10A NCAC 09 .1725 · Violation

Name of Operation: FIRST STEPS PRESCHOOL Facility ID: 50000070 Consultant: SIDNEY MCCRORY Operation Type: Family CC Home Case Number: Visit Date: 3/26/2025 Number Present: 5 Completed Date: 3/26/2025 Age: From 1 To 3 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:30 AM Time In: 02:00 PM Time Out: 03:00 PM 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 child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Angela Farmer, Owner/Operator, during the visit. A signed copy of the visit summary was left with you. Upon arrival, I was greeted by Angie Farmer, Owner. I reviewed the purpose of today’s visit with you. Monica Houck, Lead Child Care Consultant, accompanied me during today’s visit. Ms. Farmer was available to assist with questions. The program currently operates with a one (1) Star Rated License effective 12/8/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 3/26/25. The program’s annual compliance visit was conducted on 9/23/24. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to three years old, having free play. The provider read a story to the children. The children then sang the alphabet and various educational songs with the Provider. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. The bathroom used by children was under construction. You stated in February 2025 there was a leak discovered and repairs through reconstruction are in process now. The last fire drill was practiced on 2/14/25. The last emergency drill, shelter-in-place drill, was practiced on 12/21/24. The Emergency Medical Care Plan is posted and current. Currently, you, your daughter (15 years old), and son (3 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Due to technical difficulties we left to work off-site and then returned to review the visit summary with the Provider. The following violations were documented during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The bathroom the children use was being remodeled.There were large holes in the floor and a wall was knocked out allowing access to an unlicensed space. .1719(a)(1)&(17) 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last test was done on 11/1/22. A new test is required. 10A NCAC 09 .1725(a)(1) 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 dog and cat that live in the home did not have proof of current vaccination. .1719(b)(1) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR plan on file was dated 9/19/22. .1714(e ) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. An infant that started in September of 2024 had no record of safe sleep checks. .1724(a)(7) Technical assistance was provided as follows: Items #930 and 1831 Criminal Background Checks (CBC) The Division of Child Development and Early Education (DCDEE) CBC application process must be completed prior to expiration to allow for the process of renewing a qualification letter. A valid qualification letter must be on file at all times at the facility. A. Farmer must complete the DCDEE CBC application process immediately. Once the process is completed, the qualification letter must be printed and on file at the facility. Per DCDEE procedures and because Ms. Farmer does not have a valid qualification letter on file, the child care facility must close at the end of the day and cannot operate again until Ms. Farmer has her valid qualification letter on file. Plan to update the child care consultant during the process and send a copy of the valid qualification letter to the consultant once completed. Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valid CPR/First Aid card/certificate is on file. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valdi CPR/First Aid card/certificate is on file. Item -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. Rule Reference .1719(b)(1) Records of all pets must be present for viewing. Keep these records in your files to make it easier to find during your Annual Compliance and Routine Unannounced Visits. Item -1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. Rule Reference .1724(a)(7) All children ages 12 months and younger must have safe sleep checks on file for thirty days. These can be kept on a clip board for easy access and to help you remember if in proximity. Item 701- All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Rule Reference-.1719(a)(1)&(17) -The bathroom for use by children in the hallway must be completed repaired before children can begin using this bathroom again. The holes in the floor and missing walls create hazards for children. You stated you do not want to have the master bathroom approved for children's use. You also stated the bathroom floor may be repaired as soon as this weekend. Plan to send pictures to verify compliance. Item 801-Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Rule reference .1725(a)(1) Wells used for children should be tested every two years. Put a reminder up where you can see it near your parent boards to keep it front and center to help keep this up to date and in your view year round. Item #1876 Emergency Preparedness and Response (EPR) Plan It is important to review the EPR plan annually to ensure all information is accurate in case of emergency. The EPR Plan needs to be updated and the current plan be printed and ready for review. Corrective Action Plan: 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. 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 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/9/25.. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Lead water testing is now effective for family child care homes as of January, 2025. The water lead testing has not be started. Plan to complete the water lead testing through Clean Water for Carolina Kids immediately. We discussed if the water has not been tested for lead by the next monitoring visit, then a violation would be cited. You have until May 31st 2025 to apply and receive funding to remediate any lead/asbestos hazards. Plan to visit the Clean Water for Carolina Kids website to sign up for a pre-enrollment webinar, take the survey, and complete lead paint testing and asbestos testing if applicable based on the age of your home. MB turns sixteen this year and will be required to have a Criminal Background Check within five days of her birthday. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q)Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. We discussed the screen time requirements below. There is a child enrolled that is under evaluation for an Individualized Education Plan (IEP). If screen time is in the IEP, plan to document when screen time occurs at the facility for the child. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)When screen time is provided on any electronic media device with a visual display, it shall be: (1)offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2)limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3)documented on a cumulative log or activity plan, and shall be available for review by the Division. (c)Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or (828) 550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0102 · Violation

