-5597 or angela.nieves@dhhs.nc.gov. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email at susan.fuller@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 .0601 · Violation

Name of Operation: ONE STEP CHILD DEVELOPMENTAL CENTER II Facility ID: 42000034 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 22 Completed Date: 4/9/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. This facility currently operates with a Five-Star rated license issued November 9, 2018, earning five (5) points in Education Standards, seven (7) points in Program Standards and one (1) Quality point based on having reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on May 18, 2023. The sanitation inspection was completed on February 27, 2024, with an ”Superior” classification. A fire inspection was completed on March 6, 2024 and unsatisfactory. You, G. Dailey, Administrator, was present, notified of the purpose of today’s visit, and available to assist. Ms. K. Dailey, Legal Designee, was available for consultation at the conclusion of the visit. Twenty-two (22) children age ranging zero (0) to four (4) years old were present. Children were observed participating in morning activities, free-choice play, completing hand washing and toileting routines, eating lunch, playing on the outdoor learning environment and interacting with the caregiver. All staff and child interactions were warm and nurturing. Lunch consisted of Mixed Vegetables, applesauce, corndogs, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator did not submit to DCDEE within one week after fire inspection was completed. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Indoor environment was not safe due to unsatisfactory fire inspection conducted on March 6, 2024. 10A NCAC 09 .0601(a) The violations documented must be corrected immediately. Mail or email me a compliance letter addressing the correction of the violation to me before 5PM on April 23 , 2024. My contact information is: PO Box 1974 Henderson, NC 27536 My email address is: emily.hargrove@dhhs.nc.gov. GENERAL RULE REMINDERS: Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your center. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. MEDICATION: No Medication provided. TRANSPORTATION: No Transportation provided. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. FIRE INSPECTION REPORT: You submitted current fire inspection report. Fire inspection report was not submitted within one week of inspection date. Fire inspection reports must be submitted within one week of inspection to DCDEE. Safe Indoor Environment: Fire inspection was approved as unsatisfactory. DCDEE WORKS: New staff that has not had their education evaluated will need to create a WORKS account by accessing our website under the provider tab, then click DCDEE WORKS. Once account is created, staff should upload or submit original transcripts or certificates to the division for evaluation of their education. Existing staff who has completed additional college course work should also upload and or submit new transcripts. Staff should also apply for what position they want to be evaluated for. (teacher, lead teacher, group leader, etc.) If you need assistance or have any questions, you should contact our workforce education unit. NEW CRIMINAL BACKGROUND CHECK LEGISLATIVE CHANGES: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. • The period for background check qualification renewals was revised from three years to five years. • The provisional qualification period was reduced to forty-five days. The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter will be extended 2 years for the total of 5 years. New Qualification Letters will not be generated. Individuals with a Provisional Qualification Letter will receive a Qualification Letter on the 45th day. Letters are generated in the Criminal Background Check portal. HEALTH AND SAFETY TRAININGS: Health and safety trainings are due every five (5) years. If any staff completed trainings in 2017, trainings will be due this year, 2022. I encourage staff to be intentional and start completing trainings. Health and safety trainings are now on MOODLE. There are a couple of ways for a student to access the health and safety training. • The enrollment process and completion of course materials tend to work best with a windows laptop or desktop using Firefox, but other devices and Google Chrome should also work. • From the Moodle home page, students need to log-in with their NCID and password. The log-in is in the upper right corner of the screen. • After log-in, the student should scroll to the bottom of the page. In the ‘Search courses’ box, the student should type in the short name “Year 2023 CCDF” and then click go. The student should not register for prior year courses as they are no longer available. • After completing the course search for “Year 2023 CCDF”, the student should be able to register for the course. • Once registered, the student will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Should a student encounter an issue, we are requesting they report the CCDF 2023 course issue (i.e. they are unable to complete the course evaluation or receive a training certificate), to the North Carolina Child Care Health and Safety Resource Center using the following link https://healthychildcare.unc.edu/contact-us-form/. Should the student need additional guidance with accessing the training, please refer them to Amia Eaton, Training and Program Development Consultant, at Amia.Eaton@dhhs.nc.gov or by telephone at 919-814-6365. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. CHILD CARE HEALTH CONSULTANT: I also encourage you to contact Kathy Vick, Child Care Health Consultant at 252-537-5621 (kvick@hwss.org). Ms. Vick can provide assistance regarding applicable health and safety practices as they relate to COVID-19, (Coronavirus). If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center TRAININGS: Medication Administration and Stay Healthy, Stay Clean trainings Below is a description of each training and the number of credit hours for each one. The Stay Healthy, Stay Clean training can be broken up into the modules that best fit the facility. Medication Administration (2 hours) - Participants will learn medication best practices in early care and education including receiving, documenting, storage, and disposal. They will learn about NC Child Care regulations, types of medication, and the forms that are required to be completed before giving medication. They will also learn how to recognize, respond to, and report a medication error. Medication Skills (2 hours) - Participants will learn the skills needed to safely administer different types of medication to children, including oral, topical, inhalation, and instillation medication. It will NOT cover “emergency/rescue medications” such as types of injectable medication, infusion medication or rectal gels or suppositories. This training should be taken by anyone in the facility who will be administering medication to children. Stay Healthy, Stay Clean (3.5 hours total) - • Handwashing module (.5 hours): Participants learn about infectious disease and how it is spread. They are taught the consequences of inadequate handwashing, how to wash hands and assist children with handwashing, and when adults and children must wash hands in child care. Participants will learn common sources of violations and issues to avoid. • Diapering module (.5 hours): Participants learn when and how to check diapers, what kind of equipment is required for proper diapering, the correct steps of diapering and how proper diapering prevents the spread of germs. Participants learn common sources of violations and issues to avoid. • Toileting module (.5 hours): Participants learn about toilet rooms, toilet learning practices and equipment, and how to assist when children have accidents during toilet learning. • Sanitation module (1 hour): Participants learn the difference between cleaning, sanitizing, and disinfecting. They learn how to clean, sanitize and disinfect and when to clean common items in child care including sleep areas, play areas, food areas, handwashing sinks, toileting and diapering areas, and keeping cleaning supplies, doorknobs, water fountains, floors, and cubbies clean. Participants learn common sources of violations and issues to avoid. • Food module (1 hour): Participants learn the difference between food service and food prep in the child care center classroom setting, what is required for each, and the procedures around handling food to prevent contamination, spoilage, and transmission of infectious diseases. Stacy Rosser, MPH, CCHC-C/E Regional Child Care Health Consultant NC Child Care Health and Safety Resource Center UNC Gillings School of Global Public Health 252-557-4208 stacy_rosser@unc.edu NC Child Care Health and Safety Resource Center 800-367-2229, choose 1, then 2 www.healthychildcare.unc.edu Lead in Water/Paint and Asbestos The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. 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 .0304 · Violation

Name of Operation: ONE STEP CHILD DEVELOPMENTAL CENTER II Facility ID: 42000034 Consultant: EMILY HARGROVE Operation Type: Center Case Number: Visit Date: 4/9/2024 Number Present: 22 Completed Date: 4/9/2024 Age: From 0 To 4 Total Minutes: 310 Time In: 10:20 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of my unannounced visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. This facility currently operates with a Five-Star rated license issued November 9, 2018, earning five (5) points in Education Standards, seven (7) points in Program Standards and one (1) Quality point based on having reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on May 18, 2023. The sanitation inspection was completed on February 27, 2024, with an ”Superior” classification. A fire inspection was completed on March 6, 2024 and unsatisfactory. You, G. Dailey, Administrator, was present, notified of the purpose of today’s visit, and available to assist. Ms. K. Dailey, Legal Designee, was available for consultation at the conclusion of the visit. Twenty-two (22) children age ranging zero (0) to four (4) years old were present. Children were observed participating in morning activities, free-choice play, completing hand washing and toileting routines, eating lunch, playing on the outdoor learning environment and interacting with the caregiver. All staff and child interactions were warm and nurturing. Lunch consisted of Mixed Vegetables, applesauce, corndogs, and milk. The following violations were documented today. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Operator did not submit to DCDEE within one week after fire inspection was completed. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Indoor environment was not safe due to unsatisfactory fire inspection conducted on March 6, 2024. 10A NCAC 09 .0601(a) The violations documented must be corrected immediately. Mail or email me a compliance letter addressing the correction of the violation to me before 5PM on April 23 , 2024. My contact information is: PO Box 1974 Henderson, NC 27536 My email address is: emily.hargrove@dhhs.nc.gov. GENERAL RULE REMINDERS: Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all child care facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your center. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. TECHNICAL ASSISTANCE AND CONSULTATION: Compliance History: Prior to today's visit, this facility has maintained an 18-month compliance score of 100%. MEDICATION: No Medication provided. TRANSPORTATION: No Transportation provided. PROGRAM RECORDS: Fire Drills/Emergency Drills, Fire inspection, Sanitation report, First Aid/CPR Poster, Playground Outdoor Inspections, EMC Plan and License were reviewed and current. CHILDREN AND STAFF RECORDS: Ten percent (10%) or more of children records were monitored. Children records reviewed, were in compliance. Other children’s files not reviewed should be monitored to ensure compliance for the same information. Ten percent (10%) or more of existent staff files were monitored. Staff records reviewed were in compliance. Other staff records should be monitored for the same information to ensure compliance. FIRE INSPECTION REPORT: You submitted current fire inspection report. Fire inspection report was not submitted within one week of inspection date. Fire inspection reports must be submitted within one week of inspection to DCDEE. Safe Indoor Environment: Fire inspection was approved as unsatisfactory. DCDEE WORKS: New staff that has not had their education evaluated will need to create a WORKS account by accessing our website under the provider tab, then click DCDEE WORKS. Once account is created, staff should upload or submit original transcripts or certificates to the division for evaluation of their education. Existing staff who has completed additional college course work should also upload and or submit new transcripts. Staff should also apply for what position they want to be evaluated for. (teacher, lead teacher, group leader, etc.) If you need assistance or have any questions, you should contact our workforce education unit. NEW CRIMINAL BACKGROUND CHECK LEGISLATIVE CHANGES: The 2022-2023 Appropriations Bill (HB 103) signed by Governor Cooper on July 11, 2022, made two important changes to North Carolina General Statute 110-90-2 regarding child care Criminal Background Checks. • The period for background check qualification renewals was revised from three years to five years. • The provisional qualification period was reduced to forty-five days. The Division intends to implement these changes as soon as possible. An individual’s current Qualification Letter will be extended 2 years for the total of 5 years. New Qualification Letters will not be generated. Individuals with a Provisional Qualification Letter will receive a Qualification Letter on the 45th day. Letters are generated in the Criminal Background Check portal. HEALTH AND SAFETY TRAININGS: Health and safety trainings are due every five (5) years. If any staff completed trainings in 2017, trainings will be due this year, 2022. I encourage staff to be intentional and start completing trainings. Health and safety trainings are now on MOODLE. There are a couple of ways for a student to access the health and safety training. • The enrollment process and completion of course materials tend to work best with a windows laptop or desktop using Firefox, but other devices and Google Chrome should also work. • From the Moodle home page, students need to log-in with their NCID and password. The log-in is in the upper right corner of the screen. • After log-in, the student should scroll to the bottom of the page. In the ‘Search courses’ box, the student should type in the short name “Year 2023 CCDF” and then click go. The student should not register for prior year courses as they are no longer available. • After completing the course search for “Year 2023 CCDF”, the student should be able to register for the course. • Once registered, the student will then need to use the “ADDITIONAL DIRECTIONS” for