Name of Operation: FIRST STEPS PRESCHOOL Facility ID: 50000070 Consultant: SIDNEY MCCRORY Operation Type: Family CC Home Case Number: Visit Date: 3/26/2025 Number Present: 5 Completed Date: 3/26/2025 Age: From 1 To 3 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:30 AM Time In: 02:00 PM Time Out: 03:00 PM 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 child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Angela Farmer, Owner/Operator, during the visit. A signed copy of the visit summary was left with you. Upon arrival, I was greeted by Angie Farmer, Owner. I reviewed the purpose of today’s visit with you. Monica Houck, Lead Child Care Consultant, accompanied me during today’s visit. Ms. Farmer was available to assist with questions. The program currently operates with a one (1) Star Rated License effective 12/8/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 3/26/25. The program’s annual compliance visit was conducted on 9/23/24. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to three years old, having free play. The provider read a story to the children. The children then sang the alphabet and various educational songs with the Provider. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. The bathroom used by children was under construction. You stated in February 2025 there was a leak discovered and repairs through reconstruction are in process now. The last fire drill was practiced on 2/14/25. The last emergency drill, shelter-in-place drill, was practiced on 12/21/24. The Emergency Medical Care Plan is posted and current. Currently, you, your daughter (15 years old), and son (3 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Due to technical difficulties we left to work off-site and then returned to review the visit summary with the Provider. The following violations were documented during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The bathroom the children use was being remodeled.There were large holes in the floor and a wall was knocked out allowing access to an unlicensed space. .1719(a)(1)&(17) 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last test was done on 11/1/22. A new test is required. 10A NCAC 09 .1725(a)(1) 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 dog and cat that live in the home did not have proof of current vaccination. .1719(b)(1) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR plan on file was dated 9/19/22. .1714(e ) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. An infant that started in September of 2024 had no record of safe sleep checks. .1724(a)(7) Technical assistance was provided as follows: Items #930 and 1831 Criminal Background Checks (CBC) The Division of Child Development and Early Education (DCDEE) CBC application process must be completed prior to expiration to allow for the process of renewing a qualification letter. A valid qualification letter must be on file at all times at the facility. A. Farmer must complete the DCDEE CBC application process immediately. Once the process is completed, the qualification letter must be printed and on file at the facility. Per DCDEE procedures and because Ms. Farmer does not have a valid qualification letter on file, the child care facility must close at the end of the day and cannot operate again until Ms. Farmer has her valid qualification letter on file. Plan to update the child care consultant during the process and send a copy of the valid qualification letter to the consultant once completed. Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valid CPR/First Aid card/certificate is on file. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valdi CPR/First Aid card/certificate is on file. Item -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. Rule Reference .1719(b)(1) Records of all pets must be present for viewing. Keep these records in your files to make it easier to find during your Annual Compliance and Routine Unannounced Visits. Item -1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. Rule Reference .1724(a)(7) All children ages 12 months and younger must have safe sleep checks on file for thirty days. These can be kept on a clip board for easy access and to help you remember if in proximity. Item 701- All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Rule Reference-.1719(a)(1)&(17) -The bathroom for use by children in the hallway must be completed repaired before children can begin using this bathroom again. The holes in the floor and missing walls create hazards for children. You stated you do not want to have the master bathroom approved for children's use. You also stated the bathroom floor may be repaired as soon as this weekend. Plan to send pictures to verify compliance. Item 801-Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Rule reference .1725(a)(1) Wells used for children should be tested every two years. Put a reminder up where you can see it near your parent boards to keep it front and center to help keep this up to date and in your view year round. Item #1876 Emergency Preparedness and Response (EPR) Plan It is important to review the EPR plan annually to ensure all information is accurate in case of emergency. The EPR Plan needs to be updated and the current plan be printed and ready for review. Corrective Action Plan: 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. 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 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/9/25.. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Lead water testing is now effective for family child care homes as of January, 2025. The water lead testing has not be started. Plan to complete the water lead testing through Clean Water for Carolina Kids immediately. We discussed if the water has not been tested for lead by the next monitoring visit, then a violation would be cited. You have until May 31st 2025 to apply and receive funding to remediate any lead/asbestos hazards. Plan to visit the Clean Water for Carolina Kids website to sign up for a pre-enrollment webinar, take the survey, and complete lead paint testing and asbestos testing if applicable based on the age of your home. MB turns sixteen this year and will be required to have a Criminal Background Check within five days of her birthday. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q)Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. We discussed the screen time requirements below. There is a child enrolled that is under evaluation for an Individualized Education Plan (IEP). If screen time is in the IEP, plan to document when screen time occurs at the facility for the child. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)When screen time is provided on any electronic media device with a visual display, it shall be: (1)offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2)limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3)documented on a cumulative log or activity plan, and shall be available for review by the Division. (c)Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or (828) 550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: FIRST STEPS PRESCHOOL Facility ID: 50000070 Consultant: SIDNEY MCCRORY Operation Type: Family CC Home Case Number: Visit Date: 3/26/2025 Number Present: 5 Completed Date: 3/26/2025 Age: From 1 To 3 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:30 AM Time In: 02:00 PM Time Out: 03:00 PM 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 child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Angela Farmer, Owner/Operator, during the visit. A signed copy of the visit summary was left with you. Upon arrival, I was greeted by Angie Farmer, Owner. I reviewed the purpose of today’s visit with you. Monica Houck, Lead Child Care Consultant, accompanied me during today’s visit. Ms. Farmer was available to assist with questions. The program currently operates with a one (1) Star Rated License effective 12/8/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 3/26/25. The program’s annual compliance visit was conducted on 9/23/24. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to three years old, having free play. The provider read a story to the children. The children then sang the alphabet and various educational songs with the Provider. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. The bathroom used by children was under construction. You stated in February 2025 there was a leak discovered and repairs through reconstruction are in process now. The last fire drill was practiced on 2/14/25. The last emergency drill, shelter-in-place drill, was practiced on 12/21/24. The Emergency Medical Care Plan is posted and current. Currently, you, your daughter (15 years old), and son (3 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Due to technical difficulties we left to work off-site and then returned to review the visit summary with the Provider. The following violations were documented during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The bathroom the children use was being remodeled.There were large holes in the floor and a wall was knocked out allowing access to an unlicensed space. .1719(a)(1)&(17) 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last test was done on 11/1/22. A new test is required. 10A NCAC 09 .1725(a)(1) 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 dog and cat that live in the home did not have proof of current vaccination. .1719(b)(1) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR plan on file was dated 9/19/22. .1714(e ) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. An infant that started in September of 2024 had no record of safe sleep checks. .1724(a)(7) Technical assistance was provided as follows: Items #930 and 1831 Criminal Background Checks (CBC) The Division of Child Development and Early Education (DCDEE) CBC application process must be completed prior to expiration to allow for the process of renewing a qualification letter. A valid qualification letter must be on file at all times at the facility. A. Farmer must complete the DCDEE CBC application process immediately. Once the process is completed, the qualification letter must be printed and on file at the facility. Per DCDEE procedures and because Ms. Farmer does not have a valid qualification letter on file, the child care facility must close at the end of the day and cannot operate again until Ms. Farmer has her valid qualification letter on file. Plan to update the child care consultant during the process and send a copy of the valid qualification letter to the consultant once completed. Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valid CPR/First Aid card/certificate is on file. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valdi CPR/First Aid card/certificate is on file. Item -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. Rule Reference .1719(b)(1) Records of all pets must be present for viewing. Keep these records in your files to make it easier to find during your Annual Compliance and Routine Unannounced Visits. Item -1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. Rule Reference .1724(a)(7) All children ages 12 months and younger must have safe sleep checks on file for thirty days. These can be kept on a clip board for easy access and to help you remember if in proximity. Item 701- All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Rule Reference-.1719(a)(1)&(17) -The bathroom for use by children in the hallway must be completed repaired before children can begin using this bathroom again. The holes in the floor and missing walls create hazards for children. You stated you do not want to have the master bathroom approved for children's use. You also stated the bathroom floor may be repaired as soon as this weekend. Plan to send pictures to verify compliance. Item 801-Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Rule reference .1725(a)(1) Wells used for children should be tested every two years. Put a reminder up where you can see it near your parent boards to keep it front and center to help keep this up to date and in your view year round. Item #1876 Emergency Preparedness and Response (EPR) Plan It is important to review the EPR plan annually to ensure all information is accurate in case of emergency. The EPR Plan needs to be updated and the current plan be printed and ready for review. Corrective Action Plan: 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. 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 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/9/25.. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Lead water testing is now effective for family child care homes as of January, 2025. The water lead testing has not be started. Plan to complete the water lead testing through Clean Water for Carolina Kids immediately. We discussed if the water has not been tested for lead by the next monitoring visit, then a violation would be cited. You have until May 31st 2025 to apply and receive funding to remediate any lead/asbestos hazards. Plan to visit the Clean Water for Carolina Kids website to sign up for a pre-enrollment webinar, take the survey, and complete lead paint testing and asbestos testing if applicable based on the age of your home. MB turns sixteen this year and will be required to have a Criminal Background Check within five days of her birthday. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q)Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. We discussed the screen time requirements below. There is a child enrolled that is under evaluation for an Individualized Education Plan (IEP). If screen time is in the IEP, plan to document when screen time occurs at the facility for the child. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)When screen time is provided on any electronic media device with a visual display, it shall be: (1)offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2)limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3)documented on a cumulative log or activity plan, and shall be available for review by the Division. (c)Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or (828) 550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1718 · Violation