step-by-step instructions. Should a student encounter an issue, we are requesting they report the CCDF 2023 course issue (i.e. they are unable to complete the course evaluation or receive a training certificate), to the North Carolina Child Care Health and Safety Resource Center using the following link https://healthychildcare.unc.edu/contact-us-form/. Should the student need additional guidance with accessing the training, please refer them to Amia Eaton, Training and Program Development Consultant, at Amia.Eaton@dhhs.nc.gov or by telephone at 919-814-6365. PROVIDER DOCUMENTS/FORMS: You should visit the website often to ensure you’re using all updated forms. CHILD CARE HEALTH CONSULTANT: I also encourage you to contact Kathy Vick, Child Care Health Consultant at 252-537-5621 (kvick@hwss.org). Ms. Vick can provide assistance regarding applicable health and safety practices as they relate to COVID-19, (Coronavirus). If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-214-8454 or emily.hargrove@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor at 252-373-9809 or susan.fuller@dhhs.nc.gov. RESOURCES: • The most current provider documents/ forms, checklists, resources related to child care and new child care requirements, and how to create a DCDEE WORKS account can be found on the Division of Child Development and Early Education website. https://ncchildcare.ncdhhs.gov/ • North Carolina Risk Management Portal for EPR updates/review: https://rmp.nc.gov/portal/# • NC Child Care Health & Safety Resource Center TRAININGS: Medication Administration and Stay Healthy, Stay Clean trainings Below is a description of each training and the number of credit hours for each one. The Stay Healthy, Stay Clean training can be broken up into the modules that best fit the facility. Medication Administration (2 hours) - Participants will learn medication best practices in early care and education including receiving, documenting, storage, and disposal. They will learn about NC Child Care regulations, types of medication, and the forms that are required to be completed before giving medication. They will also learn how to recognize, respond to, and report a medication error. Medication Skills (2 hours) - Participants will learn the skills needed to safely administer different types of medication to children, including oral, topical, inhalation, and instillation medication. It will NOT cover “emergency/rescue medications” such as types of injectable medication, infusion medication or rectal gels or suppositories. This training should be taken by anyone in the facility who will be administering medication to children. Stay Healthy, Stay Clean (3.5 hours total) - • Handwashing module (.5 hours): Participants learn about infectious disease and how it is spread. They are taught the consequences of inadequate handwashing, how to wash hands and assist children with handwashing, and when adults and children must wash hands in child care. Participants will learn common sources of violations and issues to avoid. • Diapering module (.5 hours): Participants learn when and how to check diapers, what kind of equipment is required for proper diapering, the correct steps of diapering and how proper diapering prevents the spread of germs. Participants learn common sources of violations and issues to avoid. • Toileting module (.5 hours): Participants learn about toilet rooms, toilet learning practices and equipment, and how to assist when children have accidents during toilet learning. • Sanitation module (1 hour): Participants learn the difference between cleaning, sanitizing, and disinfecting. They learn how to clean, sanitize and disinfect and when to clean common items in child care including sleep areas, play areas, food areas, handwashing sinks, toileting and diapering areas, and keeping cleaning supplies, doorknobs, water fountains, floors, and cubbies clean. Participants learn common sources of violations and issues to avoid. • Food module (1 hour): Participants learn the difference between food service and food prep in the child care center classroom setting, what is required for each, and the procedures around handling food to prevent contamination, spoilage, and transmission of infectious diseases. Stacy Rosser, MPH, CCHC-C/E Regional Child Care Health Consultant NC Child Care Health and Safety Resource Center UNC Gillings School of Global Public Health 252-557-4208 stacy_rosser@unc.edu NC Child Care Health and Safety Resource Center 800-367-2229, choose 1, then 2 www.healthychildcare.unc.edu Lead in Water/Paint and Asbestos The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. Rule 15A NCAC 18A .2816 requires currently operating child care centers to test water initially and every three years. Most of you have completed your initial testing and now it is time for your three-year retest. Please log into https://www.cleanwaterforuskids.org/en/carolina/ to ensure you are meeting the requirements for Lead in Water / Paint/Asbestos testing. 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