Name of Operation: FIRST STEPS PRESCHOOL Facility ID: 50000070 Consultant: SIDNEY MCCRORY Operation Type: Family CC Home Case Number: Visit Date: 3/26/2025 Number Present: 5 Completed Date: 3/26/2025 Age: From 1 To 3 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:30 AM Time In: 02:00 PM Time Out: 03:00 PM 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 child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Angela Farmer, Owner/Operator, during the visit. A signed copy of the visit summary was left with you. Upon arrival, I was greeted by Angie Farmer, Owner. I reviewed the purpose of today’s visit with you. Monica Houck, Lead Child Care Consultant, accompanied me during today’s visit. Ms. Farmer was available to assist with questions. The program currently operates with a one (1) Star Rated License effective 12/8/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 3/26/25. The program’s annual compliance visit was conducted on 9/23/24. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to three years old, having free play. The provider read a story to the children. The children then sang the alphabet and various educational songs with the Provider. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. The bathroom used by children was under construction. You stated in February 2025 there was a leak discovered and repairs through reconstruction are in process now. The last fire drill was practiced on 2/14/25. The last emergency drill, shelter-in-place drill, was practiced on 12/21/24. The Emergency Medical Care Plan is posted and current. Currently, you, your daughter (15 years old), and son (3 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Due to technical difficulties we left to work off-site and then returned to review the visit summary with the Provider. The following violations were documented during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The bathroom the children use was being remodeled.There were large holes in the floor and a wall was knocked out allowing access to an unlicensed space. .1719(a)(1)&(17) 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last test was done on 11/1/22. A new test is required. 10A NCAC 09 .1725(a)(1) 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 dog and cat that live in the home did not have proof of current vaccination. .1719(b)(1) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR plan on file was dated 9/19/22. .1714(e ) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. An infant that started in September of 2024 had no record of safe sleep checks. .1724(a)(7) Technical assistance was provided as follows: Items #930 and 1831 Criminal Background Checks (CBC) The Division of Child Development and Early Education (DCDEE) CBC application process must be completed prior to expiration to allow for the process of renewing a qualification letter. A valid qualification letter must be on file at all times at the facility. A. Farmer must complete the DCDEE CBC application process immediately. Once the process is completed, the qualification letter must be printed and on file at the facility. Per DCDEE procedures and because Ms. Farmer does not have a valid qualification letter on file, the child care facility must close at the end of the day and cannot operate again until Ms. Farmer has her valid qualification letter on file. Plan to update the child care consultant during the process and send a copy of the valid qualification letter to the consultant once completed. Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valid CPR/First Aid card/certificate is on file. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valdi CPR/First Aid card/certificate is on file. Item -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. Rule Reference .1719(b)(1) Records of all pets must be present for viewing. Keep these records in your files to make it easier to find during your Annual Compliance and Routine Unannounced Visits. Item -1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. Rule Reference .1724(a)(7) All children ages 12 months and younger must have safe sleep checks on file for thirty days. These can be kept on a clip board for easy access and to help you remember if in proximity. Item 701- All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Rule Reference-.1719(a)(1)&(17) -The bathroom for use by children in the hallway must be completed repaired before children can begin using this bathroom again. The holes in the floor and missing walls create hazards for children. You stated you do not want to have the master bathroom approved for children's use. You also stated the bathroom floor may be repaired as soon as this weekend. Plan to send pictures to verify compliance. Item 801-Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Rule reference .1725(a)(1) Wells used for children should be tested every two years. Put a reminder up where you can see it near your parent boards to keep it front and center to help keep this up to date and in your view year round. Item #1876 Emergency Preparedness and Response (EPR) Plan It is important to review the EPR plan annually to ensure all information is accurate in case of emergency. The EPR Plan needs to be updated and the current plan be printed and ready for review. Corrective Action Plan: 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. 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 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/9/25.. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Lead water testing is now effective for family child care homes as of January, 2025. The water lead testing has not be started. Plan to complete the water lead testing through Clean Water for Carolina Kids immediately. We discussed if the water has not been tested for lead by the next monitoring visit, then a violation would be cited. You have until May 31st 2025 to apply and receive funding to remediate any lead/asbestos hazards. Plan to visit the Clean Water for Carolina Kids website to sign up for a pre-enrollment webinar, take the survey, and complete lead paint testing and asbestos testing if applicable based on the age of your home. MB turns sixteen this year and will be required to have a Criminal Background Check within five days of her birthday. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q)Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. We discussed the screen time requirements below. There is a child enrolled that is under evaluation for an Individualized Education Plan (IEP). If screen time is in the IEP, plan to document when screen time occurs at the facility for the child. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)When screen time is provided on any electronic media device with a visual display, it shall be: (1)offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2)limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3)documented on a cumulative log or activity plan, and shall be available for review by the Division. (c)Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or (828) 550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2703 · Violation

Name of Operation: FIRST STEPS PRESCHOOL Facility ID: 50000070 Consultant: SIDNEY MCCRORY Operation Type: Family CC Home Case Number: Visit Date: 3/26/2025 Number Present: 5 Completed Date: 3/26/2025 Age: From 1 To 3 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:30 AM Time In: 02:00 PM Time Out: 03:00 PM 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 child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Angela Farmer, Owner/Operator, during the visit. A signed copy of the visit summary was left with you. Upon arrival, I was greeted by Angie Farmer, Owner. I reviewed the purpose of today’s visit with you. Monica Houck, Lead Child Care Consultant, accompanied me during today’s visit. Ms. Farmer was available to assist with questions. The program currently operates with a one (1) Star Rated License effective 12/8/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 3/26/25. The program’s annual compliance visit was conducted on 9/23/24. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to three years old, having free play. The provider read a story to the children. The children then sang the alphabet and various educational songs with the Provider. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. The bathroom used by children was under construction. You stated in February 2025 there was a leak discovered and repairs through reconstruction are in process now. The last fire drill was practiced on 2/14/25. The last emergency drill, shelter-in-place drill, was practiced on 12/21/24. The Emergency Medical Care Plan is posted and current. Currently, you, your daughter (15 years old), and son (3 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Due to technical difficulties we left to work off-site and then returned to review the visit summary with the Provider. The following violations were documented during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The bathroom the children use was being remodeled.There were large holes in the floor and a wall was knocked out allowing access to an unlicensed space. .1719(a)(1)&(17) 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last test was done on 11/1/22. A new test is required. 10A NCAC 09 .1725(a)(1) 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 dog and cat that live in the home did not have proof of current vaccination. .1719(b)(1) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR plan on file was dated 9/19/22. .1714(e ) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. An infant that started in September of 2024 had no record of safe sleep checks. .1724(a)(7) Technical assistance was provided as follows: Items #930 and 1831 Criminal Background Checks (CBC) The Division of Child Development and Early Education (DCDEE) CBC application process must be completed prior to expiration to allow for the process of renewing a qualification letter. A valid qualification letter must be on file at all times at the facility. A. Farmer must complete the DCDEE CBC application process immediately. Once the process is completed, the qualification letter must be printed and on file at the facility. Per DCDEE procedures and because Ms. Farmer does not have a valid qualification letter on file, the child care facility must close at the end of the day and cannot operate again until Ms. Farmer has her valid qualification letter on file. Plan to update the child care consultant during the process and send a copy of the valid qualification letter to the consultant once completed. Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valid CPR/First Aid card/certificate is on file. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valdi CPR/First Aid card/certificate is on file. Item -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. Rule Reference .1719(b)(1) Records of all pets must be present for viewing. Keep these records in your files to make it easier to find during your Annual Compliance and Routine Unannounced Visits. Item -1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. Rule Reference .1724(a)(7) All children ages 12 months and younger must have safe sleep checks on file for thirty days. These can be kept on a clip board for easy access and to help you remember if in proximity. Item 701- All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Rule Reference-.1719(a)(1)&(17) -The bathroom for use by children in the hallway must be completed repaired before children can begin using this bathroom again. The holes in the floor and missing walls create hazards for children. You stated you do not want to have the master bathroom approved for children's use. You also stated the bathroom floor may be repaired as soon as this weekend. Plan to send pictures to verify compliance. Item 801-Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Rule reference .1725(a)(1) Wells used for children should be tested every two years. Put a reminder up where you can see it near your parent boards to keep it front and center to help keep this up to date and in your view year round. Item #1876 Emergency Preparedness and Response (EPR) Plan It is important to review the EPR plan annually to ensure all information is accurate in case of emergency. The EPR Plan needs to be updated and the current plan be printed and ready for review. Corrective Action Plan: 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. 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 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/9/25.. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Lead water testing is now effective for family child care homes as of January, 2025. The water lead testing has not be started. Plan to complete the water lead testing through Clean Water for Carolina Kids immediately. We discussed if the water has not been tested for lead by the next monitoring visit, then a violation would be cited. You have until May 31st 2025 to apply and receive funding to remediate any lead/asbestos hazards. Plan to visit the Clean Water for Carolina Kids website to sign up for a pre-enrollment webinar, take the survey, and complete lead paint testing and asbestos testing if applicable based on the age of your home. MB turns sixteen this year and will be required to have a Criminal Background Check within five days of her birthday. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q)Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. We discussed the screen time requirements below. There is a child enrolled that is under evaluation for an Individualized Education Plan (IEP). If screen time is in the IEP, plan to document when screen time occurs at the facility for the child. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)When screen time is provided on any electronic media device with a visual display, it shall be: (1)offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2)limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3)documented on a cumulative log or activity plan, and shall be available for review by the Division. (c)Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or (828) 550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: FIRST STEPS PRESCHOOL Facility ID: 50000070 Consultant: SIDNEY MCCRORY Operation Type: Family CC Home Case Number: Visit Date: 3/26/2025 Number Present: 5 Completed Date: 3/26/2025 Age: From 1 To 3 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:30 AM Time In: 02:00 PM Time Out: 03:00 PM 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 child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Angela Farmer, Owner/Operator, during the visit. A signed copy of the visit summary was left with you. Upon arrival, I was greeted by Angie Farmer, Owner. I reviewed the purpose of today’s visit with you. Monica Houck, Lead Child Care Consultant, accompanied me during today’s visit. Ms. Farmer was available to assist with questions. The program currently operates with a one (1) Star Rated License effective 12/8/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 3/26/25. The program’s annual compliance visit was conducted on 9/23/24. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to three years old, having free play. The provider read a story to the children. The children then sang the alphabet and various educational songs with the Provider. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. The bathroom used by children was under construction. You stated in February 2025 there was a leak discovered and repairs through reconstruction are in process now. The last fire drill was practiced on 2/14/25. The last emergency drill, shelter-in-place drill, was practiced on 12/21/24. The Emergency Medical Care Plan is posted and current. Currently, you, your daughter (15 years old), and son (3 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Due to technical difficulties we left to work off-site and then returned to review the visit summary with the Provider. The following violations were documented during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The bathroom the children use was being remodeled.There were large holes in the floor and a wall was knocked out allowing access to an unlicensed space. .1719(a)(1)&(17) 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last test was done on 11/1/22. A new test is required. 10A NCAC 09 .1725(a)(1) 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 dog and cat that live in the home did not have proof of current vaccination. .1719(b)(1) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR plan on file was dated 9/19/22. .1714(e ) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. An infant that started in September of 2024 had no record of safe sleep checks. .1724(a)(7) Technical assistance was provided as follows: Items #930 and 1831 Criminal Background Checks (CBC) The Division of Child Development and Early Education (DCDEE) CBC application process must be completed prior to expiration to allow for the process of renewing a qualification letter. A valid qualification letter must be on file at all times at the facility. A. Farmer must complete the DCDEE CBC application process immediately. Once the process is completed, the qualification letter must be printed and on file at the facility. Per DCDEE procedures and because Ms. Farmer does not have a valid qualification letter on file, the child care facility must close at the end of the day and cannot operate again until Ms. Farmer has her valid qualification letter on file. Plan to update the child care consultant during the process and send a copy of the valid qualification letter to the consultant once completed. Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valid CPR/First Aid card/certificate is on file. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valdi CPR/First Aid card/certificate is on file. Item -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. Rule Reference .1719(b)(1) Records of all pets must be present for viewing. Keep these records in your files to make it easier to find during your Annual Compliance and Routine Unannounced Visits. Item -1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. Rule Reference .1724(a)(7) All children ages 12 months and younger must have safe sleep checks on file for thirty days. These can be kept on a clip board for easy access and to help you remember if in proximity. Item 701- All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Rule Reference-.1719(a)(1)&(17) -The bathroom for use by children in the hallway must be completed repaired before children can begin using this bathroom again. The holes in the floor and missing walls create hazards for children. You stated you do not want to have the master bathroom approved for children's use. You also stated the bathroom floor may be repaired as soon as this weekend. Plan to send pictures to verify compliance. Item 801-Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Rule reference .1725(a)(1) Wells used for children should be tested every two years. Put a reminder up where you can see it near your parent boards to keep it front and center to help keep this up to date and in your view year round. Item #1876 Emergency Preparedness and Response (EPR) Plan It is important to review the EPR plan annually to ensure all information is accurate in case of emergency. The EPR Plan needs to be updated and the current plan be printed and ready for review. Corrective Action Plan: 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. 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 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/9/25.. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Lead water testing is now effective for family child care homes as of January, 2025. The water lead testing has not be started. Plan to complete the water lead testing through Clean Water for Carolina Kids immediately. We discussed if the water has not been tested for lead by the next monitoring visit, then a violation would be cited. You have until May 31st 2025 to apply and receive funding to remediate any lead/asbestos hazards. Plan to visit the Clean Water for Carolina Kids website to sign up for a pre-enrollment webinar, take the survey, and complete lead paint testing and asbestos testing if applicable based on the age of your home. MB turns sixteen this year and will be required to have a Criminal Background Check within five days of her birthday. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q)Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. We discussed the screen time requirements below. There is a child enrolled that is under evaluation for an Individualized Education Plan (IEP). If screen time is in the IEP, plan to document when screen time occurs at the facility for the child. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)When screen time is provided on any electronic media device with a visual display, it shall be: (1)offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2)limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3)documented on a cumulative log or activity plan, and shall be available for review by the Division. (c)Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or (828) 550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: FIRST STEPS PRESCHOOL Facility ID: 50000070 Consultant: SIDNEY MCCRORY Operation Type: Family CC Home Case Number: Visit Date: 3/26/2025 Number Present: 5 Completed Date: 3/26/2025 Age: From 1 To 3 Total Minutes: 120 Time In: 09:30 AM Time Out: 10:30 AM Time In: 02:00 PM Time Out: 03:00 PM 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 child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Sidney McCrory, Child Care Consultant and also signed by Angela Farmer, Owner/Operator, during the visit. A signed copy of the visit summary was left with you. Upon arrival, I was greeted by Angie Farmer, Owner. I reviewed the purpose of today’s visit with you. Monica Houck, Lead Child Care Consultant, accompanied me during today’s visit. Ms. Farmer was available to assist with questions. The program currently operates with a one (1) Star Rated License effective 12/8/2022. The permit restrictions were in compliance including first shift (daytime care), maximum of five (5) preschool children at any time, children in care on ground level, serves no more than two (2) infants under one year of age, fireplace/woodstove not used during operating hours. The family child care home’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 3/26/25. The program’s annual compliance visit was conducted on 9/23/24. The following items were monitored today: Supervision Capacity CPR / First Aid ITS-SIDS CBC Qualification General Health Administering Medication Storage of Hazardous Products Storage of Medication General Safety General License Requirements Program Records License Posted Fire Safety Sanitation During today’s visit, I observed the children ages infant to three years old, having free play. The provider read a story to the children. The children then sang the alphabet and various educational songs with the Provider. All provider interactions were loving, nurturing and positive and children were happy and engaged in developmentally appropriate activities. Toys were ample in quantity, in good condition and developmentally appropriate for the children in care. The children in care were well adjusted to the daily routine, happy and secure with their care provider. The bathroom used by children was under construction. You stated in February 2025 there was a leak discovered and repairs through reconstruction are in process now. The last fire drill was practiced on 2/14/25. The last emergency drill, shelter-in-place drill, was practiced on 12/21/24. The Emergency Medical Care Plan is posted and current. Currently, you, your daughter (15 years old), and son (3 years old) live in the residence. You do not provide transportation while the children are in care. Only emergency transportation is provided in the event of an emergency. You keep children from going into un-used areas of the home through the use of gates and closed locked doors. The program has no medications for the children enrolled. I used the Division of Child Development and Early Education Family Child Care Home Item Number Listing as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Due to technical difficulties we left to work off-site and then returned to review the visit summary with the Provider. The following violations were documented during today’s visit: Violation Number Comment Rule 508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2) First aid training was not renewed on or before the expiration of the certification.A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(2) 511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2) CPR training was not renewed on or before the expiration of the certification. A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. .1703(a)(3) 701 All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. The bathroom the children use was being remodeled.There were large holes in the floor and a wall was knocked out allowing access to an unlicensed space. .1719(a)(1)&(17) 801 Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. The last test was done on 11/1/22. A new test is required. 10A NCAC 09 .1725(a)(1) 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 dog and cat that live in the home did not have proof of current vaccination. .1719(b)(1) 930 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years from the date of issuance). The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 & .2703(n) & (o) 1831 A valid qualification letter was not on file and available for review at the facility. The operator had a qualification letter on file that expired on 10/14/24. G.S. 110-90.2 (b) & (d) & .2703(e) .1702(b)(1) 1876 The operator did not review the EPR Plan annually or when information in the plan changed to ensure all information is current. The EPR plan on file was dated 9/19/22. .1714(e ) 1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. An infant that started in September of 2024 had no record of safe sleep checks. .1724(a)(7) Technical assistance was provided as follows: Items #930 and 1831 Criminal Background Checks (CBC) The Division of Child Development and Early Education (DCDEE) CBC application process must be completed prior to expiration to allow for the process of renewing a qualification letter. A valid qualification letter must be on file at all times at the facility. A. Farmer must complete the DCDEE CBC application process immediately. Once the process is completed, the qualification letter must be printed and on file at the facility. Per DCDEE procedures and because Ms. Farmer does not have a valid qualification letter on file, the child care facility must close at the end of the day and cannot operate again until Ms. Farmer has her valid qualification letter on file. Plan to update the child care consultant during the process and send a copy of the valid qualification letter to the consultant once completed. Item #508 Operator did not successfully complete a first aid course as referenced in Rule.1702(b)(2). First aid training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (2) Renew First Aid training on or before expiration of the certification appropriate for the ages of children in care; A.F. first aid training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valid CPR/First Aid card/certificate is on file. Item #511 Operator did not successfully complete a CPR course as referenced in Rule.1702(b)(2). CPR training was not renewed on or before the expiration of the certification. 10A NCAC 09 .1703 ON-GOING REQUIREMENTS FOR FAMILY CHILD CARE HOME OPERATORS (a) After receiving a license, family child care home operator shall: (3) Renew CPR course on or before the expiration of the certification appropriate for the ages of children in care; -A.F. CPR training was not on site for us to review. The card on file was dated 11/2024 and had expired. I suggest adding the expiration date to your calendar to notify you when to register for training. The facility will be required to remain closed and not operate until the valdi CPR/First Aid card/certificate is on file. Item -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. Rule Reference .1719(b)(1) Records of all pets must be present for viewing. Keep these records in your files to make it easier to find during your Annual Compliance and Routine Unannounced Visits. Item -1948 Sleeping infants, ages 12 months and younger were not visually checked every 15 minutes. Rule Reference .1724(a)(7) All children ages 12 months and younger must have safe sleep checks on file for thirty days. These can be kept on a clip board for easy access and to help you remember if in proximity. Item 701- All indoor and outdoor areas used by the children were not kept clean, orderly, and free of items which are potentially hazardous to children including removal of items a child can swallow; the removal of loose nails or screws and splinters on inside; and use of outdoor equipment that is too hot to touch. Rule Reference-.1719(a)(1)&(17) -The bathroom for use by children in the hallway must be completed repaired before children can begin using this bathroom again. The holes in the floor and missing walls create hazards for children. You stated you do not want to have the master bathroom approved for children's use. You also stated the bathroom floor may be repaired as soon as this weekend. Plan to send pictures to verify compliance. Item 801-Bacteriological analysis indicating the water is free of bacteria had not been performed on a sample of water from each well used for the children's water supply every two years. Results were not kept on file in the home. Rule reference .1725(a)(1) Wells used for children should be tested every two years. Put a reminder up where you can see it near your parent boards to keep it front and center to help keep this up to date and in your view year round. Item #1876 Emergency Preparedness and Response (EPR) Plan It is important to review the EPR plan annually to ensure all information is accurate in case of emergency. The EPR Plan needs to be updated and the current plan be printed and ready for review. Corrective Action Plan: 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. 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 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/9/25.. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Sidney.McCrory@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Sidney McCrory 172 Streamwood Circle Waynesville NC 28786 Please call me at 828-550-7655, or email Sidney.mccrory@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Today, we discussed the following: Lead water testing is now effective for family child care homes as of January, 2025. The water lead testing has not be started. Plan to complete the water lead testing through Clean Water for Carolina Kids immediately. We discussed if the water has not been tested for lead by the next monitoring visit, then a violation would be cited. You have until May 31st 2025 to apply and receive funding to remediate any lead/asbestos hazards. Plan to visit the Clean Water for Carolina Kids website to sign up for a pre-enrollment webinar, take the survey, and complete lead paint testing and asbestos testing if applicable based on the age of your home. MB turns sixteen this year and will be required to have a Criminal Background Check within five days of her birthday. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (q)Any individual over the age of 15 who resides, as defined in 10A NCAC 09 .0102(40), in a child care facility on either a temporary or permanent basis shall comply with the requirements of Paragraph (a) of this Rule within 5 days of either moving into the facility or within 5 days after their 16th birthday. We discussed the screen time requirements below. There is a child enrolled that is under evaluation for an Individualized Education Plan (IEP). If screen time is in the IEP, plan to document when screen time occurs at the facility for the child. 10A NCAC 09 .1718 REQUIREMENTS FOR DAILY OPERATIONS (b)When screen time is provided on any electronic media device with a visual display, it shall be: (1)offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in this Section; (2)limited to a maximum of 30 minutes per day and no more than a total of two and a half hours per week per child; and (3)documented on a cumulative log or activity plan, and shall be available for review by the Division. (c)Screen time is prohibited for children under the age of three years. The operator shall offer alternate activities for children under the age of three years. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or (828) 550-7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0304 · Violation

Name of Operation: FIRST STEPS PRESCHOOL Facility ID: 50000070 Consultant: SIDNEY MCCRORY Operation Type: Family CC Home Case Number: Visit Date: 4/22/2024 Number Present: 5 Completed Date: 4/22/2024 Age: From 0 To 3 Total Minutes: 119 Time In: 10:30 AM Time Out: 12:29 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This Family Child Care Home operates with a One Star License issued 12/8/22. Angie farmer, Owner/Operator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 10/9/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed the children preparing for nap. One infant was being rocked and fed her bottle. Two (2) toddlers were asleep and a three (3) year old was engaged with the caregiver. There was no new staff member since the facility had their Annual Compliance on 10/9/23. The last fire drill was practiced on 3/15/24. The last shelter-in-place drill/lockdown drill was practiced on 1/3/24. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: 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. There was an aerosol container of Glad air-refresher unlocked in the bathroom used by children. .1719 (a)(7) Technical Assistance: Hazardous Items Item 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was an aerosol container of Glad air-refresher unlocked in the bathroom used by children. According to10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use Consultation: We discussed you finished your associate degree in Early Childhood and would like to do your three (3) month study to increase improve your start rating. I will send you the three (3) month study so you can start this process. Make sure you have you education to WORKS so we can finish this process when you have your study done. Child care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1719 · Violation

Name of Operation: FIRST STEPS PRESCHOOL Facility ID: 50000070 Consultant: SIDNEY MCCRORY Operation Type: Family CC Home Case Number: Visit Date: 4/22/2024 Number Present: 5 Completed Date: 4/22/2024 Age: From 0 To 3 Total Minutes: 119 Time In: 10:30 AM Time Out: 12:29 PM Time In: Time Out: List to Use: Family CC Home Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. This Family Child Care Home operates with a One Star License issued 12/8/22. Angie farmer, Owner/Operator, accompanied me today during the walk through. The program’s annual compliance visit was conducted on 10/9/23. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Approved Space General Safety Discipline Program Records License Posted Permit Restrictions Upon arrival I observed the children preparing for nap. One infant was being rocked and fed her bottle. Two (2) toddlers were asleep and a three (3) year old was engaged with the caregiver. There was no new staff member since the facility had their Annual Compliance on 10/9/23. The last fire drill was practiced on 3/15/24. The last shelter-in-place drill/lockdown drill was practiced on 1/3/24. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations of child care requirements were observed today: 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. There was an aerosol container of Glad air-refresher unlocked in the bathroom used by children. .1719 (a)(7) Technical Assistance: Hazardous Items Item 840- All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. There was an aerosol container of Glad air-refresher unlocked in the bathroom used by children. According to10A NCAC 09 .1719 REQUIREMENTS FOR A SAFE INDOOR/OUTDOOR ENVIRONMENT (a) The operator of a family child care home (operator) shall provide a physically safe and healthy indoor and outdoor environment that meets the developmental needs of children in care, including but not limited to the following: (7) keep all corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product that is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked area when not in use. Locked areas shall include those that are unlocked with a combination, electronic, or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed in this Paragraph that is labeled "keep out of reach of children" without any other warnings shall be kept inaccessible to children when not in use Consultation: We discussed you finished your associate degree in Early Childhood and would like to do your three (3) month study to increase improve your start rating. I will send you the three (3) month study so you can start this process. Make sure you have you education to WORKS so we can finish this process when you have your study done. Child care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you as needed. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Sidney.McCrory@dhhs.nc.gov or 828.550.7655, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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